Profile of infants born to drug-using mothers: a state-wide audit

Mohamed E Abdel-Latif1, Julee Oei, Fiona Craig

  • 1Department of Neonatology, The Canberra Hospital, Garran, Australian Capital Territory, Australia.

Insights

Infants born to mothers using illicit drugs faced significant risks, including prematurity and low birthweight. Coordinated care is essential for these vulnerable mother-infant pairs.

Area of Science:

  • Perinatal health
  • Neonatal outcomes
  • Public health

Background:

  • Illicit drug use during pregnancy poses risks to both mother and infant.
  • Understanding the characteristics and outcomes of infants exposed to drugs in utero is crucial for targeted interventions.

Purpose of the Study:

  • To investigate the prevalence and characteristics of infants born to mothers using illicit drugs.
  • To determine the short-term health and hospital outcomes for these infants.

Main Methods:

  • Retrospective review of hospital records and Drug and Alcohol Services data.
  • Inclusion of all public hospitals with obstetric services in New South Wales and Australian Capital Territory in 2004.

Main Results:

  • 1.4% of confinements involved mothers using illicit drugs; opiates, amphetamines, and polydrug use were most common.
  • High rates of prematurity (23.6%), low birthweight (27.1%), and nursery admissions (51.1%) were observed.
  • Significant need for pharmacological withdrawal treatment (23.2%), with many infants discharged on medication (70.8%); 40.6% required child-at-risk notifications.

Conclusions:

  • Illicit drug use in pregnancy is prevalent, leading to adverse perinatal and hospital outcomes.
  • These infants and mothers require coordinated healthcare and resources addressing social, medical, and mental health needs.
Abstract

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