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substance use in pregnancy

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https://www.readbyqxmd.com/read/28219965/a-public-health-response-to-opioid-use-in-pregnancy
#1
Stephen W Patrick, Davida M Schiff
The use of opioids during pregnancy has grown rapidly in the past decade. As opioid use during pregnancy increased, so did complications from their use, including neonatal abstinence syndrome. Several state governments responded to this increase by prosecuting and incarcerating pregnant women with substance use disorders; however, this approach has no proven benefits for maternal or infant health and may lead to avoidance of prenatal care and a decreased willingness to engage in substance use disorder treatment programs...
February 20, 2017: Pediatrics
https://www.readbyqxmd.com/read/28188773/maternal-buprenorphine-treatment-and-fetal-neurobehavioral-development
#2
Lauren M Jansson, Martha Velez, Krystle McConnell, Nancy Spencer, Michelle Tuten, Hendree E Jones, Van L King, Neeraj Gandotra, Lorraine A Milio, Kristin Voegtline, Janet A DiPietro
BACKGROUND: Gestational opioid use/misuse is escalating in the United States, however, little is understood about the fetal effects of medications used to treat maternal opioid use disorders. OBJECTIVE: The purpose of this study was to determine the effect of maternal buprenorphine administration on longitudinal fetal neurobehavioral development. STUDY DESIGN: Forty-nine buprenorphine-maintained women attending a substance use disorder treatment facility with generally uncomplicated pregnancies underwent fetal monitoring for 60 minutes at times of trough and peak maternal buprenorphine levels...
February 7, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28178050/filled-prescriptions-for-opioids-after-vaginal-delivery
#3
Marian Jarlenski, Lisa M Bodnar, Joo Yeon Kim, Julie Donohue, Elizabeth E Krans, Debra L Bogen
OBJECTIVE: To estimate the prevalence of filled opioid prescriptions after vaginal delivery. METHODS: We conducted a retrospective cohort study of 164,720 Medicaid-enrolled women in Pennsylvania who delivered a liveborn neonate vaginally from 2008 to 2013, excluding women who used opioids during pregnancy or who had an opioid use disorder. We assessed overall filled prescriptions as well as filled prescriptions in the presence or absence of the following pain-inducing conditions: bilateral tubal ligation, perineal laceration, or episiotomy...
March 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28178022/the-impact-of-essential-fatty-acid-b-vitamins-vitamin-c-magnesium-and-zinc-supplementation-on-stress-levels-in-women-a-systematic-review
#4
Delia McCabe, Karolina Lisy, Craig Lockwood, Marc Colbeck
BACKGROUND: Women juggling multiple roles in our complex society are increasingly experiencing psychological stress. Dietary supplementation to manage stress is widespread despite limited supporting evidence. A systematic review of the available literature was undertaken to investigate the efficacy of specific dietary supplements in managing female stress and anxiety. OBJECTIVES: To identify the impact of essential fatty acids (EFAs), B vitamins, vitamin C, magnesium and/or zinc, consumed as dietary supplements to the daily diet, on female stress and anxiety levels...
February 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28176511/prevalence-of-illicit-drug-use-at-the-end-of-pregnancy-a-cross-sectional-study-at-the-time-of-birth
#5
Amadeu Roca Comas, Joan S Vila Domènech, Joana Massa Solé, Patricia Timoneda Paz, Mar Peñas Boira, Francisco J Herrero Espinet, Josep Sánchez Jiménez, Anna Ballester Martínez
BACKGROUND: Drug use during pregnancy is associated with adverse perinatal outcomes. This study was conducted to assess the prevalence of consumption of drugs of abuse in pregnant women at the end of gestation. METHODS: Cross-sectional study of all consecutive pregnant women in labor admitted to a regional hospital in Calella (Barcelona, Spain) in labor over one year period (2014- 2015). Women who gave written consent to take part in the study provided a urine sample on admission and completed a questionnaire with toxic habits-related questions...
February 7, 2017: Minerva Pediatrica
https://www.readbyqxmd.com/read/28140776/mapping-the-social-determinants-of-substance-use-for-pregnant-involved-young-aboriginal-women
#6
Sana Z Shahram, Joan L Bottorff, Nelly D Oelke, Donna L M Kurtz, Victoria Thomas, Patricia M Spittal, And For The Cedar Project Partnership
There is a dearth of knowledge about the social determinants of substance use among young pregnant-involved Indigenous women in Canada from their perspectives. As part of life history interviews, 17 young pregnant-involved Indigenous women with experiences with substances completed a participant-generated mapping activity CIRCLES (Charting Intersectional Relationships in the Context of Life Experiences with Substances). As women created their maps, they discussed how different social determinants impacted their experiences with pregnancy and substance use...
December 2017: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/28134474/risk-of-cerebral-palsy-in-chinese-children-a-n-m-matched-case-control-study
#7
Jing Gao, Bin Zhao, Luna He, Meiling Sun, Xuefeng Yu, Lina Wang
AIM: To estimate epidemiological risk factors for cerebral palsy (CP) in children. METHODS: A N:M matched case control study was conducted in 114 persons with CP and 1286 controls. Relevant data were collected using a maternal self-design questionnaire. Univariate logistic regression and multivariate conditional logistic regression analyses were performed using SPSS. RESULTS: Univariate analysis has yielded 20 significant risk factors for CP...
January 30, 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/28134232/-caffeine-and-adaptive-changes-in-the-circulatory-system-during-pregnancy
#8
REVIEW
Monika Cendrowska-Pinkosz, Wojciech Dworzański, Magdalena Krauze, Franciszek Burdan
Adaptive physiological changes that occur in pregnant women can fluctuate with the intake of substances with proven, adverse biological effect on the body. Due to the fact that caffeine is one of the most chronically used xenobiotics, the impact of consuming caffeine on adaptive processes in the circulatory system of a pregnant women required a research. Many researchers emphasise its negative effect on the circulatory system of the mother and her offspring. However, in spite of years of observation, there is no clear answer to what extent dose or in what period of time the caffeine modulates the adaptive processes during pregnancy...
January 23, 2017: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/28134231/-changes-of-carbohydrate-and-lipid-metabolism-in-women-during-pregnancy-taking-caffeine
#9
REVIEW
Monika Cendrowska-Pinkosz, Wojciech Dworzański, Magdalena Krauze, Franciszek Burdan
Adaptive physiological changes that occur in pregnant woman's body can fluctuate with the intake of substances with proven adverse biological effect on the body. Due to the fact that caffeine is one of the most chronically used xenobiotics it required a research for the impact of consuming caffeine on adaptive processes in the glucose and fatty acid homeostasis of a pregnant woman Many researchers emphasize its negative effect on the glucose and fatty acid homeostasis of the mother and her offspring. However, in spite of years of observation, there is no clear answer to what amount or in what period of time the caffeine modulates the adaptive processes during pregnancy...
January 23, 2017: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/28129942/characterization-of-u-s-state-laws-requiring-health-care-provider-reporting-of-perinatal-substance-use
#10
Marian Jarlenski, Caroline Hogan, Debra L Bogen, Judy C Chang, Lisa M Bodnar, Elizabeth Van Nostrand
BACKGROUND: State policies pertaining to health care provider reporting of perinatal substance use have implications for provider screening and referral behavior, patients' care seeking and access to prenatal substance use disorder treatment, and pregnancy and birth outcomes. OBJECTIVES: This study sought to characterize specific provisions enacted in state statutes pertaining to mandates that health care providers report perinatal substance use, and to determine the proportion of births occurring in states with such laws...
January 24, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/28127873/early-menarche-and-risk-taking-behavior-in-korean-adolescent-students
#11
Hyun Soo Kim, Byeong Moo Choe, Jae Hong Park, Seong Hwan Kim
INTRODUCTION: The aim of this study is to assess the correlation between early menarche and risk-taking behavior in a representative sample of Korean adolescent students. METHODS: Data were drawn from a cross-sectional, nationally representative sample of 33 829 female adolescents (grades 7-12) from the 2014 Korean Youth Risk Behavior Web-based Survey. Logistic regression analysis was conducted to test the association between early menarche and risk-taking behavior...
January 27, 2017: Asia-Pacific Psychiatry: Official Journal of the Pacific Rim College of Psychiatrists
https://www.readbyqxmd.com/read/28116821/prenatal-alcohol-consumption-between-conception-and-recognition-of-pregnancy
#12
Clare McCormack, Delyse Hutchinson, Lucy Burns, Judy Wilson, Elizabeth Elliott, Steve Allsop, Jake Najman, Sue Jacobs, Larissa Rossen, Craig Olsson, Richard Mattick
BACKGROUND: Current estimates of the rates of alcohol-exposed pregnancies may underestimate prenatal alcohol exposure if alcohol consumption in early trimester 1, prior to awareness of pregnancy, is not considered. Extant literature describes predictors of alcohol consumption during pregnancy; however, alcohol consumption prior to awareness of pregnancy is a distinct behavior from consumption after becoming aware of pregnancy and thus may be associated with different predictors. The purpose of this study was therefore to examine prevalence and predictors of alcohol consumption by women prior to awareness of their pregnancy, and trajectories of change to alcohol use following pregnancy recognition...
February 2017: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/28116589/identifying-health-experiences-of-domestically-sex-trafficked-women-in-the-usa-a-qualitative-study-in-rikers-island-jail
#13
Anita Ravi, Megan Rose Pfeiffer, Zachary Rosner, Judy A Shea
While sex trafficking in the USA is a significant medical and public health issue, there is sparse data on the healthcare needs of and access for this population. This study was designed to identify experiences of domestically sex-trafficked women regarding healthcare access, reproductive health, and infectious diseases while trafficked. Trafficking survivors incarcerated in New York City's Rikers Island women's jail participated in audio-recorded interviews between July and September 2015. Recordings were transcribed, and a content analysis was completed to identify health-related themes...
January 23, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/28107153/human-trafficking-mental-illness-and-addiction-avoiding-diagnostic-overshadowing
#14
Hanni Stoklosa, Marti MacGibbon, Joseph Stoklosa
This article reviews an emergency department-based clinical vignette of a trafficked patient with co-occurring pregnancy-related, mental health, and substance use disorder issues. The authors, including a survivor of human trafficking, draw on their backgrounds in addiction care, human trafficking, emergency medicine, and psychiatry to review the literature on relevant general health and mental health consequences of trafficking and propose an approach to the clinical complexities this case presents. In their discussion, the authors explicate the deleterious role of implicit bias and diagnostic overshadowing in trafficked patients with co-occurring addiction and mental illness...
January 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28076587/-interventions-to-improve-access-to-health-services-by-indigenous-peoples-in-the-americas
#15
Miguel Araujo, Cecilia Moraga, Evelina Chapman, Jorge Barreto, Eduardo Illanes
Objective: Synthesize evidence on effectiveness of interventions designed to improve access to health services by indigenous populations. Methods: Review of systematic reviews published as of July 2015, selecting and analyzing only studies in the Region of the Americas. The bibliographic search encompassed MEDLINE, Lilacs, SciELO, EMBASE, DARE, HTA, The Cochrane Library, and organization websites. Two independent reviewers selected studies and analyzed their methodological quality...
November 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28040263/identification-of-chemical-mixtures-to-which-canadian-pregnant-women-are-exposed-the-mirec-study
#16
Wan-Chen Lee, Mandy Fisher, Karelyn Davis, Tye E Arbuckle, Sanjoy K Sinha
Depending on the chemical and the outcome, prenatal exposures to environmental chemicals can lead to adverse effects on the pregnancy and child development, especially if exposure occurs during early gestation. Instead of focusing on prenatal exposure to individual chemicals, more studies have taken into account that humans are exposed to multiple environmental chemicals on a daily basis. The objectives of this analysis were to identify the pattern of chemical mixtures to which women are exposed and to characterize women with elevated exposures to various mixtures...
December 28, 2016: Environment International
https://www.readbyqxmd.com/read/28008576/-barriers-to-addressing-pregnant-patients-cigarette-and-alcohol-use-a-focus-group-study-with-gynecologists
#17
A Stiegler, L Bieber, K Karacay, F Wernz, A Batra
Objectives/Purpose: Alcohol drinking and tobacco smoking pose high health risks for the unborn child. Even though routine testing during the course of pregnancy facilitates early intervention, addressing substance use in pregnancy seems to be more difficult. The aim of the study was to identify barriers to addressing pregnant patients' cigarette and alcohol use. Methods: 2 focus groups (in total N=10 participants) were conducted with gynaecologists. The transcripts of the discussions were analysed using Mayring's approach of qualitative text analysis...
December 2016: Das Gesundheitswesen
https://www.readbyqxmd.com/read/28006929/sedative-effects-of-intranasal-oxytocin-in-rabbits-and-rhesus-monkeys
#18
L Hess, M Votava, J Málek, A Kurzová, J Slíva
Oxytocin is a hormone therapeutically used mainly for its peripheral effects during pregnancy in the uterus and breasts. However, additional central effects, i.e. anxiolytic effect, decreased level of social stress and increased empathy have been also observed. Hence, the aim of our study was to evaluate if nasal oxytocin can be used as anxiolytic substance in rhesus monkeys (n=20) and rabbits (n=20). Simultaneously, mean arterial blood pressure, arterial oxygen saturation of hemoglobin and pulse rate were monitored in all the evaluated animals...
December 21, 2016: Physiological Research
https://www.readbyqxmd.com/read/28004428/residential-mobility-and-social-behaviors-of-adolescents-a-systematic-review-of-the-literature
#19
Brandi Parker Cotton
PROBLEM: The association between residential mobility and negative behaviors in adolescence has attracted multidisciplinary attention. METHODS: The purpose of this article is to conduct a systematic literature review in order to synthesize research that measured mobility and at least one social behavior among participants 11 thru 18 years of age. The systematic search yielded 22 studies. FINDINGS: Residential mobility is associated with negative behaviors among adolescents, including social problems, delinquency, substance and nicotine use, and adolescent pregnancy...
December 21, 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27940055/the-effects-of-sildenafil-citrate-on-uterine-angiogenic-status-and-serum-inflammatory-markers-in-an-l-name-rat-model-of-pre-eclampsia
#20
Nerolen Soobryan, Saravanakumar Murugesan, Wendy Phoswa, Prem Gathiram, Jagidesa Moodley, Irene Mackraj
Pre-eclampsia (PE), a hypertensive disorder of pregnancy, is detrimental to both mother and foetus. There is currently no effective treatment, but we have shown that Sildenafil Citrate (SC) improve various foetal outcomes in N(ω)-nitro-L arginine methyl ester (L-NAME) rat model of PE. Therefore, we aimed to investigate the effects of SC on a uterine angiogenic status and serum inflammatory markers in an L-NAME rat model of PE. One hundred and twenty adult nulliparous pregnant female Sprague-Dawley rats were used for the study...
December 7, 2016: European Journal of Pharmacology
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