Maternal-fetal and neonatal effects of in utero cocaine exposure.

摘要: I nfants passively exposed to cocaine are the most poignant examples of exacting toll taken by drug abuse epidemic that has swept our nation. Khalsa and Gfroerer have reported in this issue recent National Household Survey on Drug Abuse showed an encouraging decline from 1985 1990 prevalence use during last month year among women childbearing age. Whether positive trend will be reflected a concomitant decrease pregnant postpartum yet determined. Although perinatal substance transcends race, ethnicity, socioeconomic status,“’ it is no exaggeration inner city hospitals overwhelmed with current wave cocaine-exposed pregnancies. The University Miami/Jackson Memorial Medical Center (UM/JMMC) one largest services country (approximately 15,000 annual deliveries) zlid serves predominantly indigent population. Detailed maternal histories urine toxicology assays were performed 215 consecutive deliveries Abbott TDx fluorescent polarization immunoassay (Chicago, IL), confirmation gas chromatography mass spectrometry.3 Exposure marijuana was found 12% 17%, respectively, mother-infant dyads. These cases documented history