This study investigated early neonatal visual preferences in 267 poly drug exposed neonates (131 cocaine-exposed and 136 non-cocaine exposed) whose drug exposure was documented through interviews and urine and meconium drug screens. Infants were given four visual recognition memory tasks comparing looking time to familiarized stimuli of lattices and rectangular shapes to novel stimuli of a schematic face and curved hourglass and bull's eye forms. Cocaine-exposed infants performed more poorly, after consideration of confounding factors, with a relationship of severity of cocaine exposure to lower novelty score found for both self-report and biologic measures of exposure, Findings support theories which link prenatal cocaine exposure to deficits in information processing entailing attentional and arousal organizational systems. Neonatal visual discrimination and attention tasks should be further explored as potentially sensitive behavioral indicators of teratologic effects.
Keywordscocaine; neonatal visual attention; information processing; marijuana; alcohol poly drug exposure; visual recognition memory Over the past decade, prenatal cocaine exposure has emerged as a significant public health problem, affecting 5-15% of infants in urban areas of the United States. There is concern and controversy over cocaine's teratogenic potential since cocaine easily crosses the placental barrier during gestation (Woods, Plessinger, & Clark, 1987). This transmission of cocaine may directly and indirectly affect the fetus. Cocaine's stimulant effects on several neurotransmitter systems in adults have been noted (Wise, 1984), as cocaine prevents the reuptake of catecholamine presynaptically and has been found to affect primarily the cardiovascular, respiratory, and central nervous systems.There are a number of different mechanisms by which prenatal cocaine exposure could affect fetal development (Volpe, 1992). Alterations in catecholamine levels during gestation may affect the maturation of fetal neurotransmitter systems (Tennyson, Gershon, Budinkas, Copyright © 1999 Elsevier Science Inc.• Lynn T. Singer, The Triangle Building, 11400 Euclid Avenue, Suite 250-A, Cleveland, Ohio 44106; Phone: (216) Fax: (216) & Rothman, 1983;Wang & Schnoll, 1986). Animal studies have found that prenatal cocaine exposure is associated with increased catecholaminergic fiber densities in selected brain areas such as the posterior parietal cortex (Akbari & Azmitra, 1992;Posner & Peterson, 1988). Cocaine exposure may affect fetal brain development through its release and metabolism of monoamines, which are important in the definition of fetal brain structure and neuronal formation . In addition, the reduction of blood flow prenatally to cocaine-exposed fetuses may affect later infant information processing or problem solving .The early behavioral development of cocaine-exposed infants has been studied using measures of sensory-motor processing such as the Brazelton Neonatal Behavioral Assessment Scale (NBAS), (Brazelton, 1984) neonatall...