10/30/2025
๐ Key Statistics & Findings for Kentucky
KY-Moms MATR Program Outcomes
KY-Moms MATR (Maternal Assistance Toward Recovery) works with high-risk pregnant and parenting women in Kentucky, offering substance use treatment, mental health services, and case management.
In their 2022 outcome report, KY-Moms MATR evaluated women who gave birth between December 2018 and December 2019, comparing baseline and postnatal outcomes.
The 2023 annual report continues to track these women.
Maternal Mortality & Substance Use
In Kentucky, 54% of maternal deaths in a recent cohort were linked to substance use disorder.
Most maternal deaths (about 89%) were determined to be preventable.
NAS refers to newborn withdrawal symptoms when exposed prenatally to opioids or other substances.
In Kentucky, the rate of NAS increased sharply over time:
โข In 2009, Kentuckyโs rate was ~6.6 per 1,000 live births.
โข By 2013, it was ~15.1 per 1,000 births.
โข In the fourth quarter of 2014, it peaked at ~23.4 per 1,000 births.
Kentuckyโs NAS rate has been more than double the national average in many years.
Smoking during pregnancy is strongly associated with infants who develop NAS โ in cases of babies with NAS, ~56% of mothers smoked during pregnancy.
Cabinet for Health and Family Services
Substance Use & Behavioral Patterns
According to national data (not specific to KY), about 5% of pregnant women use one or more addictive substances (to***co, illicit drugs, prescription misuse).
In Kentucky, the prevalence of smoking during pregnancy remains high and is frequently cited in state maternal health reporting.
Alcohol use (including binge drinking) among women of childbearing age in Kentucky is also nontrivial: in 2022, ~13.7% of women aged 18โ44 reported binge drinking in the prior month.
In a study of pregnant women with opioid use disorder in Kentucky (2017โ2020), both rural and urban participants had complex challenges: mental health comorbidities, legal issues, and substance-use histories.
โ ๏ธ Key Challenges & Considerations
Geographic & access disparities
Rural and Appalachian parts of Kentucky have been disproportionately affected by the opioid epidemic, and women in these areas often face longer distances to treatment facilities.
Overlap with other risk factors
Many pregnant women dealing with substance use also experience mental health challenges, partner violence, economic instability, and stigma. This intersectionality complicates care.
Impact on infant health and outcomes
Babies exposed to substances in utero may experience low birth weight, premature birth, developmental delays, or withdrawal symptoms (NAS) after delivery.
Reporting & detection limitations
Not all substance exposures are diagnosed or reported โ only infants with clear withdrawal symptoms (NAS) are required to be reported under Kentucky law.
Prevention & early intervention gap
Many women may not access treatment until later in pregnancy or postpartum, making early screening and support crucial. Programs like KY-Moms MATR aim to engage women prenatally, but are not yet universal.