Infant and maternal characteristics in neonatal abstinence syndrome--selected hospitals in Florida, 2010-2011.

作者: Ghasi S. Phillips-Bell , Ghasi S. Phillips-Bell , Suzanne Anjohrin , Andreea A. Creanga , Jennifer N. Lind

DOI:

关键词: Infant mortalityMedical prescriptionLow birth weightPublic healthMedicineIntensive care unitEnvironmental healthPregnancyEmergency medicineBreast feedingReferral

摘要: Neonatal abstinence syndrome (NAS) is a constellation of physiologic and neurobehavioral signs exhibited by newborns exposed to addictive prescription or illicit drugs taken mother during pregnancy. The number hospital discharges diagnosed with NAS has increased more than 10-fold (from 0.4 4.4 per 1,000 live births) in Florida since 1995, far exceeding the three-fold increase observed nationally. In February 2014, Department Health requested assistance CDC 1) assess accuracy validity using Florida's inpatient discharge data, linked birth infant death certificates, as means surveillance 2) describe characteristics infants their mothers. This report focuses only on objective two, describing maternal 242 confirmed cases identified three hospitals 2-year period (2010-2011). Infants experienced serious medical complications, 97.1% being admitted an intensive care unit, had prolonged stays, mean duration 26.1 days. findings this investigation underscore important public health problem add current knowledge these mothers infants. Effective June now mandatory reportable condition Florida. Interventions are also needed use community resources available drug-abusing drug-dependent women reproductive age, improve drug addiction counseling rehabilitation referral documentation policies, 3) link before earlier

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