[Methadone treatment during pregnancy and its effect on the child. Better than continuing drug abuse, should be monitored by a specialized antenatal care center].
Observations concerning methadone treatment in 21 pregnancies of drug addicted women in Stockholm between 1982 and 1997 are presented. Fourteen per cent of new-born infants were small for gestational age, with head circumference less than--2 SD. None had congenital malformations, but neonatal abstinence occurred frequently. Mortality due to sudden infant death syndrome was also high. Five infants with severe neonatal abstinence were successfully treated with tinctura opii. It is essential that antenatal care for drug addicted pregnant women and subsequent care for their infants are concentrated at units in which a midwife, an obstetrician and a pediatrician with specific competence in drug abuse during pregnancy cooperate.
Sarman
I
I
Barnkliniken, Huddinge sjukhus. ihsan.sarman@pediat.hs.sll.se
D000328:Adult; D005314:Embryonic and Fetal Development / Q000187:drug effects*; D005260:Female; D006556:Heroin Dependence / Q000150:complications / Q000534:rehabilitation; D006801:Humans; D007231:Infant, Newborn; D008427:Maternal Health Services; D008488:Medical Illustration; D008691:Methadone / Q000008:administration & dosage* / Q000009:adverse effects; D009294:Narcotics / Q000008:administration & dosage* / Q000009:adverse effects; D009357:Neonatal Abstinence Syndrome / Q000175:diagnosis; D007744:Obstetric Labor Complications / Q000175:diagnosis; D009293:Opioid-Related Disorders / Q000150:complications / Q000534:rehabilitation*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000534:rehabilitation*; D011256:Pregnancy Outcome; D011379:Prognosis; D012307:Risk Factors; D013548:Sweden
D009294:Narcotics; D008691:Methadone
Metadonbehandling under graviditet och dess effekter på barnet. Bättre än fortsatt missbruk, bör följas av specialiserad mödravårdscentral.