Historique
Article de Périodique
Cocaine abuse during pregnancy: peripartum prevalence and perinatal outcome (1989)
(Abus de cocaïne pendant la grossesse : prévalence au moment de l'accouchement et conséquences en périnatalité)
Auteur(s) :
NEERHOF M. G. ;
MACGREGOR, S. N. ;
RETZKY S. S. ;
SULLIVAN, T. P.
Année
1989
Page(s) :
633-638
Langue(s) :
Anglais
Refs biblio. :
16
Domaine :
Drogues illicites / Illicit drugs
Discipline :
PAT (Pathologie organique / Organic pathology)
Résumé :
FRANÇAIS :
Etude de 138 femmes (sur 1776 soit 8 %) malades, ayant accouché et subi une recherche de cocaïne dans les urines à ce moment. La fréquence de l'usage de la cocaïne en cours de grossesse a beaucoup augmenté pendant l'époque considérée. Cet usage de la cocaïne, comparé à un échantillon de femmes avec test négatif, est associé à un âge moins élevé de la mère, à une plus grande fréquence d'accouchements avant terme, de rupture prématurée de membranes, et d'enfants de petite taille. Les enfants ont une morbidité périnatale plus élevée et un temps moyen d'hospitalisation plus long. [Résumé Toxibase]
ENGLISH:
Increasing use of cocaine among pregnant women has been reported. This study was conducted to determine the prevalence of positive urine toxicologic screens for cocaine and other substances of patients admitted to the Sloane Hospital for Women. Urine samples were obtained from 509 women admitted to the delivery suite. The overall prevalence of cocaine was 10% (n = 51). Cocaine use was 10 times more prevalent in the clinic population (14%) than in the private population, (1.4%). In addition, women whose urine samples were positive for cocaine were more likely to have no prenatal care, previous induced abortions, to be human immunodeficiency virus-positive, and admitted previous use of cigarettes, alcohol, cocaine, and other drugs. Amphetamines were detected in 13% (n = 65) of patients. However, the screens did not distinguish between metabolites of amphetamines and other drugs such as cold medications. The medical history alone predicted only 37% (n = 19) of the cocaine-positive screens and none of the amphetamine-positive screens.
Etude de 138 femmes (sur 1776 soit 8 %) malades, ayant accouché et subi une recherche de cocaïne dans les urines à ce moment. La fréquence de l'usage de la cocaïne en cours de grossesse a beaucoup augmenté pendant l'époque considérée. Cet usage de la cocaïne, comparé à un échantillon de femmes avec test négatif, est associé à un âge moins élevé de la mère, à une plus grande fréquence d'accouchements avant terme, de rupture prématurée de membranes, et d'enfants de petite taille. Les enfants ont une morbidité périnatale plus élevée et un temps moyen d'hospitalisation plus long. [Résumé Toxibase]
ENGLISH:
Increasing use of cocaine among pregnant women has been reported. This study was conducted to determine the prevalence of positive urine toxicologic screens for cocaine and other substances of patients admitted to the Sloane Hospital for Women. Urine samples were obtained from 509 women admitted to the delivery suite. The overall prevalence of cocaine was 10% (n = 51). Cocaine use was 10 times more prevalent in the clinic population (14%) than in the private population, (1.4%). In addition, women whose urine samples were positive for cocaine were more likely to have no prenatal care, previous induced abortions, to be human immunodeficiency virus-positive, and admitted previous use of cigarettes, alcohol, cocaine, and other drugs. Amphetamines were detected in 13% (n = 65) of patients. However, the screens did not distinguish between metabolites of amphetamines and other drugs such as cold medications. The medical history alone predicted only 37% (n = 19) of the cocaine-positive screens and none of the amphetamine-positive screens.
Affiliation :
Dept Obst. Gynecol., Chicago Coll. Osteopath. Med.
Etats-Unis. United States.
Etats-Unis. United States.