产前物质暴露和婴儿出院位置:来自ACT NOW研究的结果
Tre D Gissandaner1, Jordan A Gette2, Kristin J Perry3,4
1Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.
Child maltreatment
|October 7, 2024
概括
婴儿在怀孕期间接触到物质,特别是使用多种物质,面临更高的家庭外安置的风险. 戒断的严重程度也会影响这些脆弱婴儿的出院决定.
科学领域:
- 儿科 儿科 儿科
- 新生儿护理 新生儿护理
- 公共卫生 公共卫生
背景情况:
- 识别面临家庭外安置风险的婴儿至关重要.
- 产前物质暴露和人口因素影响安置决策.
研究的目的:
- 检查与产前物质暴露的婴儿外置相关的因素.
- 为了确定特定的物质暴露模式和与安置结果相关的戒断严重程度.
主要方法:
- 使用经过验证的医疗记录数据提取工具对ACT NOW研究 (N=30个站点) 的数据进行了提取.
- 分析了来自1808个分娩父母婴儿二合体的数据,记录了新生儿阿片类药物戒断综合征 (NOWS) 评分或产前阿片类药物暴露.
- 使用隐性类别分析来识别物质使用模式及其与排放目的地的关联.
主要成果:
- 产前暴露于酒精,可卡因,甲基 / 胺和阿片类药物的婴儿对父母的出院概率较低.
- 隐性类别分析揭示了与不同排放概率相关的不同的物质使用类别.
- 不到一半的多用类和甲基胺类婴儿 (47%-49%) 被送给父母.
- 戒断症状的严重程度影响了对多重使用和处方阿片类药物的分类决定.
结论:
- 产前物质暴露,特别是多物质使用和甲基/胺暴露,显著降低了婴儿出院到父母照顾的可能性.
- 婴儿戒断的严重程度是特定物质暴露类别的安置决定的关键因素.
- 调查结果支持需要加强对暴露于物质的婴儿及其家人的支持,识别和安全护理计划.
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