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Titolo:
Cocaine: Effects of in utero exposure on the fetus and neonate
Autore:
Askin, DF; Diehl-Jones, B;
Indirizzi:
Univ Manitoba, Fac Nursing, Winnipeg, MB, Canada Univ Manitoba Winnipeg MB Canada toba, Fac Nursing, Winnipeg, MB, Canada
Titolo Testata:
JOURNAL OF PERINATAL & NEONATAL NURSING
fascicolo: 4, volume: 14, anno: 2001,
pagine: 83 - 102
SICI:
0893-2190(200103)14:4<83:CEOIUE>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRENATAL DRUG EXPOSURE; LOW-BIRTH-WEIGHT; IN-UTERO; MATERNAL COCAINE; PERINATAL COCAINE; NECROTIZING ENTEROCOLITIS; NEUROBEHAVIORAL STATUS; CRACK/COCAINE USE; MYOCARDIAL-CELLS; GESTATIONAL-AGE;
Keywords:
cocaine; fetus; neonate; pregnancy; substance abuse; teratogen; withdrawal;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
149
Recensione:
Indirizzi per estratti:
Indirizzo: Askin, DF Univ Manitoba, Fac Nursing, Winnipeg, MB, Canada Univ Manitoba Winnipeg MB Canada Nursing, Winnipeg, MB, Canada
Citazione:
D.F. Askin e B. Diehl-Jones, "Cocaine: Effects of in utero exposure on the fetus and neonate", J PERINAT N, 14(4), 2001, pp. 83-102

Abstract

In North America, an increasing number of babies are prenatally exposed tococaine, yet the implications of cocaine use during pregnancy are not fully understood. The effects of cocaine are exerted primarily by its influenceon aminergic receptors in the central and peripheral nervous systems. Developmental, physiological, and behavioral problems in infants and children are likely outcomes of maternal cocaine abuse, but these findings are confounded by concomitant use of other drugs such as marijuana and cocaine and byfactors such as time, dosage, and route of cocaine intake. Different screening options exist for cocaine and its metabolites, including sampling of neonatal urine, hair and meconium need to be considered, as do the sensitivity and the ethical implications of such testing. Clinical management of cocaine-exposed infants requires attention to several issues, including: central nervous system irritation, cardiac anomalies, apnea, and feeding difficulties, as well as infant safety and follow-up postdischarge. Early detection and intervention remain the primary objectives of caring for cocaine-exposed infants.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 12:27:10