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Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
Children who face development risks due to maternal addiction during pregnancy require extra medical and psychosocial
Jenny Rangmar1, Maria Lilja2, Marie Köhler3
1Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
Insights
Children born to mothers with addiction problems face significant risks. Early medical and psychosocial support is crucial to mitigate developmental issues and ensure better long-term outcomes.
Area of Science:
- Perinatal health
- Child development
- Addiction medicine
Background:
- Maternal addiction during pregnancy poses risks to child development.
- Swedish healthcare offers specialized resources for pregnant women with addiction.
- Child healthcare services (CHS) provide routine pediatric care.
Purpose of the Study:
- To examine medical and psychosocial risk factors in children born to mothers with addiction.
- To assess the need for additional medical and psychosocial resources for these children.
Main Methods:
- Retrospective review of medical records for 127 children (2009-2015).
- Inclusion of data from local child healthcare services (CHS).
- Analysis of prenatal exposure, withdrawal symptoms, maternal psychiatric diagnoses, and postnatal behaviors.
Main Results:
- 76% of children had prenatal exposure to alcohol/drugs; 17% showed withdrawal symptoms.
- Mothers exhibited high rates of psychiatric diagnoses (38%) and lower breastfeeding rates.
- Adherence to CHS programs was high, with resource needs decreasing as children entered standard care.
Conclusions:
- Children of mothers with addiction are at high risk for developmental problems.
- Additional CHS resources are recommended to minimize negative long-term consequences.
- Early and ongoing support is vital for children exposed to maternal addiction.
Aim:
This study examined medical and psychosocial risk factors in children born to women with addiction problems during pregnancy and the children's needs for extra medical and psychosocial resources.
Methods:
Swedish midwives routinely screen pregnant women for drugs and alcohol and refer women with addictions to the Maternity and Child Healthcare Resource Team. We investigated the medical records of 127 children (51% girls) whose mothers were referred to the Resource Team from 2009 to 2015. Additional data were obtained from local child healthcare services (CHS), which provide routine paediatric care.
Results:
More than three-quarters (76%) of the children had prenatal exposure to alcohol and drugs, and 17% were born with withdrawal symptoms. The mothers had a high rate of psychiatric diagnoses (38%) and were more likely to smoke after delivery and less likely to breastfeed than the general population. However, adherence to the CHS programme was generally high. Additional visits to the nurse, referrals to specialists, collaboration meetings and reports of concerns to social services decreased when the children began attending ordinary CHS centres.
Conclusion:
Children born to women with addictions during pregnancy faced a high risk of developmental problems and should be offered additional CHS resources to minimise negative long-term consequences.
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