Cocaine use in pregnancy in Amsterdam

Smit, Bert; Boer, Kees; Huis, A. M. van; Lie-A-Ling, I. S. E.; Schmidt, S.

doi:10.1111/j.1651-2227.1994.tb13381.x

Cited by 14 publications

(3 citation statements)

References 9 publications

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“…Accurate and long-term follow-up is needed to observe for abnormalities in psychomotor and cognitive development. Enrollment into early intervention programs may improve outcomes by supporting development (Smit, Boer, van Huis, Lie-A-Ling, & Schmidt, 1994). Not only do these programs support the child's development, but they also help teach parenting skills.…”

Section: Polydrug Exposurementioning

confidence: 99%

Outcomes for Children Exposed to Drugs In Utero

Kenner

DʼApolito

1997

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Section: Polydrug Exposurementioning

confidence: 99%

Outcomes for Children Exposed to Drugs In Utero

Kenner

DʼApolito

1997

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…In their seminal paper, Dixon and Bejar [3] reported a sevenfold increase in abnormalities on cranial ultrasonography (CUS) in general and a twofold increase in the incidence of subependymal haemorrhage (SEH) in neonates exposed to cocaine and/or methamphetamine. In a relatively small study amongst 21 cocaine users in Amsterdam a 4.3% neonatal mortality rate was found [4].…”

Section: Introductionmentioning

confidence: 99%

Brain ultrasonography findings in neonates with exposure to cocaine during pregnancy

et al. 2008

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Background Cocaine exposure during pregnancy has been reported to have detrimental effects on the fetus. Objective To describe the findings on cranial ultrasonography (CUS) as part of a neonatal screening programme for exposed neonates. Materials and methods The study was a semiprospective analysis of a 12-year cohort of neonates born to mothers who had used cocaine during their pregnancy and who had follow-up according to a strict clinical protocol. Results In total, 154 neonates (78 boys, 76 girls) were included, of whom 29 (19%) were born preterm, and 125 (81%) were born full-term. Abnormalities on CUS were seen in 37 neonates (24%; 95% CI 18-31%). The abnormalities were classified as minor in 20 (13%; 95% CI 9-19%) and mildly abnormal in 17 (11%; 95% CI 7-17%). None of the infants showed severe abnormalities. The abnormalities were not associated with the duration or maximum amount of cocaine use during pregnancy. Conclusion None of the infants had severe abnormalities. Detected abnormalities were not correlated with the duration or maximum amount of cocaine use. Given these findings, we feel that routine cranial ultrasonography in this population is not warranted.

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“…17 Consequently it is no longer uncommon to find pregnant women who abuse this drug, and numerous reports of cocaine abuse in pregnancy have been published. 4,15,[20][21][22][23] The typical cocaine abusing parturient does not fit into any specific socioeconomic, ethnic, or cultural profile. 18 Associated risk factors, which may suggest cocaine use in pregnancy, include lack of prenatal care, history of premature labour, and cigarette smoking.…”

mentioning

confidence: 99%

The cocaine abusing parturient: a review of anesthetic considerations

Kuczkowski

2004

Can J Anesth/J Can Anesth

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P Pu ur rp po os se e: : The prevalence of recreational drug abuse among young women, including in pregnancy, has increased markedly over the past two decades. Cocaine remains the drug commonly used for recreational purposes in pregnancy. However, there appears to be an absence of uniform guidelines for obstetric and anesthetic management of pregnant patients with a history of cocaine abuse.S So ou ur rc ce e: : A Medline search for articles highlighting drug abuse in pregnancy, with particular emphasis on cocaine abuse in pregnancy, the drug's impact on the fetus and implications for administration of obstetrical anesthesia was performed.M Ma ai in n f fi in nd di in ng gs s: : Because the pharmacological actions of cocaine are complex, the clinical picture can be very unpredictable, the diagnosis often difficult, and management at times controversial. The diverse clinical symptomatology of cocaine intake combined with physiologic changes of pregnancy, and pathophysiology of coexisting pregnancy specific disease may lead to life-threatening complications and significantly impact the management of obstetrical anesthesia.C Co on nc cl lu us si io on ns s: : In the absence of uniform anesthetic guidelines for pregnant patients with a history of cocaine abuse the decision regarding the administration of peripartum analgesia or anesthesia should be individualized and conducted on a case-by-case basis. This article will attempt to heighten the awareness of cocaine use and abuse in pregnancy and review the perioperative anesthetic management of these high-risk parturients. Objectif : La prévalence d'abus occasionnel de drogues par les jeunes femmes, incluant les femmes enceintes, a beaucoup augmenté pendant les deux dernières décennies. La cocaïne est la

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Cocaine use in pregnancy in Amsterdam

Cited by 14 publications

References 9 publications

Outcomes for Children Exposed to Drugs In Utero

Outcomes for Children Exposed to Drugs In Utero

Brain ultrasonography findings in neonates with exposure to cocaine during pregnancy

The cocaine abusing parturient: a review of anesthetic considerations

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