F F Broekhuizen1, J Utrie, C Van Mullem. 1. Department of Obstetrics and Gynecology, Sinai-Samaritan Medical Center, University of Wisconsin Medical School, Milwaukee 53233.
Abstract
OBJECTIVE: This study analyzed the relationships between illicit drug use, low birth weight, adequacy of prenatal care, and perinatal mortality. STUDY DESIGN: Perinatal outcome parameters in 23,926 deliveries between 1983 and 1990 were analyzed. Statistical analysis (chi 2 analysis) was applied for each year of study to separate the effects of inadequate prenatal care from illicit drug use. RESULTS: Patients with drug use had a two to three times higher incidence of low birth weight and perinatal death. Drug use with more than five prenatal visits had a minimal effect on outcome; drug use with inadequate care was associated with a three times higher incidence of perinatal death and low birth weight. CONCLUSION: Adequacy of prenatal care is a marker of "social chaos" and affects outcome more than drug use itself.
OBJECTIVE: This study analyzed the relationships between illicit drug use, low birth weight, adequacy of prenatal care, and perinatal mortality. STUDY DESIGN: Perinatal outcome parameters in 23,926 deliveries between 1983 and 1990 were analyzed. Statistical analysis (chi 2 analysis) was applied for each year of study to separate the effects of inadequate prenatal care from illicit drug use. RESULTS:Patients with drug use had a two to three times higher incidence of low birth weight and perinatal death. Drug use with more than five prenatal visits had a minimal effect on outcome; drug use with inadequate care was associated with a three times higher incidence of perinatal death and low birth weight. CONCLUSION: Adequacy of prenatal care is a marker of "social chaos" and affects outcome more than drug use itself.
Authors: Mary Anne Armstrong; Lee Ann Kaskutas; Jane Witbrodt; Cosette J Taillac; Yun-Yi Hung; Veronica M Osejo; Gabriel J Escobar Journal: Soc Work Health Care Date: 2009
Authors: Putu Duff; Jean Shoveller; Ruth Zhang; Debbie Alexson; Julio S G Montaner; Kate Shannon Journal: BMC Pregnancy Childbirth Date: 2011-08-18 Impact factor: 3.007