Document Type
Article
Peer Reviewed
1
Publication Date
1-1-2014
NLM Title Abbreviation
BMC Pregnancy Childbirth
Journal/Book/Conference Title
BMC Pregnancy and Childbirth
PubMed ID
25073780
DOI of Published Version
10.1186/1471-2393-14-250
Total Pages
9
Abstract
Background The objective of this study was to identify high-yield screening risk factors for detecting maternal non-medical drug use during pregnancy. Methods A four year retrospective analysis was conducted at an academic medical center. Detailed chart review of both the newborn and mother’s medical record was performed on all cases for which one or more drug(s) or metabolite(s) were identified and confirmed in meconium or urine. Results 229 (9.2%) of 2,497 meconium samples out of 7,749 live births confirmed positive for one or more non-medical drugs. History of maternal non-medical drug and/or tobacco use in pregnancy was present in 90.8% of non-medical drug use cases. Addition of social risk factors and inadequate prenatal care increased the yield to 96.9%. Conclusions Use of focused screening criteria based on specific maternal and social risk factors may detect many prenatal non-medical drug exposures.
Keywords
OAfund, Meconium drug abuse detection/testing, Urine drug abuse detection/testing, Non-medical drug use, Fetal drug exposure, Prenatal drug abuse, Substance abuse testing
Journal Article Version
Version of Record
Published Article/Book Citation
BMC Pregnancy and Childbirth 14:1 (2014) pp. 1-9. doi:10.1186/1471-2393-14-250
Rights
Copyright © 2014 Wood et al.; licensee BioMed Central Ltd.
Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.
URL
https://ir.uiowa.edu/pediatrics_pubs/1