Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5 Pt 1
|
pubmed:dateCreated |
1994-6-3
|
pubmed:abstractText |
This study sought to determine whether very low birth weight (VLBW) infants (< 1500 gm) with fetal cocaine exposure differed from non-cocaine-exposed VLBW infants in incidence of neonatal medical complications and in later developmental outcome. Forty-one cocaine-exposed, VLBW infants, followed in a longitudinal study, were compared with 41 non-cocaine-exposed, VLBW infants of comparable race, social class, age, and incidence of bronchopulmonary dysplasia. Cocaine-exposed infants were identified on the basis of combined findings of maternal and/or infant urine immunoassay and on the basis of maternal self-report. At birth, groups did not differ on medical risk factors except that cocaine-exposed infants had a higher incidence of mild (grades I to II) intraventricular hemorrhage. Cocaine-using women were also more likely to use other drugs, especially alcohol, marijuana, and tobacco. At follow-up, at mean corrected ages of 16.5 +/- 8 months for 30 cocaine-exposed infants and 18.5 +/- 7 months for 37 non-cocaine-exposed infants, standardized assessments of cognitive (Mental Development Index) and motor (Psychomotor Development Index) development were administered. Cocaine-exposed infants had lower mean cognitive (83 +/- 27 vs 91 +/- 19), and motor (85 +/- 25 vs 96 +/- 18) scores; the incidence of developmental delay was significantly higher even after control for the effects of intraventricular hemorrhage and chronologic age. Cocaine-exposed VLBW infants were also more likely to be living with relatives or in foster homes. We conclude that these VLBW, cocaine-exposed infants were at increased risk of intraventricular hemorrhage, were more likely to be placed outside maternal care, and had higher incidences of cognitive and motor delays at follow-up.
|
pubmed:grant | |
pubmed:commentsCorrections | |
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
AIM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
May
|
pubmed:issn |
0022-3476
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
124
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
765-71
|
pubmed:dateRevised |
2007-11-14
|
pubmed:meshHeading |
pubmed-meshheading:7513757-Adult,
pubmed-meshheading:7513757-Cerebral Hemorrhage,
pubmed-meshheading:7513757-Cocaine,
pubmed-meshheading:7513757-Developmental Disabilities,
pubmed-meshheading:7513757-Female,
pubmed-meshheading:7513757-Humans,
pubmed-meshheading:7513757-Infant, Low Birth Weight,
pubmed-meshheading:7513757-Infant, Newborn,
pubmed-meshheading:7513757-Male,
pubmed-meshheading:7513757-Pregnancy,
pubmed-meshheading:7513757-Pregnancy Complications,
pubmed-meshheading:7513757-Prenatal Exposure Delayed Effects,
pubmed-meshheading:7513757-Prospective Studies,
pubmed-meshheading:7513757-Regression Analysis,
pubmed-meshheading:7513757-Substance-Related Disorders
|
pubmed:year |
1994
|
pubmed:articleTitle |
Increased incidence of intraventricular hemorrhage and developmental delay in cocaine-exposed, very low birth weight infants.
|
pubmed:affiliation |
Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, Ohio.
|
pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
|