在产前物质使用的个体中,儿童保护系统的移除和短间隔分娩
Julia Reddy1, Davida Schiff, Mishka Terplan
1Gillings School of Global Public Health, the Department of Obstetrics & Gynecology, and the School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; MassGeneral Hospital for Children, Harvard Medical School, Boston, Massachusetts; and Friends Research Institute, Baltimore, Maryland.
Obstetrics and gynecology
|March 14, 2024
概括
在暴露于物质的分娩后取消早期儿童保护系统与更多的,而不是更少的,随后暴露于物质的分娩有关. 这凸显了为患有物质使用障碍的母亲提供产后支持服务的需要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 儿童福利 儿童福利
背景情况:
- 儿童保护系统通常会在产后对暴露于物质的婴儿进行干预.
- 这些系统不是为产后家长支持而设计的.
- 孕妇在怀孕期间使用物质带来了复杂的挑战.
研究的目的:
- 检查早期儿童保护系统参与与随后高风险分娩轨迹之间的关联.
- 调查产后儿童移除对母亲物质使用和分娩结果的影响.
- 为父母在怀孕期间使用物质的干预提供信息.
主要方法:
- 在加利福尼亚州 (2015年) 进行了对暴露于物质分娩的母亲的回顾性队列研究.
- 分析了6893个出生,有记录的产前药物和酒精暴露.
- 检查了产后30天内儿童保护系统的移除以及随后的分娩间隔和物质暴露.
主要成果:
- 20.4%的母亲在出生后30天内经历了儿童保护系统的删除.
- 提前切除与后续分娩间隔短的风险增加有关 (aHR 1.61).
- 早期切除显著增加了短间隔分娩的风险,有记录的物质暴露 (aHR 3.17).
- 儿童分离与随后暴露于物质的分娩数量的增加相关.
结论:
- 在暴露于物质的分娩后,早期儿童保护系统的移除与母亲和婴儿的不良结果有关.
- 研究结果表明,分离儿童并不能减少,但可能会增加后续暴露于物质的分娩.
- 迫切需要综合公共卫生和支持性服务,以解决家长的物质使用,治疗和家庭福祉问题.
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