Use of crack in pregnancy: repercussions for the newborn
DOI:
https://doi.org/10.17533/udea.iee.v35n3a02Keywords:
Infant, newborn, pregnant women, postpartum period, cocaína crack, nursing.Abstract
Objective. To know the effects for the newborn of the use of crack in pregnancy.
Methods.This is a qualitative study conducted in a university hospital in southern Brazil, in the first half of 2014. Fifteen mothers crack users and five grandparents participated. The data were produced through semi-structured interviews and later submitted to content analysis.
Results. It was found that the use of crack in pregnancy leads to repercussions related to the health of the newborn and repercussions related to family restructuring. In relation to the newborn, prematurity, congenital malformation, hospitalization in an intensive care unit, use of care and feeding technologies through artificial milk formulas were mentioned. In the family context, it was evidenced the occurrence of abandonment of the child by the mother, causing the adoption of the newborn by relatives of the family nucleus or their institutionalization due to lack of family structure.
Conclusion. It was found that the use of crack in pregnancy leads to repercussions related to the health of the newborn and repercussions related to family restructuring. In this sense, the recruitment of pregnant users of crack by health/nursing professionals and referral for high-risk prenatal care, as well as early identification of the peculiarities of the newborns of these women, and the development of actions that minimize the repercussions of crack are imperative.
How to cite this article: Xavier DM, Gomes GC, Ribeiro JP, Mota MS, Alvarez SQ. Use of crack in pregnancy: repercussions for the newborn. Invest. Educ. Enferm. 2017; 35(3): 260-267
Downloads
References
(1) Thompson BL, Levitt P, Stanwood GD. Prenatal exposure to drugs: effects on brain development and implications for policy and education. Nat. Rev. Neurosci. 2009; 10(4):303-12.
(2) Creanga AA, Sabel JC, Ko JY, Wasserman CR, Shapiro-Mendoza CK, Taylor P, et al. Maternal drug use and its effecton neonates: a populationbased study in Washington State. Obstet. Gynecol. 2012; 119(5):924-33.
(3) Papaseit E, Joya X, Velasco M, Civit E, Mota P, Bertran M, et al. Hair analysis following chronic smoked-drugs-of-abuse exposure in adults and their toddler: a case report. J. Med. Caso Rep. 201; 10(5):570-74.
(4) Gasparin M, Silveira JL, Garcez LW, Levy BS. Comportamento motor oral e global de recém-nascidos de mães dependentes de crack e/ou cocaína. Rev. Soc. Bras. Fonoaudiol. 2012; 17(4):459-63.
(5) Reis HFT, Moreira TO. O crack no contexto familiar: uma abordagem fenomenológica. Texto-Contexto Enferm. 2013; 22(4):1115-23.
(6) Lopes TD, Arruda PP. As repercussões do uso abusivo de substâncias psicoativas no período gravídico/puerperal. Saude Pesq. 2010; 3(1):79-83.
(7) Cain MA, Bornick P, Whiteman V. The maternal, fetal, and neonatal effects of cocaine exposure in pregnancy. Clin. Obstet. Gynecol. 2013; (1):124-2.
(8) Gouin K, Murphy K, Shah PS. Effects of cocaine use during pregnancy on low birthweight and preterm birth: systematic review and metaanalyses. Am. J. Obstet. Gynecol. 201; 204(4):340.e1-e12.
(9) Purohit V, Rapaka RS, Schnur P, Shurtleff D. Potential impact of drugs of abuse on mother-tochild transmission (MTCT) of HIV in the era of highly active antiretroviral therapy (HAART). Life Sci. 2011; 88(21-22):909-16.
(10) Qin JB, Feng TJ, Yang TB, Hong FC, Lan LN, Zhang CL, et al. Risk factors for congenital syphilis and adverse pregnancy outcomes in offspring of women with syphilis in Shenzhen, China: a prospective nested case-control study. Sex. Transm.Dis. 2014; 41(1):13-23.
(11) Ruhl C. Update on chlamydia and gonorrhea screening during pregnancy. Nurs.Womens Health. 2013; 17(2):143-46.
(12) Perez JMR, Golombek SG, Fajardo C. A laminar flow unit for the care of critically ill newborn infants. Med. Devices (Auckl).2013; 6:163-67.
(13) Leite NSL, Cunha SR, Tavares MFL. Empowerment das famílias de crianças dependentes de tecnologia: desafios conceituais e a educação crítico-reflexiva freireana. Rev. Enferm UERJ. 2011;19(1):152-56.
(14) Gelder V, Marleen MHJ, Reefhuis J, Caton AR, Martha WM, Charlotte DM, et al. Maternal periconceptional illicit drug use and the risk of congenital malformations. Epidemiology.2009;20(1):60-6.
(15) D’apolito K. Breastfeeding and substance abuse. Clin.Obstet. Gynecol. 2013; 56(1):202-11.267 Invest Educ Enferm. 2017; 35(3)
(16) Martins-Costa SH, Vettorazzi J, Cecin GKG, Azevedo JMR, Stumpf CC, Ramos José GL. Crack: a nova epidemia obstétrica. Rev. HCPA. 2013; 33(1):55-65.
(17) Bailey H, Semenenko I, Pilipenko T. Factors associated with abandonment of infants born to HIVpositive women: results from a Ukrainian birth cohort. AIDS Care. 2010; 22(12):1439-48.
(18) Braga LL, Dell’Aglio DD. Exposição à violência em adolescentes de diferentes contextos: família e instituições. Estud. Psicol. 2012; 17(3):413-20.
(19) Baptista J, Soares I, Henriques M. Recuperação desenvolvimental após a adoção: características da criança e da família adotiva. Psicol. Refl. Crit. 2013; 26(2):396-404.
Downloads
Published
How to Cite
Issue
Section
License
Derechos de propiedad / Direitos de Propriedade
English: If the article is accepted for publication, all copyright will be of exclusive property of Investigación y Educación en Enfermería. The text and the graphics included in the publication are exclusive responsibility of the authors and not necessarily reflect the thought of the Editorial Committee.
Español: Si el artículo es aprobado para publicación, todos los derechos son de propiedad de Investigación y Educación en Enfermería. El texto y las gráficas incluidas en la publicación son de exclusiva responsabilidad de los autores y no necesariamente refleja el pensamiento del Comité Editorial.
Português: Se o artigo for aceito para publicação, todos os direitos autorais serão de propriedade exclusiva de Investigación y Educación en Enfermería. O texto e os gráficos incluídos na publicação são de responsabilidade exclusiva dos autores e não refletem necessariamente o pensamento do Comitê Editorial.
