Peripartum cocaine use and adverse pregnancy outcome

Little, Bertis B.; Snell, Laura M.; Trimmer, Kenneth J.; Ramin, Susan M.; Ghali, Fred E.; Blakely, Craig A.; Garret, Andrea

doi:10.1002/(sici)1520-6300(199909/10)11:5<598::aid-ajhb3>3.0.co;2-l

Cited by 11 publications

(3 citation statements)

References 25 publications

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“…Controlling for individual-level characteristics, including prenatal care, alcohol, and tobacco use, they found that crack cocaine use (determined from urine tests) was positively associated with low birth weight (approximately a 9 percentage point increase). Little et al (1999) found a positive association between prenatal cocaine use (determined by blood samples) and low birth weight (approximately 10 percentage points) among all mothers giving birth in one hospital in Dallas, TX over a three-week period. The sample consisted of 101 mothers who used cocaine but no other drug and 469 who used no drugs.…”

Section: Prenatal Illicit Drug Usementioning

confidence: 99%

Prenatal Drug Use and the Production of Infant Health

Noonan

Reichman

Corman

et al. 2005

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We estimate the effect of illicit drug use during pregnancy on low birth weight. We use data from a national longitudinal study of urban parents that includes post-partum interviews with mothers, hospital medical record data on the mother and newborn, extensive demographic information on both parents, and information about the city where the mother resides. We address the potential endogeneity of prenatal drug use and present estimates using alternative measures of prenatal illicit drug use. Depending on how drug use is measured, we find deleterious effects of illicit drug use on low birth weight that range from 3 to 5 percentage points.

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Section: Prenatal Illicit Drug Usementioning

confidence: 99%

Prenatal Drug Use and the Production of Infant Health

Noonan

Reichman

Corman

et al. 2005

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“…This factor consists of binge drinking (defined as five or more alcoholic drinks on one occasion) in the past month, current cigarette smoking, and illicit drug use in the past month. Each of these behaviors has been linked with adverse pregnancy outcomes, particularly low birthweight (Little et al 1999; Parazzini et al 2003; Centers for Disease Control and Prevention 2004; Shankaran et al 2004).…”

mentioning

confidence: 99%

Women's Preconceptional Health and Use of Health Services: Implications for Preconception Care

Hillemeier

Weisman

Chase

et al. 2007

Health Services Research

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Objective. To improve understanding of women's use of health care before pregnancy, by analyzing how the health status and health risks of pre-and interconceptional women are associated with health services use. Data Source. Data are from a cross-sectional random-digit dial telephone survey of a representative sample of 2002 women ages 18-45 years from the Central Pennsylvania Women's Health Study (CePAWHS). A subsample of 1,325 respondents with current reproductive capacity, classified by reproductive life stage (preconceptional or interconceptional), was analyzed. Study Design. Bivariate and multiple logistic regression analyses were conducted to determine how health needs (including indices of health status and health risks related to adverse pregnancy outcomes) are associated with five indicators of health services use (receipt of a regular physical exam, obstetrician-gynecologist [ob/gyn] visit, receipt of a set of recommended screening services, receipt of health counseling services on general health topics, and receipt of pregnancy-related counseling), controlling for predisposing and enabling variables. Principal Findings. Only half of women at risk of pregnancy report receiving counseling about pregnancy planning in the past year. One-third of women surveyed did not receive routine physical examinations and screening services, and over half received little or no health counseling. Multivariate analyses showed that all the measures of health needs except for negative health behavior were related to some type of health services use. Psychosocial stress was associated with having a recent ob/gyn visit, with receiving general health counseling, and with receiving pregnancy planning counseling. Cardiovascular risk was positively associated with receiving general health counseling and a regular physical exam, but negatively associated with seeing an ob/gyn. Positive health behaviors were associated with receiving screening services and with receiving general health counseling. Preconceptional reproductive life stage was positively associated with receiving a regular physical exam and negatively associated with having an ob/gyn visit. Conclusions. Pre-and interconceptional women with specific health care needs may not receive appropriate health care before pregnancy. Improving pregnancy experiences and outcomes requires more comprehensive preconception health care and more preventive care before the first pregnancy.

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“…Chronic frequent use may result in toxic paranoid psychosis. Studying cocaine use without other substances of abuse, Little et al 33 found a 2% rate of abruption (a 15 fold increase) and OR of 2.0 for birthweight less than 2500g. 30 The impact of cocaine on the fetus has been extensively studied.…”

Section: Cocainementioning

confidence: 99%

Substance Misuse During Pregnancy: Its Effects and Treatment

Moran

Madgula

Gilvarry

et al. 2009

Fet. Matern. Med. Rev.

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Prenatal care reduces the impact of illicit drug use on perinatal outcomes. Women who misuse substances are often excluded from mainstream society and, on becoming pregnant, feel guilty about their drug misuse and the potential effects this could have on their unborn baby. These women are vulnerable in many ways and agencies must ensure that they are not excluded from antenatal care. The latest enquiry into maternal deaths published in the UK (CEMACH report) highlights how women with socially complex lives who died were far less likely to have sought antenatal care early in pregnancy or to remain in regular contact with maternity services. Of the women who died from any cause, 11% had problems with substance abuse of whom 60% were registered addicts. Gaps in communication between agencies was highlighted as a particular problem.

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Peripartum cocaine use and adverse pregnancy outcome

Cited by 11 publications

References 25 publications

Prenatal Drug Use and the Production of Infant Health

Prenatal Drug Use and the Production of Infant Health

Women's Preconceptional Health and Use of Health Services: Implications for Preconception Care

Substance Misuse During Pregnancy: Its Effects and Treatment

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