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On Friday the Court of Appeal heard a request from the family for this judgement to be set aside to allow them to discuss new information on Withdrawal Abstinence Syndrome, the child's body's reaction to being taken off her long-term treatment.

By one count, a substance-exposed baby was born every 19 minutes in the United States; cases of neonatal abstinence syndrome, or withdrawal, increased fivefold from 2000 to 2015.

The change reflects the state’s efforts to address the growing opioid epidemic in the region, which has also in the last 20 years seen a fairly steady rise in hospitalization rates of infants with neonatal abstinence syndrome, or when babies experience withdrawals after being exposed to certain drugs in the womb.

Infants in Washington have been hospitalized at increasingly high rates with neonatal abstinence syndrome since 2000, when fewer than two hospitalizations per 1,000 births was common, according to state Department of Health data from 2020.

H.R.’s child would go on to be born already in opioid withdrawal, a condition also known as neonatal abstinence syndrome.