COCAINE IN PREGNANCY
1998; Elsevier BV; Volume: 25; Issue: 1 Linguagem: Inglês
10.1016/s0889-8545(05)70360-0
ISSN1558-0474
AutoresMark A. Plessinger, James R. Woods,
Tópico(s)Substance Abuse Treatment and Outcomes
ResumoCocaine abuse during pregnancy is a major health care problem demanding substantial obstetric and neonatal care and consuming scarce health care dollars. Data obtained in a rural, crack-using population in Florida demonstrated that the average total hospital charges for cocaine-exposed infants ($1,100,385) were almost three times the charges for unexposed infants matched for prenatal risk factors ($474,064). These additional costs are attributed to increased admission to the neonatal intensive care nursery, increased length of stay, and lower birth weight.5 Costs for the care of cocaine-exposed infants can be as much as 10 times the costs for a comparably matched urban control group.13 In addition to prematurity, cocaine creates several other health risks for both the pregnant woman and her fetus. This article reviews recent findings concerning the effects of prenatal cocaine use on the pregnant woman and her developing embryo and fetus. The reader is referred to earlier reviews for descriptions of previously observed effects of prenatal cocaine exposure on the fetus.57, 85, 89, 91, 136
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