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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3 Pt 1
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pubmed:dateCreated |
1991-9-20
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pubmed:abstractText |
We conducted urine screening for cocaine metabolite in 500 consecutive women admitted to a labor and delivery unit. The pregnancy outcome of 411 of the women was determined at that admission. The prevalence of cocaine-positive urines was 15.3% (95% confidence interval 11.8-18.8%). A subset of this population that had not received prenatal care had a prevalence of 62% (95% confidence interval 47.2-76.6%). Women with positive urines were almost four times more likely to have preterm labor and over twice as likely to deliver a premature infant or one with a 1-minute Apgar score of 6 or lower. Our findings support the concept that urine drug screening for cocaine and/or other drugs of abuse should be considered in patients who present with no prenatal care, premature labor, premature delivery, and delivery of an infant with a 1-minute Apgar score of 6 or less. This strategy may enable us to identify and bring to therapy a population of women that could potentially go unrecognized.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0029-7844
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
78
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
326-9
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pubmed:dateRevised |
2009-10-26
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pubmed:meshHeading |
pubmed-meshheading:1876358-Adult,
pubmed-meshheading:1876358-Apgar Score,
pubmed-meshheading:1876358-Cocaine,
pubmed-meshheading:1876358-Female,
pubmed-meshheading:1876358-Humans,
pubmed-meshheading:1876358-Infant, Newborn,
pubmed-meshheading:1876358-Obstetric Labor, Premature,
pubmed-meshheading:1876358-Philadelphia,
pubmed-meshheading:1876358-Pregnancy,
pubmed-meshheading:1876358-Pregnancy Outcome,
pubmed-meshheading:1876358-Prenatal Care,
pubmed-meshheading:1876358-Prevalence,
pubmed-meshheading:1876358-Risk Factors,
pubmed-meshheading:1876358-Substance Abuse Detection,
pubmed-meshheading:1876358-Substance-Related Disorders
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pubmed:year |
1991
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pubmed:articleTitle |
The relationship between recent cocaine use and pregnancy outcome.
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pubmed:affiliation |
Department of Obstetrics and Gynecology, Hahnemann University School of Medicine, Philadelphia, PA.
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pubmed:publicationType |
Journal Article
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