| Multidisciplinary antenatal care for opiate-using women: Child-care issues. | |
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MedLine Citation:
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PMID: 20447228 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION AND AIMS: The fact that particular parents suffer afflictions limiting their ability to care does not mean that they should automatically be deemed unsuitable parents. Prompted by neonatal team concerns about child-care issues, a local multidisciplinary group was set up to care for substance-abusing pregnant women in our region. DESIGN AND METHODS: This project was conducted in order to review the records of all the women who had been discussed at our management planning meetings over the past 5 years. Our assessment tool records were reviewed and analysed using spss. RESULTS: A total of 233 women were assessed. The majority of patients booked before 20 weeks (62%) and 96 women (41%) attended over 80% of their antenatal appointments. There was little change in substance use during the course of pregnancy. Overall, at delivery, 196 of the 233 women (84%) used methadone and 89(38%) used heroin. There was no correlation between usage and foster care of the baby (methadone: chi(2) = 0.5, P = 0.8 NS) (heroin: chi(2) = 3.1, P = 0.08 NS). There was an absolute correlation between social services involvement and foster care (chi(2) = 2.33, P < 0.0001). Adherence with planned antenatal appointments significantly increased the likelihood of a child being discharged with his mother (chi(2) = 6.7, P = 0.009). DISCUSSION AND CONCLUSIONS: The majority of newborns were discharged home with their mothers directly with the most significant factor in placing a child in foster care being prior involvement of social services. However, many of these families will continue to need support during the children's early years. |
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Authors:
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Aderonke A Adeniji; Alison Purcell; Lorraine Pearson; Jan M Antcliffe; Susan Tutty; Chitra Sinha; Peter W Pairaudeau; Stephen W Lindow |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Drug and alcohol review Volume: 29 ISSN: 1465-3362 ISO Abbreviation: Drug Alcohol Rev Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-05-07 Completed Date: 2010-08-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9015440 Medline TA: Drug Alcohol Rev Country: England |
Other Details:
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Languages: eng Pagination: 189-92 Citation Subset: IM |
Affiliation:
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Hull and East Yorkshire Hospitals, Hull Royal Infirmary, Hull, UK. aderonkeadeniji@hotmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Appointments and Schedules Female Foster Home Care / statistics & numerical data Heroin / adverse effects Heroin Dependence / complications Humans Infant, Newborn Methadone / adverse effects Opioid-Related Disorders / complications* Patient Compliance Pregnancy Pregnancy Complications / etiology* Prenatal Care / methods* Social Work / statistics & numerical data |
| Chemical | |
Reg. No./Substance:
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561-27-3/Heroin; 76-99-3/Methadone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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