Incidence of intrauterine cocaine exposure in a suburban setting.
Incidence of intrauterine cocaine exposure in a suburban setting.
复制标题
郊区环境中宫内可卡因暴露的发生率。
作者：
D. Schutzman;M. Frankenfield;H. E. Clatterbaugh;J. Singer
本研究旨在确定在社会经济混合的郊区环境中宫内可卡因暴露的发生率。它还评估了匿名调查表在收集关于孕妇在怀孕期间使用非法药物的信息方面的有效性。从500名连续出生的婴儿中收集胎粪，并分析可卡因及其代谢物的存在。一份匿名的两页问卷也分发给所有产后母亲。在婴儿的母亲中，有73.2%的人有某种形式的保险（私人），而26.8%的人没有保险或有医疗补助（诊所）。59名（11.8%）婴儿可卡因检测呈阳性。母亲有私人保险的婴儿中，6.3%的胎粪检测呈阳性，而母亲有医疗补助或没有保险的婴儿中，26.9%的胎粪检测呈阳性。有316位母亲（63.2%）回复了问卷。73%有私人保险，27%由医疗补助（诊所）覆盖。只有五位没有保险或医疗补助的母亲承认使用可卡因。新生儿接触可卡因似乎是一个比以前想象的更大的问题，特别是在私人人口中。此外，匿名母亲自我报告表可能无助于查明有非法接触药物风险的婴儿。
This study endeavored to determine the incidence of intrauterine cocaine exposure in a socioeconomically mixed suburban setting. It also assessed the effectiveness of an anonymous questionnaire in eliciting information on maternal use of illicit drugs during pregnancy. Meconium was collected from 500 consecutively born infants and analyzed for the presence of cocaine and its metabolites. An anonymous two-page questionnaire also was distributed to all postpartum mothers. Of the infants' mothers, (73.2%) were covered by some form of insurance (private), whereas 26.8% either had no insurance or were covered by Medicaid (clinic). Fifty-nine (11.8%) babies tested positive for cocaine. The meconium of 6.3% of the babies whose mothers had private insurance tested positive, while the meconium of 26.9% of the babies whose mothers had Medicaid or no insurance tested positive. 316 (63.2%) of the mothers returned a questionnaire. 73% had private insurance and 27% were covered by Medicaid (clinic). Only five mothers with no insurance or covered by Medicaid admitted using cocaine. It appears that neonatal exposure to cocaine may be an even greater problem than previously imagined, particularly in the private population. In addition, anonymous maternal self-reporting forms probably will not be helpful in identifying infants at risk for illicit exposure to drugs.