| Coordinated outpatient care of the narcotic-dependent infant. | |
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MedLine Citation:
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PMID: 11468042 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Concern regarding parental capacity to manage their infant's drug withdrawal traditionally leads to prolonged hospitalization for both mother and infant. This study examines the impact of a multidisciplinary follow-up clinic for infants discharged home on morphine. METHODOLOGY: Records of full-term infants born to mothers with narcotic dependency were reviewed retrospectively. Two periods were compared: 1995-1997 (period A) and 1998 to September 1999 with clinic established (period B). RESULTS: Twenty-five and 26 mothers were identified in periods A and B, respectively. Almost half had fewer than four antenatal clinic visits and most were on methadone with other substance usage. Despite higher maternal methadone doses (mean 48.5 vs 89.5 mg/day, P = 0.009) and withdrawal rates, the mean length of stay was significantly shorter for period B mothers (7.8 +/- 4.8 vs 5.4 +/- 3.3 days, P = 0.01) and babies (14.8 +/- 9.7 vs 8.7 +/- 7.2, P = 0.01). Median duration of morphine treatment was significantly shorter in period A (17 vs 60 days, P = 0.0001) when only four babies were discharged on morphine. In contrast, 18 treated period B babies were discharged on morphine. No families were lost to follow up. Compliance with clinic attendance was 92%. CONCLUSIONS: Hospital stay was reduced with establishment of the clinic. The shorter treatment duration before establishment of the clinic could have been related to a lesser abstinence severity or a perceived need of a more rapid weaning prior to discharge. Further studies are needed to assess the impact of this model of care on the health outcome of the narcotic-dependent mother and infant unit. |
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Authors:
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J Oei; J M Feller; K Lui |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of paediatrics and child health Volume: 37 ISSN: 1034-4810 ISO Abbreviation: J Paediatr Child Health Publication Date: 2001 Jun |
Date Detail:
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Created Date: 2001-07-24 Completed Date: 2001-10-11 Revised Date: 2007-09-24 |
Medline Journal Info:
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Nlm Unique ID: 9005421 Medline TA: J Paediatr Child Health Country: Australia |
Other Details:
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Languages: eng Pagination: 266-70 Citation Subset: IM |
Affiliation:
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Department of Newborn Care, Royal Hospital for Women, Randwick, New South Wales, Australia. juleeoei@yahoo.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Care* Child Health Services* / standards* Female Humans Infant, Newborn Infant, Newborn, Diseases / chemically induced*, epidemiology*, rehabilitation Length of Stay Methadone / therapeutic use Narcotics / therapeutic use Pregnancy Pregnancy Complications Prenatal Exposure Delayed Effects* Retrospective Studies Substance-Related Disorders / complications* |
| Chemical | |
Reg. No./Substance:
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0/Narcotics; 76-99-3/Methadone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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