AZ Law states than drug use in pregnancy is not child abuse

Nurses General Nursing

Published

From the Az Republic 08/23/02

In 10 short days of life, a cuddly bundle of joy with a beautiful name turned into a crinkly bag of death.

Anndreah Robertson's death was senseless and outrageous. To say that it shouldn't have happened doesn't do justice to the series of bad decisions that caused it.

Anndreah's mother is a cocaine addict who admitted to smoking crack cocaine on the day of delivery. Her grandmother, who takes care of Anndreah's two small brothers and to whom Anndreah was entrusted, also smokes crack cocaine.

"The use of cocaine or drugs is not in itself abuse," says Anna Arnold, the assistant director of the division of Children, Youth and Families in the Department of Economic Security. Abuse, she says, is tied to a child's condition, for example, how well-fed and clothed the child is and whether there's physical abuse.

Anndreah's mother, Demitres Robertson, is in jail without bond, accused of murder and two counts of child abuse - and pregnant again. Anndreah's grandmother, Lillian Butler, is charged with two counts of child abuse.

St. Joseph's Hospital and Medical Center followed procedure and kept Anndreah for three days to cleanse her system of cocaine. They notified Child Protective Services. And they leveled with Anndreah's mother: The baby would die if she were exposed to cocaine again.

She was, and she did. An autopsy concluded that Anndreah died of complications from cocaine exposure and dehydration. The pathologist ruled her death a homicide. A witness alleges that Demitres Robertson and Butler smoked "large quantities of cocaine together" in the presence of Anndreah.

This was a beautiful, healthy baby at one time, that actually died of NEC due to exposure to second hand crack. I am just sick over it.

In Az, where we do not consider inutero drug use child abuse, what can we do to protect out patients.

Would prosecuting these addict mothers result in more "garbage can babies"?

How can we convince child protective services that they are not "saving" a baby by placing him with the druggie mother's mother. Meticulous charting was done on this child, but it didn't help.

Well, work is kind of slow so I think I will chime in.........

I have found all of your ideas and thoughts quite interesting and so many of you make really good ones, on both sides of the issue.

My personal ideas on aborition, etc. aside (and I am pro choice for the record).

I dont care that the mother is on crack, or why, or what she plans to do about it, whether she seeks treatment or not.

To me, the fact of the matter is that child should have never been allowed to leave that hospital with her mother. Period.

I don't care if she took crack at 3 weeks pregnant, 3 months, or after the child was born. No matter when she took it, the child in this case suffered ill effects. She had to be hospitalized for 3 days so that her system could be cleansed because of crack in her system. Crack in her system = physical abuse.

I feel bad for the staff at the hospital because it appears they tried. They called Family Services but their hands were tied.

And "leveling" with her that further exposure to crack would kill her. There is no such thing as "leveling" with an addict.

To some extent I also feel bad for the people at Family Services as they can only do so much within the cofines of the law. But surely something else could have been done. Last time I checked it was illegal to use drugs. They should have arrested that mother right then and there so that she at least couldn't get her hands on that baby.

Originally posted by MollyJ

And addicts do need and require compassion. BUT recovery is more likely to occur when they are held respectfully accountable.

Oh, I think I love you!! YES!! Exactly. And I love the AA "pour me" thing......lol!! So true.

FTR, I have drug abuse on both sides of my nice little upper middle class family. All 3 cases were teenagers who chose to use to be 'cool' and because they liked the high. One chose cocaine, one chose alcohol, one chose pot. 2 of them had their hands patted and were 'sympathized' with. They are now full welfare recipients and suck off the system. The third attended the rehab program 'straight (which does NOT hand-hold and very much espouses personal responsibility),' has been clean for 15 years, and has a college degree.

d'oh! accident.......

Shay,

FTR I am not a "doe-eyed student"; but have a different

perspective in this issue, due to the fact that I work with

women who are in recovery who are making positive changes

in their lives. Just like your relative that went into rehab , who

has been clean for 15 years. I'm glad to see that you realize

change is possible. I never said that I would be able to deal

with women who are high, screaming, spitting and hitting me.

It obviously has affected you very deeply. I'm pretty sure that

when you started your nursing career, you didn't refer to

patients as, I think you said "a useless waste of skin". That's

sad. Maybe dealing with these type of patients is no longer the

thing for you. Or maybe, you are one of many nurses ready for

a different career.

:rotfl: Yep, motivated, I'm just bitter and jaded. :rotfl:

And yep, you're right....I did call them wastes of skin!! Glad to see you're paying attention!!! HAVE FUN ON YOUR OB ROTATION....:rotfl:

Specializes in LDRP; Education.

Motivated,

Shay, just like myself, are dedicated, caring OB nurses who chose that path because we enjoy bringing life into the world. We adore infants and children, and love the happiness that "can" surround obstetrics. But, contrary to what many students and sometimes even nurses think, OB is not all happy.

When you have seen these beautiful children born with defects, or seizing and who never had a chance, oddly enough if you weren't pro-choice before you will consider it now. And when you see some crack-whore come to your hospital for the 9th time, with her 12th child, demanding that you take care of her, and get her this, and get her that, and hit you, spit in your face, have her boyfriend threaten to kill you for reporting her + trich and other STD though he's been monogomous, and then see her child be born of her, addicted, small, not able to swallow or eat, and her referring to it as a gift from hell, and then on the same shift see a 25 year old woman come in with PROM at 19 weeks during her baby shower and LOSE her child that she tried so hard to concieve, it makes you realize that the former patient is "a waste of skin." She contributes nothing to society whatsoever. NOTHING. NOTHING VALUABLE. She's not even a good person. Unfortunately, there are simply BAD PEOPLE out there.

I see you are from Milwaukee. Take a stroll to St. Joe's L&D unit and pick up the picture book they have of all the birth defects they have delivered as a result of drug-addicted moms. Go and shadow an OB nurse at Sinai, which is located on 9th and Wisconsin, which is basically one of the most unsafe neighborhoods in Milwaukee.

Then come back and tell us that these "mothers" who simply know how to spread their legs and enjoy the orgasm much better when high are worthy of any sympathy from me. Especially when I have tried during each one of their 6 pregnancies to help them, and all they do is spit on me.

Susy, YOU GO, GIRL!!!! :kiss You're my hero.

Specializes in Trauma acute surgery, surgical ICU, PACU.

I react badly to this discussion because it sounds like some nurses have found a group of people to feel venom and hate towards ... and something in me finds that is wrong.

I understand completely where all the anger is coming from. I think what happens to these babies is absolutely inhummane, and it makes me angry too. I can't help but wish there was a better place to direct the anger.

There are no easy solutions here. Nothing clean and wonderful that we can do that will make people with addictions not get pregnant and nothing that will make pregant people not take drugs. It is a frustrating situation for everyone who cares about these women OR their babies. Nurses and social workers and doctors and everybody else... even families.

There is no reason to react with condescension or hate towards each other. Taking it out on each other will not help anyone find solutions.. for the actual problems or to find a place of peace in their hearts.

Originally posted by pebbles

I react badly to this discussion because it sounds like some nurses have found a group of people to feel venom and hate towards ... and something in me finds that is wrong.

Hmmmm.. I am trying to figure out if there is anything that states that we have to like our patients. We must give all our patients good, safe care.

Is it bad if a cashier "hates" customers who sneak into the 10 item or less line with a cartfull.

Is it bad when a judge "hates" dealing with parole violaters, or when a physician drops his patients who are continuously noncompliant and narcotic seeking.

We are comitted to giving quality care to all our patients, but I don't think that we are obligated to like all of our patients or their lifestyle. Also, isn't this the correct place to vent?

Ya know, I'm getting really sick and tired of all these holier-than-thou types on this bb who constantly chastise those of us who come here to vent.

Listen up, dearies........we are not the borg. We are not nuns. We are not drones. We are human beings with human feelings and are d**n well allowed to voice our opinions here and vent our frustrations without some twit coming out of the woodwork tsk tsk tsking us for being "negative" and "judgemental."

BACK OFF.

Just because we feel a certain way about certain patients and their behaviors doesn't mean it translates into bad/neglectful care.

Nursing is HARD WORK. I take enough crap at work, thank you very much. I don't need to come here and deal with some sanctimonious jerk telling me I'm a bad person for feeling the way I do about certain patients.

GET OVER IT.

Go pray for me. Go say a hail Mary. Go gossip about me in a PM to all your little stepford nurse friends. But if I wanna vent, don't sit there and tell me how wrong I am for having feelings.

Good Lord. :rolleyes:

BBnurse34 and Susy and all the other perinatal/OB nurses who TRULY UNDERSTAND WHAT IT IS TO TAKE CARE OF THESE DRUG MOMMIES AND THEIR BABIES, I totally understand. You can vent to ME anytime. ;)

Specializes in Trauma acute surgery, surgical ICU, PACU.

I just meant to say that it's okay to have those feelings but do you have to take it out on other board members. You can express yourself without being "quite" so condescending.

Condescending, my butt!

Condescending is a nursing student telling Shay that Shay needs to quit being a nurse!

+ Add a Comment