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Updated: May 19, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Consequences of prenatal substance use
Thitinart Sithisarn1, Don T Granger, Henrietta S Bada
1Department of Pediatrics, University of Kentucky College of Medicine, Lexingon, KY 40536, USA.
Insights
Prenatal substance exposure can lead to developmental issues in children, including behavioral problems and mental health comorbidities. Early intervention and prevention are crucial for affected youths.
Area of Science:
- Perinatal health
- Developmental psychology
- Public health
Background:
- Prenatal substance use presents significant public health challenges with lasting effects on both the mother and child.
- Exposure to various substances during gestation poses risks to fetal development.
Purpose of the Study:
- To review and analyze the outcomes for children and adolescents exposed to drugs in utero.
- To synthesize findings on the effects of diverse legal and illegal substances on offspring development.
Main Methods:
- Systematic evaluation of studies examining prenatal exposure to tobacco/nicotine, alcohol, marijuana, cocaine, opiates, and methamphetamine.
- Analysis of research focusing on child and adolescent outcomes post-in utero drug exposure.
Main Results:
- Prenatal substance exposure is associated with reduced birth anthropometrics and transient infant neurobehavioral changes.
- Long-term behavioral issues, from early childhood through adolescence, are common, with severity influenced by environmental factors.
- In utero drug exposure frequently co-occurs with mental health comorbidities in affected individuals.
Conclusions:
- Healthcare providers must prioritize substance use prevention and screening for prenatal exposure effects.
- Intervention and referral services are essential for youths impacted by prenatal drug exposure.
- Preventive strategies and treatments should account for environmental factors that exacerbate psychopathology risk in exposed children.
Background:
Prenatal substance use is a major public health problem and a social morbidity, with consequences on the drug user and the offspring.
Objective:
This review focuses on the child and adolescent outcomes following in utero drug exposure.
Methods:
Studies on the effects of specific substances, legal and illegal; i.e., tobacco or nicotine, alcohol, marijuana, cocaine, opiates, and methamphetamine were evaluated and analyzed.
Results:
In general, manifestations of prenatal exposure to legal and illegal substances include varying deficits in birth anthropometric measurements, mild-to-moderate transient neurobehavioral alterations in infancy and long-term behavioral problems noted from early childhood to adolescence. Severity of expression of behavioral problems is influenced by environmental factors. Further, behavioral alterations following in utero drug exposure often exist with mental health co-morbidities.
Conclusion:
Because of the long-term consequences of prenatal drug exposure on child and adolescent mental health, health providers need to promote substance use prevention, screen for exposure effects and provide or refer affected youths for intervention services. Preventive measures and treatment should consider other factors that may further increase the risk of psychopathology in the exposed children.
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