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Relationship between Self-Reported Maternal Substance Abuse and Adverse Outcomes in the Premature Newborn.
- Source :
-
American journal of perinatology [Am J Perinatol] 2016 Jan; Vol. 33 (2), pp. 165-71. Date of Electronic Publication: 2015 Sep 07. - Publication Year :
- 2016
-
Abstract
- Objective: This study aims to compare neonatal and long-term outcomes among preterm newborns from women with reported versus those who did not report substance abuse.<br />Study Design: Secondary analysis of a trial of magnesium sulfate for cerebral palsy prevention. Cases were pregnant women who reported substance abuse, controls were those who denied it. Study outcomes included (1) composite neonatal morbidity, defined as any of the following: Apgar score ≤ 3 at 5 minutes, seizures, culture-proven sepsis, necrotizing enterocolitis grades 2 or 3, intraventricular hemorrhage grades 3 or 4, and/or death before discharge; (2) infant and childhood morbidity, defined as stillbirth or death by 1 year, or moderate/severe cerebral palsy by age of 2.<br />Results: Among 1,972 women meeting the inclusion criteria, 197 (10%) reported substance abuse. Composite neonatal, infant, and childhood morbidity rates were similar between cases and controls. However, women reporting substance abuse who delivered between 32(0/7) and 36(6/7) weeks had a higher frequency of composite infant and childhood morbidity (6.5 vs. 1.0%; adjusted odds ratio, 6.5; 95% confidence interval, 1.14-36.99).<br />Conclusions: Preterm birth was associated with similar composite neonatal morbidity between cases and controls. After 32 weeks, self-reported substance abuse was associated with a sevenfold increase in the rates of stillbirth and long-term infant morbidity.<br /> (Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.)
- Subjects :
- Adult
Apgar Score
Case-Control Studies
Cerebral Palsy epidemiology
Cocaine-Related Disorders epidemiology
Female
Humans
Infant
Infant Death
Infant, Newborn
Infant, Premature
Marijuana Abuse epidemiology
Opioid-Related Disorders epidemiology
Perinatal Death
Pregnancy
Self Report
Stillbirth epidemiology
Young Adult
Cerebral Hemorrhage epidemiology
Enterocolitis, Necrotizing epidemiology
Infant, Premature, Diseases epidemiology
Pregnancy Complications epidemiology
Seizures epidemiology
Sepsis epidemiology
Substance-Related Disorders epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1098-8785
- Volume :
- 33
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- American journal of perinatology
- Publication Type :
- Academic Journal
- Accession number :
- 26344011
- Full Text :
- https://doi.org/10.1055/s-0035-1563549