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Evaluation of Perinatal and Developmental Outcomes in Neonates with Abstinence Syndrome Admitted to NICU

Ali Kheradmand1, Sahar Ashrafzadeh2, Farzane Rouzegari3, Samin Aliakbarian1, Ali Naseh4,*

1 Department of Psychiatry, Shahid-Beheshti University of Medical Sciences, Tehran, 19839-63113, Iran
2 David Geffen School of Medicine, University of California, Los Angeles, CA, 90095, USA
3 Shahid-Beheshti University of Medical Sciences, Tehran, 19839-63113, Iran
4 Department of Pediatrics, Clinical Research Development Center, Mahdiyeh Educational Hospital, Shahid-Beheshti University of Medical Sciences, Tehran, 19839-63113, Iran

* Corresponding Authors: Ali Naseh. Email: email; email

International Journal of Mental Health Promotion 2023, 25(2), 265-274. https://doi.org/10.32604/ijmhp.2023.024773

Abstract

Drug abuse by pregnant women is one of the significant problems for mothers and their neonates. This study aimed to investigate the effects of maternal substance use disorder during pregnancy on neonatal developmental criteria. In a case-control study, clinical records of 90 neonates diagnosed with neonatal abstinence syndrome who were admitted to NICU in one of four hospitals affiliated with Shahid-Beheshti University of Medical Sciences in Tehran, Iran between 2017 and 2020 were compared to 90 neonates without neonatal abstinence syndrome (control group). Demographic information and data for neonatal developmental characteristics and complications were extracted from the clinical records of this convenience sample. Data for the type and method of maternal substance use during pregnancy were collected through a telephone call with mothers. Our data showed that the prevalence of drug addiction was 1.8% among pregnant women, and the most common drugs used by mothers were opium (n = 45%, 50%), amphetamine (n = 30%, 33%), and methadone (n = 14%, 16%). Neonates with abstinence syndrome had a higher prevalence of transient tachypnea of the newborn (TTN) (P = 0.004), and a prevalence of being admitted to NICU (P = 0.05) and for a longer duration (P < 0.001). Their mothers had a higher prevalence of having pre-eclampsia (P = 0.010). Using morphine vs. amphetamine showed no difference based on their effects on mothers and neonates. Substance use during pregnancy increased the prevalence of pregnancy complications (pre-eclampsia) and neonatal complications (TTN and prevalence and duration of hospitalization). Therefore, planning for the development of health policies to raise awareness among women and more broadly, all members of the community, is important to prevent the tendency to engage in this potentially high-risk behavior.

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APA Style
Kheradmand, A., Ashrafzadeh, S., Rouzegari, F., Aliakbarian, S., Naseh, A. (2023). Evaluation of perinatal and developmental outcomes in neonates with abstinence syndrome admitted to NICU. International Journal of Mental Health Promotion, 25(2), 265-274. https://doi.org/10.32604/ijmhp.2023.024773
Vancouver Style
Kheradmand A, Ashrafzadeh S, Rouzegari F, Aliakbarian S, Naseh A. Evaluation of perinatal and developmental outcomes in neonates with abstinence syndrome admitted to NICU. Int J Ment Health Promot. 2023;25(2):265-274 https://doi.org/10.32604/ijmhp.2023.024773
IEEE Style
A. Kheradmand, S. Ashrafzadeh, F. Rouzegari, S. Aliakbarian, and A. Naseh "Evaluation of Perinatal and Developmental Outcomes in Neonates with Abstinence Syndrome Admitted to NICU," Int. J. Ment. Health Promot., vol. 25, no. 2, pp. 265-274. 2023. https://doi.org/10.32604/ijmhp.2023.024773



cc This work is licensed under a Creative Commons Attribution 4.0 International License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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