Historique
Périodique
Cocaine: a neonatal perspective
(Cocaïne: la perspective néonatale)
Auteur(s) :
SEXSON W.
Année
1993
Langue(s) :
Anglais
ISBN :
0020-773X
Refs biblio. :
30
Domaine :
Drogues illicites / Illicit drugs
Discipline :
PSY (Psychopathologie / Psychopathology)
Thésaurus mots-clés
ENFANT D'USAGER
;
COCAINE
;
PREMATURITE
;
MILIEU SOCIOCULTUREL
;
HOSPITALISATION
;
COUT
;
ETHIQUE
Note générale :
International Journal of the Addictions, 1993, 28, (7), 585-598
Résumé :
FRANÇAIS :
L'étude de l'impact de la cocaïne sur les nouveaux-nés montre qu'après une grossesse apparemment normale, les enfants des toxicomanes naissent le plus souvent prématurément, sont de petite taille et nécessitent parfois une hospitalisation très longue. A ces problèmes s'ajoutent ceux liés à leur environnement: famille monoparentale, difficultés économiques, problèmes de développement physique et intellectuel, etc. L'auteur pose des questions d'éthique concernant les "coûts" de ces prises en charge.
ENGLISH :
This paper focuses on cocaine misuse as it impacts on neonates born at Grady Memorial Hospital in Atlanta, Georgia. The majority of infants of cocaine-using mothers (ICAM) appear clinically normal and pass through the "normal nursery". However, the longer hospital stay for the smaller, sicker ICAMs means that many cocaine-exposed sick infants are in the hospital at any time. The misperceptions of the pregnant cocaine-misusing woman often cause the ICAM to be born prematurely. The prematurity then superimposes other potential threats on the infant. Further, the environmental chaos into which these mothers and infants return following discharge may also contribute to the difficulties seen among these children. Finally, there are unanswered questions that have to be confronted by the hospital staff. These include ethical questions related to the "costs" of care to the cocaine-exposed infant. (Author's abstract)
L'étude de l'impact de la cocaïne sur les nouveaux-nés montre qu'après une grossesse apparemment normale, les enfants des toxicomanes naissent le plus souvent prématurément, sont de petite taille et nécessitent parfois une hospitalisation très longue. A ces problèmes s'ajoutent ceux liés à leur environnement: famille monoparentale, difficultés économiques, problèmes de développement physique et intellectuel, etc. L'auteur pose des questions d'éthique concernant les "coûts" de ces prises en charge.
ENGLISH :
This paper focuses on cocaine misuse as it impacts on neonates born at Grady Memorial Hospital in Atlanta, Georgia. The majority of infants of cocaine-using mothers (ICAM) appear clinically normal and pass through the "normal nursery". However, the longer hospital stay for the smaller, sicker ICAMs means that many cocaine-exposed sick infants are in the hospital at any time. The misperceptions of the pregnant cocaine-misusing woman often cause the ICAM to be born prematurely. The prematurity then superimposes other potential threats on the infant. Further, the environmental chaos into which these mothers and infants return following discharge may also contribute to the difficulties seen among these children. Finally, there are unanswered questions that have to be confronted by the hospital staff. These include ethical questions related to the "costs" of care to the cocaine-exposed infant. (Author's abstract)
Affiliation :
Dept Pediatrics, Emory Univ. Sch. Med., Atlanta, GA 30322
Etats-Unis. United States.
Etats-Unis. United States.