States Lack Standards for Treating Opioid Dependent Pregnant Women -- Experts Say That's Ok

The United States has the highest mother mortality rates of any developed country. Through a clinic on wheels, Merck for Mothers is giving prenatal check-ups to low-income pregnant women in Philadelphia and curbing deaths related to childbirth.

In South Carolina, a Medicaid program is offering long-acting contraceptives during a new mother’s hospital stay, while she is still eligible for the benefit. Other states are following suit.

Project Baby Bear is a grant-funded pilot program that uses genome sequencing to to diagnose sick infants. The doctors hope to save lives and save the system money on unnecessary treatments. Since very few sick infants show symptoms that correlate to their genetic diagnosis, these tests are instrumental in positive health outcomes.

The simple addition of adding handles to bathroom stalls in the Rohingya refugee camps in Bangladesh has helped the camps' pregnant women regain a sense of empowerment and dignity. Providing support and balance, the design of these latrines have benefited the elderly in the camps as well.

Mozambique has a shortage of practicing surgeons, so medical technicians are being trained to fill their roles in various situations, especially in rural locations. Although there are challenges to using this tactic, the technicians-turned-surgeons have similar complication rates as those who are practicing surgeons.

Vermont's hub and spoke model of care has gained notoriety as being a system that has successfully played a positive role in creating better access to health care, especially as it relates to the opioid crisis. Now, officials in New Hampshire are looking to scale and adapt the program to work in their state.

The CDC's 2016 guidelines on prescribing opioids for chronic pain attempted to address the opioid-addiction crisis by restricting the supply of the drugs at their source. The guidelines discouraged their use when possible and suggested strategies to taper patients off of them. Since then, thousands of people have lost access to necessary medications and to their doctors, thanks to overreactions to the CDC guidelines that unintentionally led to deaths by street drugs or withdrawal.

Fifty years on, America's war on drugs has failed at its principal goals: to eradicate illicit drug use and sales, to repair communities damaged by the drug trade, and to prevent drug-related deaths. Despite massive amounts spent on law enforcement, which has created great social harms and fueled incarceration, drug use has rebounded to 40-year highs, drug overdose deaths are peaking, and supply of illegal drugs is abundant. Policy advocates say a combination of legalization and public-health approaches to the problems would accomplish more than the wasteful, ineffective "war" mentality used to date.

The Maternal and Neonatal Emergency Transport Scheme helps to increase access to healthcare services for women and newborns in rural areas through its informal transport/ambulance service. There are currently 2,500 registered drivers with the program willing to transport those in need of care and they serve about 70-90 women in labor each month.

To address gaps in healthcare access, the local government partnered with organizations like Plan International, German Cooperation and the World Bank’s Saving One Million Lives Project to build, refurbish and equip primary healthcare centers across the state to provide better care. As of May 2023, 138 centers have been built or upgraded, offering maternity care services, child healthcare, vaccinations and family planning among other services.