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Neonatal Abstinence Syndrome Due to Maternal Kratom Use.
Whitney B Eldridge1, Cherie Foster2, Lance Wyble2
1Mednax Incorporated, Sunrise, Florida whitney_eldridge@mednax.com.
Pediatrics
|November 9, 2018
Summary
Neonatal abstinence syndrome (NAS) risk increases with maternal Kratom use during pregnancy. This herbal supplement, marketed for opioid withdrawal, can cause NAS in newborns.
Area of Science:
- Pharmacology
- Neonatal Health
- Public Health
Background:
- Neonatal abstinence syndrome (NAS) incidence is rising, primarily linked to maternal opioid use.
- The opioid epidemic fuels demand for nonopioid treatments for opioid dependence.
- Kratom, a legal herbal supplement, is controversially marketed as a nonopioid remedy for opioid withdrawal.
Observation:
- A case study of an infant born with NAS is presented.
- The infant's mother used Kratom tea daily during pregnancy to self-manage opioid dependence.
Findings:
- Maternal daily Kratom tea ingestion during pregnancy resulted in neonatal abstinence syndrome (NAS) in the infant.
- This case highlights the potential risks associated with Kratom use during pregnancy.
Implications:
- Healthcare providers should be aware of the potential for NAS in infants exposed to Kratom prenatally.
- Parents considering Kratom for opioid dependence during pregnancy should be informed of the associated risks to newborns.
- Further research is needed to understand Kratom's effects on fetal development and neonatal outcomes.
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