Related Experiment Video

Updated: Jul 23, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

86.1K

Pediatric Primary Care Diagnoses Among Children with Intrauterine Opioid Exposure

Stephanie R Beldick, Jessica F Rohde, Vanessa L Short

    Journal of Health Care for the Poor and Underserved
    |July 19, 2023
    PubMed

    Insights

    Children with intrauterine opioid exposure (IOE) frequently visit primary care for common issues like respiratory infections and feeding problems. Well-child visits are crucial for addressing these concerns early.

    Area of Science:

    • Pediatric primary care
    • Neonatal abstinence syndrome
    • Child health outcomes

    Background:

    • Intrauterine opioid exposure (IOE) presents unique challenges for pediatric care.
    • Understanding common health concerns in infants with IOE is essential for developing targeted interventions.
    • Primary care settings are vital for monitoring and managing children with IOE.

    Purpose of the Study:

    • To characterize the common health concerns of children with intrauterine opioid exposure (IOE) from birth to age two.
    • To inform the development of tailored primary care strategies for this population.
    • To analyze patterns of healthcare utilization in children with IOE.

    Main Methods:

    • Retrospective analysis of primary care data from a multi-state pediatric health system.
    • Inclusion of children from birth to two years with documented IOE.
    • Categorization of well-child care (WCC) and problem-based visit diagnoses with descriptive statistics.

    Main Results:

    • 385 children with IOE had 3,622 primary care visits (51.4% WCC, 48.6% problem-based).
    • Most frequent diagnoses included upper respiratory complaints (14.8%), feeding difficulties (12.2%), and perinatal viral exposure (9.8%).
    • Both WCC and problem-based visits were common for issues like fussiness/colic and feeding difficulties in infancy.

    Conclusions:

    • Well-child care visits for children with IOE are critical opportunities for anticipatory guidance.
    • Emphasis should be placed on common problems that may lead to acute healthcare utilization, especially in early infancy.
    • Primary care providers can play a key role in managing the health and developmental needs of children with IOE.
    Abstract

    More Related Videos

    Preclinical Model of Prenatal Delta-9-Tetrahydrocannabinol Exposure to Assess Its Impact on Neurodevelopmental Outcomes05:13

    Preclinical Model of Prenatal Delta-9-Tetrahydrocannabinol Exposure to Assess Its Impact on Neurodevelopmental Outcomes

    Published on: February 28, 2025

    286
    Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus06:15

    Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

    Published on: March 6, 2019

    50.0K

    Related Concept Videos

    Opioid Analgesics: Morphine and Other Natural Cogeners01:20

    Opioid Analgesics: Morphine and Other Natural Cogeners

    Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
    293
    Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

    Opioid Analgesics: Synthetic and Semisynthetic Opioids

    Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
    338
    Analgesia and Pain Management01:25

    Analgesia and Pain Management

    Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
    661
    Prescription, Nonprescription and Orphan Drugs01:02

    Prescription, Nonprescription and Orphan Drugs

    Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
    The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
    768
    Teratogenicity01:07

    Teratogenicity

    The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
    2.5K
    Drugs Affecting GI Tract Motility: Opioids as Antidiarrheal Agents01:17

    Drugs Affecting GI Tract Motility: Opioids as Antidiarrheal Agents

    Diarrhea, a condition marked by frequent loose or watery bowel movements, can be triggered by multiple factors such as viral or bacterial infections, food intolerances, anxiety, medications, and digestive disorders. Symptoms may include abdominal pain, bloating, nausea, and cramping. Severe or prolonged diarrhea can lead to complications like electrolyte imbalances, malnutrition, and dehydration if left untreated.
    Opioids, widely used antidiarrheal agents, mitigate diarrhea by slowing down...
    247