Profile of infants born to drug-using mothers: A state-wide audit
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Mohamed, Abdel-Latif; Oei, Ju Lee; Craig, Fiona; Lui, Kei
Description
Aim:s: To ascertain the characteristics and short-term outcomes of infants born to illicit drug-using mothers in public hospitals in the state of New South Wales and the Australian Capital Territory during 2004. Methods: Patients were identified retrospectively by hospital records searches using ICD-10 morbidity codes and records of local Drug and Alcohol Services. Records were reviewed on site. All public hospitals (n= 101) with obstetric services were included. Results: A total of 879 (1.4%,...[Show more]
dc.contributor.author | Mohamed, Abdel-Latif | |
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dc.contributor.author | Oei, Ju Lee | |
dc.contributor.author | Craig, Fiona | |
dc.contributor.author | Lui, Kei | |
dc.date.accessioned | 2015-12-13T22:15:46Z | |
dc.identifier.issn | 1034-4810 | |
dc.identifier.uri | http://hdl.handle.net/1885/70553 | |
dc.description.abstract | Aim:s: To ascertain the characteristics and short-term outcomes of infants born to illicit drug-using mothers in public hospitals in the state of New South Wales and the Australian Capital Territory during 2004. Methods: Patients were identified retrospectively by hospital records searches using ICD-10 morbidity codes and records of local Drug and Alcohol Services. Records were reviewed on site. All public hospitals (n= 101) with obstetric services were included. Results: A total of 879 (1.4%, 95% confidence interval: 1.3-1.5%) drug-using mothers were identified from 62 682 confinements. Opiates (46.8%), amphetamines (23.0%) and polydrug (16.4%) exposure were most common. There were eight stillbirths. Among these 871 infants, prematurity (23.6%) and low birthweight (27.1%) were common and 51.1% were admitted to nurseries for further care. Two infants died. Major congenital anomalies were detected in 15 infants. Pharmacological treatment for withdrawal was required for 202 (23.2%), and 143 (70.8%) infants were discharged home on medication. Infants who completed inpatient pharmacological treatment were hospitalised longer (median 26.0 vs. 12.0 days) and were more likely to be premature (37.3 vs. 14.0%). Child-at-risk notifications affected 40.6% of the infants, and 7.6% were fostered prior to discharge. A total of 333 (38.2%) infants were breastfed at discharge. Conclusions: Our regional study highlights a substantial prevalence of drug use in pregnancy with considerable adverse perinatal and hospital outcomes in infants born to these mothers. Coordinated health care and resources are needed to support these mother-infant pairs because of their social, medical and mental-health issues. | |
dc.publisher | Blackwell Publishing Ltd | |
dc.source | Journal of Paediatrics and Child Health | |
dc.subject | Keywords: amphetamine derivative; illicit drug; opiate; adult; article; Australia; birth weight; congenital malformation; drug dependence; drug dependence treatment; drug withdrawal; female; foster care; hospital discharge; human; ICD-10; low birth weight; major cl drug exposure; neonatal abstinence syndrome; perinatal outcome; pregnancy | |
dc.title | Profile of infants born to drug-using mothers: A state-wide audit | |
dc.type | Journal article | |
local.description.notes | Imported from ARIES | |
local.identifier.citationvolume | 49 | |
dc.date.issued | 2013 | |
local.identifier.absfor | 111400 - PAEDIATRICS AND REPRODUCTIVE MEDICINE | |
local.identifier.ariespublication | f5625xPUB2344 | |
local.type.status | Published Version | |
local.contributor.affiliation | Mohamed, Abdel-Latif, College of Medicine, Biology and Environment, ANU | |
local.contributor.affiliation | Oei, J, University of New South Wales | |
local.contributor.affiliation | Craig, Fiona, Royal Hospital for Women | |
local.contributor.affiliation | Lui, Kei, Royal Hospital for Women | |
local.description.embargo | 2037-12-31 | |
local.bibliographicCitation.issue | 1 | |
local.bibliographicCitation.startpage | E80 | |
local.bibliographicCitation.lastpage | E86 | |
local.identifier.doi | 10.1111/j.1440-1754.2012.02471.x | |
dc.date.updated | 2016-02-24T08:56:55Z | |
local.identifier.scopusID | 2-s2.0-84872489614 | |
Collections | ANU Research Publications |
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