Children who face development risks due to maternal addiction during pregnancy require extra medical and psychosocial resources

Acta Paediatrica
Jenny RangmarAntonia Reuter

Abstract

This study examined medical and psychosocial risk factors in children born to women with addiction problems during pregnancy and the children's needs for extra medical and psychosocial resources. Swedish midwives routinely screen pregnant women for drugs and alcohol and refer women with addictions to the Maternity and Child Healthcare Resource Team. We investigated the medical records of 127 children (51% girls) whose mothers were referred to the Resource Team from 2009 to 2015. Additional data were obtained from local child healthcare services (CHS), which provide routine paediatric care. More than three-quarters (76%) of the children had prenatal exposure to alcohol and drugs, and 17% were born with withdrawal symptoms. The mothers had a high rate of psychiatric diagnoses (38%) and were more likely to smoke after delivery and less likely to breastfeed than the general population. However, adherence to the CHS programme was generally high. Additional visits to the nurse, referrals to specialists, collaboration meetings and reports of concerns to social services decreased when the children began attending ordinary CHS centres. Children born to women with addictions during pregnancy faced a high risk of developmental problems an...Continue Reading

References

Apr 20, 2011·Neuropsychology Review·Sarah N MattsonTanya T Nguyen
Feb 27, 2013·Pediatrics·Marylou BehnkeUNKNOWN Committee on Fetus and Newborn
Dec 24, 2014·Pediatrics·Jenny RangmarClaudia Fahlke
Feb 6, 2017·Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives·Carin NilsesIngrid Mogren

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Citations

Nov 8, 2019·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Ilze SlabbertAndrine M Lemieux

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