Institutional diagnosis: management of children of mothers addict to illicit substances

Drug addiction in pregnant women is a frequent health problem. The life they share and consumption suppose risks for both, depending on the type, frequency, quantity, gestational age and combination of alcohol and tobacco. The newborn baby (NB) requires assessment and a multidisciplinary approach.Ob...

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Detalles Bibliográficos
Autores principales: Cabanillas, I., Diaz, B., Giusti, G.
Formato: Artículo revista
Lenguaje:Español
Publicado: Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2014
Materias:
drogas ilícitas
madre-hijo
atención de salud
illicit substances
mother-child
health care
Acceso en línea:https://revistas.unc.edu.ar/index.php/RSD/article/view/6824
Aporte de:
Revista de Salud Pública de Universidad Nacional de Córdoba
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institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-360
container_title_str Revista de Salud Pública
language Español
format Artículo revista
topic drogas ilícitas
madre-hijo
atención de salud
illicit substances
mother-child
health care
spellingShingle drogas ilícitas
madre-hijo
atención de salud
illicit substances
mother-child
health care
Cabanillas, I.
Diaz, B.
Giusti, G.
Institutional diagnosis: management of children of mothers addict to illicit substances
topic_facet drogas ilícitas
madre-hijo
atención de salud
illicit substances
mother-child
health care
author Cabanillas, I.
Diaz, B.
Giusti, G.
author_facet Cabanillas, I.
Diaz, B.
Giusti, G.
author_sort Cabanillas, I.
title Institutional diagnosis: management of children of mothers addict to illicit substances
title_short Institutional diagnosis: management of children of mothers addict to illicit substances
title_full Institutional diagnosis: management of children of mothers addict to illicit substances
title_fullStr Institutional diagnosis: management of children of mothers addict to illicit substances
title_full_unstemmed Institutional diagnosis: management of children of mothers addict to illicit substances
title_sort institutional diagnosis: management of children of mothers addict to illicit substances
description Drug addiction in pregnant women is a frequent health problem. The life they share and consumption suppose risks for both, depending on the type, frequency, quantity, gestational age and combination of alcohol and tobacco. The newborn baby (NB) requires assessment and a multidisciplinary approach.Objectives: To determine frequency of use of illegal substances in NB mothers and to evaluate technical and psycosociocultural aspects.Material and method: Descriptive retrospective study between 2009 and 2011. Assessment of NB of consumer mother: gestational age, weight, place and days in hospital, morbidity, lab., doping, discharge, follow-up control, readmission.Mother: age, marital status,education, BMI, pregnancies, control, serology, pathology, substance taken, social interview, mental health and occupation. Calculation of population percentage. Results: 2% of NBpresented mother toxic history, in 2011 is was 3.5 times more than in 2009. Premature24%; average gestational age 37.4 weeks; PEG 21%; hospitalization ICU 93%, average 12days. Readmissions 5%. Pathologies: Infectious 48%, respiratory 20%, hyperbilirubinemia 18%; digestive 15%. Abstinence 6%; congenital malformation 2%. Doping 57%; lab. 74%; deaths 2%. Follow-up control 26%. Mothers: cocaine 58%; more than 1 substance 82%; 55% uncontrolled; average age 24 (14 to 41 years old); BMI 26. Single 39%, primipara 39%; complete secondary school 10%; infections 46% (TORCHS 32%); diabetes 8%, epistaxis5%. Mental health assessment 17%; social 38%; unemployed 97%; social problem 27%(deprived of freedom 23%; domestic violence 41%).Conclusion: Consumption increase despite under registration. Poor management, plans and support to help these patients. Itis necessary to redefine, plan, and set rules for institutional management. Interdisciplinary approach is the starting point for positive results.
publisher Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC
publishDate 2014
url https://revistas.unc.edu.ar/index.php/RSD/article/view/6824
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last_indexed 2025-05-10T05:19:46Z
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spelling I10-R360-article-68242025-04-03T12:07:57Z Institutional diagnosis: management of children of mothers addict to illicit substances Diagnóstico Institucional: Abordaje del hijo de madre adicta a drogas ilícitas (primera etapa) Cabanillas, I. Diaz, B. Giusti, G. drogas ilícitas madre-hijo atención de salud illicit substances mother-child health care Drug addiction in pregnant women is a frequent health problem. The life they share and consumption suppose risks for both, depending on the type, frequency, quantity, gestational age and combination of alcohol and tobacco. The newborn baby (NB) requires assessment and a multidisciplinary approach.Objectives: To determine frequency of use of illegal substances in NB mothers and to evaluate technical and psycosociocultural aspects.Material and method: Descriptive retrospective study between 2009 and 2011. Assessment of NB of consumer mother: gestational age, weight, place and days in hospital, morbidity, lab., doping, discharge, follow-up control, readmission.Mother: age, marital status,education, BMI, pregnancies, control, serology, pathology, substance taken, social interview, mental health and occupation. Calculation of population percentage. Results: 2% of NBpresented mother toxic history, in 2011 is was 3.5 times more than in 2009. Premature24%; average gestational age 37.4 weeks; PEG 21%; hospitalization ICU 93%, average 12days. Readmissions 5%. Pathologies: Infectious 48%, respiratory 20%, hyperbilirubinemia 18%; digestive 15%. Abstinence 6%; congenital malformation 2%. Doping 57%; lab. 74%; deaths 2%. Follow-up control 26%. Mothers: cocaine 58%; more than 1 substance 82%; 55% uncontrolled; average age 24 (14 to 41 years old); BMI 26. Single 39%, primipara 39%; complete secondary school 10%; infections 46% (TORCHS 32%); diabetes 8%, epistaxis5%. Mental health assessment 17%; social 38%; unemployed 97%; social problem 27%(deprived of freedom 23%; domestic violence 41%).Conclusion: Consumption increase despite under registration. Poor management, plans and support to help these patients. Itis necessary to redefine, plan, and set rules for institutional management. Interdisciplinary approach is the starting point for positive results. La drogadicción en embarazadas es un problema sanitario frecuente. La vida que conllevan y el consumo suponen riesgo para ambos, dependiendo del tipo, frecuencia, cantidad, momento gestacional, combinación alcohol y tabaco. Recién Nacido (RN) requiere valoración y abordaje multidisciplinario.Objetivos: Determinar frecuencia deuso de drogas ilícitas en madres de RN. Evaluar aspectos técnicos y psicosocioculturales.Material y Método: Estudio retrospectivo descriptivo entre 2009-2011. Evaluación RN de madre consumidora: EG, peso, lugar y días de internación, morbilidad, lab., doping, egreso, control postalta, reingreso.Madre: edad, estado civil, instrucción, IMC, gestas, control, serología, patología, droga consumida, entrevista social, salud mental y ocupación. Calculo de % poblacional.Resultados: 2% de los RN presentaron antecedentes toxicos materno, en 2011 fue 3,5 veces más que 2009. Prematuros 24%; medEG 37,4 semanas.; PEG 21 %; internación UTI/UCI 93%, prom.12 días. Reingresos 5%. Patologías infecciosas 48%; respiratorias 20%; hiperbilirrubinemia 18%; digestiva 15%. Abstinencia 6%; malformación congénita 2%. Doping 57%; lab. 74%; fallecieron 2%. Control postalta 26%. Madres: cocaína 58%, mas de 1 sustancia 82%; 55% no controlada; promedio edad 24 años, (14-41 años), IMC 26. Solteras 39%, primíparas 39%; Secundario completo. 10%; infecciones 46%(TORCHS 32%); DBT 8%, epistaxis 5%. Valoración salud mental 17%; social 38%; 97% no trabajaban; problema social 27% (23% priv. libertad, 41% violencia familiar).Conclusión: Aumento del consumo a pesar del subregistro. Pobre ejercicio de pautas, manejo, contención y plan para encauzar estas pacientes. Es necesario replantear, planificar, normatizar el manejo institucional. La atención interdisciplinaria es eje para obtener buenos resultados. Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2014-03-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/RSD/article/view/6824 10.31052/1853.1180.v17.n1.6824 Revista de Salud Pública; Vol. 17 Núm. 1 (2013); 60-69 1852-9429 1853-1180 10.31052/1853.1180.v17.n1 spa https://revistas.unc.edu.ar/index.php/RSD/article/view/6824/7904 Derechos de autor 1969 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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