Prenatal Methamphetamine Exposure and Short-Term Maternal and Infant Medical Outcomes

Rizwan Shah; Sabrina D. Diaz; Amelia Arria; Linda L. LaGasse; Chris Derauf; Elana Newman; Lynne M. Smith; Marilyn A. Huestis; William Haning; Arthur Strauss; Sheri Della Grotta; Lynne M. Dansereau; Mary B. Roberts; Charles Neal; Barry M. Lester

doi:10.1055/s-0032-1304818

American Journal of Perinatology, Table of Contents

Am J Perinatol 2012; 29(05): 391-400
DOI: 10.1055/s-0032-1304818

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Prenatal Methamphetamine Exposure and Short-Term Maternal and Infant Medical Outcomes

Rizwan Shah

¹Blank Hospital Regional Child Protection Center, Iowa Health, Des Moines, Iowa

,

Sabrina D. Diaz

²LABiomed Institute at Harbor–UCLA Medical Center and David Geffen School of Medicine at UCLA, Los Angeles, California

,

Amelia Arria

³Center on Young Adult Health and Development, University of Maryland, School of Public Health, College Park, Maryland

,

Linda L. LaGasse

⁴Brown Center for the Study of Children at Risk, Warren Alpert Medical School of Brown University, Women and Infants Hospital, Providence, Rhode Island

,

Chris Derauf

⁵John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii

,

Elana Newman

⁶Department of Psychology, The University of Tulsa, Tulsa, Oklahoma

,

Lynne M. Smith

²LABiomed Institute at Harbor–UCLA Medical Center and David Geffen School of Medicine at UCLA, Los Angeles, California

,

Marilyn A. Huestis

⁷Intramural Research Program, National Institute on Drug Abuse, National Institutes of Health, Baltimore, Maryland

,

William Haning

⁵John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii

,

Arthur Strauss

⁸Miller Children's Hospital at Long Beach Memorial Medical Center, Long Beach, California

,

Sheri Della Grotta

⁴Brown Center for the Study of Children at Risk, Warren Alpert Medical School of Brown University, Women and Infants Hospital, Providence, Rhode Island

,

Lynne M. Dansereau

⁴Brown Center for the Study of Children at Risk, Warren Alpert Medical School of Brown University, Women and Infants Hospital, Providence, Rhode Island

,

Mary B. Roberts

⁴Brown Center for the Study of Children at Risk, Warren Alpert Medical School of Brown University, Women and Infants Hospital, Providence, Rhode Island

,

Charles Neal

⁵John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii

,

Barry M. Lester

⁴Brown Center for the Study of Children at Risk, Warren Alpert Medical School of Brown University, Women and Infants Hospital, Providence, Rhode Island

› Author Affiliations

Abstract

Objective Examine maternal and infant medical outcomes of prenatal exposure to methamphetamine (MA).

Study Design Four hundred and twelve mother-infant pairs (204 MA-exposed and 208 unexposed matched comparisons) were enrolled in the Infant Development, Environment and Lifestyle (IDEAL) study. Exposure was determined by maternal self-report during this pregnancy and/or positive meconium toxicology. Maternal interviews assessed prenatal drug use, pregnancy course, and sociodemographic information. Medical chart reviews provided medical history, obstetric complications, infant outcomes, and discharge placement.

Results MA-using mothers were more likely to be poor, to have a psychiatric disorder/emotional illness and less prenatal care, and to be less likely to breast-feed their infant than comparison mothers. After adjusting for covariates, MA-exposed infants were more likely to exhibit poor suck, to have smaller head circumferences and length, to require neonatal intensive care unit (NICU) admission, and to be referred to child protective services (CPS). Several outcomes previously reported from studies that lacked adequate control groups or adjustment for covariates were not significantly different in this study.

Conclusion Prenatal MA exposure is associated with maternal psychiatric disorder/emotional illness, poor suck, NICU admission, and CPS involvement, and MA-exposed infants were less likely to be breast-fed; however, the absence of many serious complications, such as fetal distress, chronic hypertension, preeclampsia, placenta previa, abruptio placentae, and cardiac defects, suggests confounding variables influenced prior studies.

Keywords

amphetamine - methamphetamine - drug - antenatal - neonate

Full Text

References

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