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Shiraz E-Med J. Maternal Neonatal Outcomes Opioids. Nowadays, one of the most significant health problems in the world is addiction. The increasing use of opioids and psychedelic drugs among different classes, especially women, has led to undesirable outcomes in this particular group 1. On the other hand, substance abuse in pregnant women affects maternal and neonatal health 2 , 3. The Australian Drug Study Center has estimated that the use of unauthorized drugs opioids in pregnancy and lactation was 6 percent in 4. In the United States, more than 4. According to the statistics provided, in some studies, women account for 9. The use of various psychedelic drugs during pregnancy is accompanied with complications such as early childbirth; abortion; various types of bleeding and pairing 8 ; low birth weight; small for the gestational age; reduction of head circumference; short height; need for neonate intensive care, longer hospitalization of the neonate, and the increased incidence of complications due to the discontinuation of methadone treatment NSA 1 , 8 , 9. Therefore, it brings about screening, more specials care and patient care costs, health organizations, therapists and insurers. However, the same group of pregnant women does not go for prenatal care for several reasons, such as lack of financing; lack of access to care centers; homelessness; lack of insurance services; and a lack of care for pregnancy Due to the same problems and the resultant social stigma, they try to conceal it 6 , 7 , and this causes or exacerbates the complications for the mother and the neonate as well Considering the issues raised and the necessity of recognizing and paying special attention to this group, the researchers decided to conduct a study aimed at determining the maternal and neonatal outcomes in the mothers who consumed opioids referring to the Kamali Hospital in Karaj. This prospective cohort study was carried out in Kamali Hospital in Karaj, which is a central and referral center in Alborz province from to According to the study carried out by Saleh Gargari et al. Pregnant women who met the inclusion criteria were entered into the study using convenient sampling technique and then according to the main criterion i. In order to provide identical conditions for the two groups, the same inclusion criteria were taken into account. The inclusion criteria were being Iranian, 37 weeks of gestation, the absence of any specific and chronic diseases in the delivery part, with dilatation of 2 - 3 cm, single fetus pregnancy, and a cephalic presentation. The exclusion criteria were the suspicion of the response to the drug addiction test, lack of willingness to cooperate in the implementation of the plan, and dispatch to other health centers for any medical reasons. The data were collected using a checklist designed by the researchers for the same purpose. The checklist consisted of three sections: 1 demographic data, including age, marital status, smoking, type and method of drug use in case group , starting time of care and number of care, number of abortions, childbirth and previous pregnancies; 2 the characteristics of the current pregnancy and delivery, the duration of the first and second stages of labor, the type of delivery, and the rate of postpartum hemorrhage measured based on the number of pads used by the midwife and recorded in the profile. After obtaining the required permissions and obtaining the code of ethics from the Ethics Committee of Alborz University for Medical Sciences, No. If they wished to participate in the study, they filled in the consent form. The researcher then monitored the individuals until discharge from the hospital. The individual, social, midwifery, obstetric and neonatal data in the patient profile were entered into the checklist by the researcher. For other information needed, whenever the mother felt comfortable, the researcher conducted an interview with them. In order to comply with the ethical requirements, mothers who used narcotic drugs were introduced to counseling centers for addiction treatment. Data were analyzed by SPSS 19 and descriptive statistics were used to determine frequencies, percentages, means, and standard deviations. In the use of opioids, The frequency of all kinds of drugs, including methamphetamine The prevalence of infants less than in the group faces Substance abuse is still one of the most important problems in communities around the world. The findings of the current study indicated that the mean weight gain and the frequency of receiving prenatal care in mothers who consume drugs is significantly lower than that of healthy mothers. Also, the most consumed drug was methamphetamine then heroin and opium. Based on the results, the first and fifth minute Apgar and the weight of neonates born from addicted mothers were less than the counterpart. The findings are consistent with the results of the study by Saeidi et al. Also, in a study by Jones et al. Moreover, the number of days the neonates of these mothers in the NIC were longer In terms of the type of substance used in this study, they were methamphetamine, heroin, and opium. In the study conducted in Mashhad, the highest consumed drugs were opium, methadone, and methamphetamine However, in other studies conducted in southern London and Australia, heroin, cocaine, and marijuana were the most consumed drugs among pregnant women In a systematic review of articles related to substance abuse, the highest consumed drug was alcohol The reason for this difference pertains to the limited availability of these substances to other substances. Pregnancy is likely to be the only time when women have to go to health centers to receive medical care, but on the other hand, the fear of revealing drug addiction is preventing them from receiving adequate care In the current study, the number of people in this group, referred to health centers for delivery of pregnancy services were significantly lower than those in the opposite group. Drugs and substances can affect the embryo in many ways. In the organogenesis stage, the drugs have significant teratogenic effects on the fetus, after completing this stage, the substances produce subtler effects, for example, abnormal growth and changes in neurotransmitter and brain receptors. These are the direct effects of such substances; however, they have also indirect effects through the impact on the mother. For instance, having an effect on weight gain, it can indirectly affect the weight gain and nutrient intake of the fetus Therefore, the timely identification of these individuals is very important. There are two ways to diagnose drug use in people: self-report and biologic samples. Although self-reporting is a cheap, practical and the only available method, the accuracy of the material provided by these individuals is one of the most important problems in this area 16 , and this is one of the limitations of such studies. Given the increasing number of mothers consuming opioids during pregnancy and the irreparable side effects of these drugs, it is important to pay attention to this and provide coping strategies. One of the effective ways of providing fertility health care is the presence of a health care person in the mobile caring team for street addicts and centers for providing support services to addicts. Prevalence of hospitalized live births affected by alcohol and drugs and parturient women diagnosed with substance abuse at liveborn delivery: United States, Matern Child Health J. Maternal hair analysis for the detection of illicit drugs, medicines, and alcohol exposure during pregnancy. Ther Drug Monit. Wendell AD. Overview and epidemiology of substance abuse in pregnancy. Clin Obstet Gynecol. Clinical features and correlates of outcomes for high-risk, marginalized mothers and newborn infants engaged with a specialist perinatal and family drug health service. Obstet Gynecol Int. Methadone and perinatal outcomes: A prospective cohort study. Maternal and neonatal complications of substance abuse in Iranian pregnant women. Acta Med Iran. Prenatal exposure to substance of abuse: A worldwide problem. Environ Int. Ceska Gynekol. Visual outcome in infants born to drug-misusing mothers prescribed methadone in pregnancy. Br J Ophthalmol. Soto E, Bahado-Singh R. Fetal abnormal growth associated with substance abuse. Neonatal effects of substance abuse during pregnancy. Iran J Neonatol. Cigarette smoking in opioid-dependent pregnant women: Neonatal and maternal outcomes. Drug Alcohol Depend. Short-term outcomes of infants of substance-using mothers admitted to neonatal intensive care units in New South Wales and the Australian Capital Territory. J Paediatr Child Health. Fetal anomalies and long-term effects associated with substance abuse in pregnancy: A literature review. Am J Perinatol. Obstet Gynecol. Prenatal substance abuse: Short- and long-term effects on the exposed fetus. We use cookies to provide you with the best possible experience. They also allow us to analyze user behavior in order to constantly improve the website for you. Navigate to Shiraz E-Medical Journal. Shiraz E-Medical Journal: Vol. Abstract Background: Pregnancy may be the only time that a woman presents for medical care and when an opioid use disorder can be identified and treated. Objectives: The aim of this study, determination of maternal and neonatal outcomes in mothers using opioids. Methods: This prospective cohort study was carried out on pregnant women who used opioids and healthy subjects in Kamali Hospital in Karaj from to The data were collected using a checklist, containing social, midwifery, obstetric, and neonatal data. Data were analyzed by SPSS The frequency of all kinds of drugs; Methamphetamine with Conclusions: Given the increasing number of mothers consuming Opioids within pregnancy and the irreparable side effects of these drugs, it is important to pay attention to this and to provide coping strategies. Background Nowadays, one of the most significant health problems in the world is addiction. Objectives Considering the issues raised and the necessity of recognizing and paying special attention to this group, the researchers decided to conduct a study aimed at determining the maternal and neonatal outcomes in the mothers who consumed opioids referring to the Kamali Hospital in Karaj. Methods This prospective cohort study was carried out in Kamali Hospital in Karaj, which is a central and referral center in Alborz province from to Samples According to the study carried out by Saleh Gargari et al. Table 1. Sociodemographic Factors of the Participants. Table 2. Characteristics of Newborns Referring to Kamali Hospital. Table 3. References 1. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4. Leave a comment here:. Cookie Setting We use cookies to provide you with the best possible experience.
High Purity Heroin Use Among Women in Karaj, Iran: A Pilot Study
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