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Inicio Medicina Clínica (English Edition) Drug abuse during pregnancy and its neonatal impact. Analysis of the periods 200...
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Vol. 157. Issue 4.
Pages 159-163 (August 2021)
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Vol. 157. Issue 4.
Pages 159-163 (August 2021)
Original article
Drug abuse during pregnancy and its neonatal impact. Analysis of the periods 2002–2008 and 2009–2017
Abuso de drogas durante el embarazo y su impacto neonatal. Análisis de los períodos 2002-2008 y 2009-2017
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Silvia Maya-Enero
Corresponding author
62175@parcdesalutmar.cat

Corresponding author.
, Carolina Guarddon Pueyo, Antonio Mur-Sierra, María Ángeles López-Vílchez
Sección de Neonatología, Servicio de Pediatría, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain
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Tables (3)
Table 1. Characteristics of our study population.
Table 2. Characteristics of the study population. Results for the period 2009–2017.
Table 3. Summary of study results. Comparison between the periods 2002–2008 and 2009–2017.
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Abstract
Objectives

To determine the prevalence of substance abuse among our pregnant women and the characteristics of their pregnancies, deliveries and new-born infants.

Methods

Retrospective observational study of infants born between January 1, 2009 and December 31, 2017 in our centre to substance-abusing mothers and compared with our 2002–2008 study.

Results

Heroin use is decreasing, while cannabis and methamphetamine use are increasing. We observed a decrease in withdrawal associated with methadone and benzodiazepine use and an increase in breastfeeding in benzodiazepine and cannabis users. The infants of mothers who use heroin and cocaine are discharged to the mother’s home less often. We observed a predominance of substance abuse among Spanish women except for methamphetamines, where the majority of users are Filipino.

Conclusions

The increase in cannabis use and the decrease in heroin and cocaine use have improved gestational control. Methamphetamine use is associated with serious social risks.

Keywords:
Abuse drugs
Pregnancy
Neonatal impact
Social problems
Methamphetamine
Resumen
Objetivos

Determinar la prevalencia del abuso de drogas entre nuestras gestantes y las características de sus embarazos, partos y recién nacidos.

Métodos

Estudio observacional retrospectivo de los neonatos nacidos entre el 1 de enero de 2009 y el 31 de diciembre de 2017 en nuestro centro, hijos de madres consumidoras, y comparación con nuestro estudio de 2002–2008.

Resultados

El consumo de heroína está disminuyendo, mientras que el de cannabis y metanfetamina están aumentando. Observamos una disminución del síndrome de abstinencia asociado al consumo de metadona y benzodiacepinas y un aumento de las madres consumidoras de benzodiacepinas y cannabis que dan el pecho. Los hijos de madres que consumen heroína y cocaína son dados de alta al domicilio materno con menos frecuencia. Observamos un predominio del consumo entre las mujeres españolas excepto en las metanfetaminas, donde la mayoría son filipinas.

Conclusiones

El aumento del consumo de cannabis y la disminución del de heroína y cocaína mejoran el control gestacional. El consumo de metanfetamina está vinculado a graves riesgos sociales.

Palabras clave:
Abuso de sustancias
Embarazo
Impacto neonatal
Problemas sociales
Metanfetamina

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