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对吸毒母亲子女的随访。

Follow-up of children of drug-addicted mothers.

作者信息

Sardemann H, Madsen K S, Friis-Hansen B

出版信息

Arch Dis Child. 1976 Feb;51(2):131-4. doi: 10.1136/adc.51.2.131.

DOI:10.1136/adc.51.2.131
PMID:1259458
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1545879/
Abstract

During a period of 2 years (1971-72) 19 newborn infants were admitted to hospital because their mothers were drug addicts. To evaluate the prognosis in these children, 17 were followed up by a social adviser, a psychologist, and a paediatrician. During the neonatal period 16 of the infants had withdrawal symptoms, for which 11 required medical treatment. One infant died of congenital malformations. Of the surviving 18 infants 14 were discharged to their mothers and 4 went to a children's home. During follow-up, which varied from up to 2 months to up to 2 years 8 months of age, 10 of the children had to be placed in a children's home for a period. No physical abnormalities were found in the children. Motor and perceptual development were normal in 12 but in 3 speech development was delayed. Five mothers ceased to take drugs after delivery and 2 had done so during early pregnancy. The pre- and perinatal complications and the undesirable environment in which the children grow up show the need for a comprehensive treatment programme.

摘要

在1971年至1972年的两年间,有19名新生儿因母亲吸毒而入院。为评估这些儿童的预后情况,一名社会顾问、一名心理学家和一名儿科医生对其中17名儿童进行了随访。在新生儿期,16名婴儿出现了戒断症状,其中11名需要接受药物治疗。一名婴儿死于先天性畸形。在存活的18名婴儿中,14名被送回母亲身边,4名被送进了儿童福利院。在随访期间,随访时间从2个月到2岁8个月不等,其中10名儿童不得不被安置在儿童福利院一段时间。未发现这些儿童有身体异常。12名儿童的运动和感知发育正常,但3名儿童的语言发育延迟。5名母亲在分娩后停止吸毒,2名母亲在怀孕早期就已停止吸毒。儿童的产前和围产期并发症以及他们成长的不良环境表明需要一个综合治疗方案。

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本文引用的文献

1
The effect of maternal narcotic addiction on the newborn infant; review of literature and report of 22 cases.
Pediatrics. 1959 Aug;24(2):288-304.
2
Narcotic withdrawal symptoms in the newborn infant resulting from maternal addiction.母亲成瘾导致新生儿出现麻醉品戒断症状。
J Pediatr. 1958 May;52(5):584-7. doi: 10.1016/s0022-3476(58)80037-2.
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Neonatal narcotic addiction: 10 year observation.新生儿麻醉品成瘾:10年观察
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4
Narcotic addiction in pregnancy.孕期麻醉品成瘾
Am J Obstet Gynecol. 1971 Mar 1;109(5):716-23. doi: 10.1016/0002-9378(71)90757-5.
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Observations on heroin and methadone withdrawal in the newborn.新生儿海洛因和美沙酮戒断观察
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6
The pregnant narcotic addict: a psychiatrist's impression.怀孕的吸毒成瘾者:一位精神科医生的印象。
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Methadone withdrawal in newborn infants.新生儿的美沙酮戒断反应
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Heroin addiction during pregnancy.孕期海洛因成瘾
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Neonatal narcotic addiction. Comparative effects of maternal intake of heroin and methadone.新生儿麻醉品成瘾。母亲摄入海洛因和美沙酮的比较效应。
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The effect of a methadone treatment program upon pregnant heroin addicts and their newborn infants.美沙酮治疗方案对怀孕的海洛因成瘾者及其新生儿的影响。
Pediatrics. 1974 Sep;54(3):300-5.