Short-term outcomes of mothers and infants exposed to antenatal amphetamines
-
Altmetric Citations
Oei, Ju Lee; ABDEL-LATIF, Mohamed E.; Clark, R; Craig, F; Lui, K
Description
AIM To determine the short-term outcomes of newborn infants and mothers exposed to antenatal amphetamines in the state of New South Wales and the Australian Capital Territory during 2004. METHODS Amphetamine exposure was determined retrospectively using ICD-10 AM morbidity code searches of hospital medical records and from records of local drug and alcohol services. Records were reviewed on site. All public hospitals (n = 101) with obstetric services were included. RESULTS Amphetamines were...[Show more]
dc.contributor.author | Oei, Ju Lee | |
---|---|---|
dc.contributor.author | ABDEL-LATIF, Mohamed E. | |
dc.contributor.author | Clark, R | |
dc.contributor.author | Craig, F | |
dc.contributor.author | Lui, K | |
dc.date.accessioned | 2015-12-21T03:26:21Z | |
dc.identifier.issn | 1359-2998 | |
dc.identifier.uri | http://hdl.handle.net/1885/95133 | |
dc.description.abstract | AIM To determine the short-term outcomes of newborn infants and mothers exposed to antenatal amphetamines in the state of New South Wales and the Australian Capital Territory during 2004. METHODS Amphetamine exposure was determined retrospectively using ICD-10 AM morbidity code searches of hospital medical records and from records of local drug and alcohol services. Records were reviewed on site. All public hospitals (n = 101) with obstetric services were included. RESULTS Amphetamines were used by 200 (22.9%) of the 871 identified drug-using mothers. Most women (182, 91%) injected amphetamines intravenously. Compared with the other 669 drug users, amphetamine-using mothers were significantly more likely to use multiple classes of drugs (45.0% vs 7.8%), be subject to domestic violence (32.1% vs 17.5%), be homeless (14.8% vs 4.9%) and be involved with correctional services (19.8% vs 9.7%). The incidence of comorbid psychiatric illnesses were significantly higher (57.4% vs 41.7%) and their infants were more likely to be preterm (29.5% vs 20.4%), notified as children at risk (67.0% vs 32.8%), fostered before hospital discharge (14.5% vs 5.5%) and less likely to be breastfed (27.0% vs 41.6%). CONCLUSIONS Amphetamine-exposed mothers and infants in public hospitals of NSW and the ACT are at significantly higher risk of adverse social and perinatal outcomes even when compared with mothers and infants exposed to other drugs of dependency. Increased vigilance for amphetamine exposure is recommended due to a high prevalence of use, especially in Australia, as a recreational drug. | |
dc.description.sponsorship | The research project was funded by a grant from the Leslie Stevens Fund for Newborn Care, Sydney Children’s Hospital Foundation and partly supported by the Cornucopia Committee of New South Wales. | |
dc.publisher | BMJ Publishing Group | |
dc.rights | Copyright the authors. | |
dc.source | Archives of Disease in Childhood - Fetal and Neonatal Edition | |
dc.subject | adult | |
dc.subject | amphetamine-related disorders | |
dc.subject | australia | |
dc.subject | breast feeding | |
dc.subject | diagnosis, dual (psychiatry) | |
dc.subject | domestic violence | |
dc.subject | female | |
dc.subject | homeless persons | |
dc.subject | humans | |
dc.subject | infant, newborn | |
dc.subject | infant, premature | |
dc.subject | logistic models | |
dc.subject | medical audit | |
dc.subject | mental disorders | |
dc.subject | neonatal abstinence syndrome | |
dc.subject | pregnancy | |
dc.subject | pregnancy complications | |
dc.subject | premature birth | |
dc.subject | prenatal exposure delayed effects | |
dc.subject | retrospective studies | |
dc.subject | young adult | |
dc.title | Short-term outcomes of mothers and infants exposed to antenatal amphetamines | |
dc.type | Journal article | |
local.description.notes | Imported from ARIES | |
local.identifier.citationvolume | 95 | |
dc.date.issued | 2009-08-11 | |
local.identifier.absfor | 111499 | |
local.identifier.ariespublication | u4201517xPUB184 | |
local.type.status | Published Version | |
local.contributor.affiliation | Oei, J, University of New South Wales, Australia | |
local.contributor.affiliation | Mohamed, Abdel-Latif, College of Medicine, Biology and Environment, CMBE ANU Medical School, ANU Medical School, The Australian National University | |
local.contributor.affiliation | Clark, R, University of Sydney, Australia | |
local.contributor.affiliation | Craig, Fiona, Royal Hospital for Women, Australia | |
local.contributor.affiliation | Lui, Kei, University of Sydney, Australia | |
local.description.embargo | 2059-08-11 | |
local.identifier.essn | 1468-2052 | |
local.bibliographicCitation.issue | 1 | |
local.bibliographicCitation.startpage | F36 | |
local.bibliographicCitation.lastpage | F41 | |
local.identifier.doi | 10.1136/adc.2008.157305 | |
dc.date.updated | 2016-02-24T10:41:23Z | |
local.identifier.scopusID | 2-s2.0-74749085678 | |
Collections | ANU Research Publications |
Download
File | Description | Size | Format | Image |
---|---|---|---|---|
01_Oei_Short-term_outcomes_of_mothers_2009.pdf | Published Version | 198.31 kB | Adobe PDF | Request a copy |
Items in Open Research are protected by copyright, with all rights reserved, unless otherwise indicated.
Updated: 17 November 2022/ Responsible Officer: University Librarian/ Page Contact: Library Systems & Web Coordinator