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Pregled bibliografske jedinice broj: 412195

Časopis

Autori: Vučinović, Mirjana; Roje, Damir; Vučinović, Zoran; Čapkun, Vesna; Bucat, Marija; Banović, Ivo
Naslov: Maternal and Neonatal Effects of Substance Abuse during Pregnancy : Our Ten-year Experience
( Maternal and Neonatal Effects of Substance Abuse during Pregnancy : Our Ten-year Experience )
Izvornik: Yonsei medical journal (0513-5796) 49 (2008), 5; 705-713
Vrsta rada: članak
Ključne riječi: Illicit drug; pregnancy outcome; neonatal outcome
( Illicit drug; pregnancy outcome; neonatal outcome )
Sažetak:
Purpose The aim of the study was to assess perinatal outcome of pregnancy burdened with maternal addiction in comparison with an unselected population from a European transition country. Materials and Methods Data on pregnancies complicated by illicit drug abuse (n = 85) managed during a 10-year period (1997 - 2007) at Split University Hospital were analyzed. Data on the type of drug, course of gestation and labor, and on perinatal outcome were considered. Data on all non-dependence pregnancies recorded during the study period were used as a control group. Results During the study period, there were 85 dependence-complicated pregnancies (0.2%). Use of heroin alone during pregnancy was recorded in 51 women (50%), methadone alone in 6 (7%), and a combination of heroin and methadone in 9 (11%). Premature delivery was significantly more common in the group of pregnant addicts (21% vs. 6%) ; 49% of pregnant addicts were carriers of hepatitis C virus (HCV) and 14% of hepatitis B virus (HBV). Neonatal abstinence syndrome developed in 61 infants (7%) born to addicted mothers. There were 4 cases (4.6%) of early neonatal death ; 7 neonates had 5-minute Apgar score ≤ 7 (8%) ; 29 neonates had low birth weight for age (33%) ; and 7 neonates had congenital anomalies (8%). The risk of various congenital anomalies was 3-fold in the group of children born to addicted mothers. Conclusion Addiction pregnancies present a small but high-risk group according to perinatal outcome. Appropriate obstetric and neonatal care can reduce the rate of complications in these pregnancies and improve perinatal outcome.
Projekt / tema: 216-0000000-0533
Izvorni jezik: eng
Rad je indeksiran u
bazama podataka:
Current Contents Connect (CCC)
MEDLINE
Scopus
SCI-EXP, SSCI i/ili A&HCI
Science Citation Index Expanded (SCI-EXP) (sastavni dio Web of Science Core Collectiona)
Kategorija: Znanstveni
Znanstvena područja:
Temeljne medicinske znanosti
URL Internet adrese: http://www.eymj.org/Synapse/Data/PDFData/0069YMJ/ymj-49-705.pdf
Broj citata:
Altmetric:
DOI: 10.3349/ymj.2008.49.5.705
URL cjelovitog teksta:
Google Scholar: Maternal and Neonatal Effects of Substance Abuse during Pregnancy : Our Ten-year Experience
Upisao u CROSBI: ikuzmic@mefst.hr (ikuzmic@mefst.hr), 10. Lip. 2009. u 11:41 sati



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