RT Book, Section
A1 Gomella, Tricia Lacy
A1 Cunningham, M. Douglas
A1 Eyal, Fabien G.
A1 Tuttle, Deborah J.
SR Print(0)
ID 1107524292
T1 Infant of Substance-Abusing Mother
T2 Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 7e
YR 2013
FD 2013
PB McGraw-Hill Education
PP New York, NY
SN 9780071768016
LK accesspediatrics.mhmedical.com/content.aspx?aid=1107524292
RD 2024/04/20
AB Existing  studies  on  the  neonatal  effects  of  drug  exposure  in  utero  are  subject  to  many  confounding  factors.  Many  studies  have  relied  on  the  history  obtained  from  the  mother,  which  is  notoriously  inaccurate.  In  addition  to  recall  bias,  there  is  a  considerable  incentive  to  withhold  information.  Testing  of  urine  for  drugs  of  abuse  does  not  reflect  drug  exposure  throughout  pregnancy  and  does  not  provide  quantitative  information.  Many  women  who  abuse  drugs  are  multiple  drug  abusers  and  also  drink  alcohol  and  smoke  cigarettes.  It  is  thus  difficult  to  isolate  the  effects  of  any  one  drug.  Social  and  economic  deprivation  is  common  among  drug  abusers,  and  this  factor  not  only  confounds  perinatal  data  but  has  a  major  effect  on  long-term  studies  of  infant  outcome.