Document Detail


Opioids in the parturient with chronic nonmalignant pain: a retrospective review.
MedLine Citation:
PMID:  17319115     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this research was to determine the neonatal outcomes of women who had been taking medically prescribed opioids throughout their pregnancy. A retrospective case study was done of 15 pregnancies associated with maternal opiate use between January 1, 1999, and September 30, 2002. Two cases were excluded due to coaddiction. Neonatal data were collected including gestational age, head circumference, length, birth weight, Apgar score at one and five minutes, details of resuscitation required, and Neonatal Abstinence Score. There were 13 pregnancies, which resulted in 13 live births; opioids prescribed included oxycodone, codeine, meperidine, fentanyl, dilaudid, morphine, and methadone. There were four babies with one-minute Apgar score = -5, and two babies with five-minute Apgar score = 5. It was concluded that neonatal growth markers in this population were within normal limits as plotted on the standard growth and development record of Gairdner-Pearson. Five out of 13 (38.5 percent) neonates were diagnosed with opioid discontinuation syndrome.
Authors:
Ibrahim Hadi; Orlando da Silva; Renato Natale; David Boyd; Patricia K Morley-Forster
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of opioid management     Volume:  2     ISSN:  1551-7489     ISO Abbreviation:  J Opioid Manag     Publication Date:    2006 Jan-Feb
Date Detail:
Created Date:  2007-02-26     Completed Date:  2007-03-13     Revised Date:  2012-07-13    
Medline Journal Info:
Nlm Unique ID:  101234523     Medline TA:  J Opioid Manag     Country:  United States    
Other Details:
Languages:  eng     Pagination:  31-4     Citation Subset:  IM    
Affiliation:
Department of Anesthesia and Perioperative Medicine, University of Western Ontario, St. Joseph Health Care, London, Canada.
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MeSH Terms
Descriptor/Qualifier:
Analgesics, Opioid* / administration & dosage,  adverse effects,  therapeutic use
Apgar Score
Birth Weight / drug effects*
Chronic Disease
Female
Humans
Infant, Newborn
Neonatal Abstinence Syndrome / etiology*
Pain / drug therapy*,  etiology
Pregnancy
Retrospective Studies
Chemical
Reg. No./Substance:
0/Analgesics, Opioid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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