There is growing evidence that prenatal drug exposure results in abnormal structural
organization and vascular injury of the fetal brain (
Morrow et al 2001
,
Frank et al 1999
,
Mantovani and Calamandrei 2001
,
Mayes 1994
,
Smith et al 2001
,
Zuckerman and Brown 1993
). These drugs also appear to change the activity of neurons by altering the brain’s
neurochemistry (
Deutsch et al 1998
,
Heller et al 2001
,
Won et al 2002
,
Zachor et al 2000
). As the mechanisms underlying drug effects are beginning to be understood, their
impact on the drug-exposed infant is apparent, including a variety of neurobehaviors
not typically seen in other babies. Tremors, irritability, difficulty being consoled,
increased startle response, hypertonicity, poor tracking, lethargy, and decreased
interactive behavior have all been noted (
American Academy of Pediatrics Committee on Drugs 1998
,
Chasnoff and Griffith 1989
,
Eyler et al 2001
,
Frank et al 1998
,
Kosofsky 1998
,
Lewis 1991
,
Lewis et al 1989
).To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric Nursing: Nursing Care of Children and FamiliesAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Neonatal drug withdrawal (RE9746).Pediatrics. 1998; 101: 1079-1088
- Motor development of cocaine-exposed children at age two years.Pediatrics. 1999; 103: 86-92
- Measurement and meaning of parent-infant interaction.in: Morrison F. Lord C. Keeting D. Applied developmental psychology. Vol III. Academic Press, New York1989
- Cocaine.Annals of the New York Academy of Sciences. 1989; 562: 260-266
- Cocaine/polydrug use in pregnancy.Pediatrics. 1992; 89: 284-289
- Effect of prenatal marijuana exposure on the cognitive development of offspring at age three.Neurotoxicology and Teratology. 1994; 16: 169-175
- Neurodevelopmental consequences of early exposure to phencyclidine and related drugs.Clinical Neuropharmacology. 1998; 21: 320-332
- Newborn evaluations of toxicity and withdrawal related to prenatal cocaine exposure.Neurotoxicology and Teratology. 2001; 23: 399-411
- The behavioral assessment of the neonate.in: Osofsky J. Handbook of infant development. Wiley, New York1987: 723-779
- Neonatal neurobehavioral and neuroanatomic correlates of prenatal cocaine exposure.Annals of the New York Academy of Science. 1998; 846: 40-50
- Level of in utero cocaine exposure and neonatal ultrasound findings.Pediatrics. 1999; 104: 1101-1105
- Conceptual issues in behavioral teratology and their application in determining long term sequelae of prenatal marihuana exposure.Journal of Child Psychology and Psychiatry. 2002; 43: 81-102
- A literature review of the consequences of prenatal marihuana exposure.Neurotoxicology and Teratology. 2001; 23: 1-11
- Differential effects on cognitive functioning in 9 to 12 year olds prenatally exposed to cigarettes and marihuana.Neurotoxicology and Teratology. 1998; 20: 293-306
- Regulatory disorders I.in: Kilbey M. Asghar K. Methodological issues in controlled studies on effects of prenatal drug exposure to drug abuse. 114. NIDA Research Monograph, 1991: 173-181
- Visual attention in preschool children prenatally exposed to cocaine.Journal of Neuropsychology and Sociology. 2002; 8: 12-21
- Elevation of fetal dopamine following exposure to methamphetamine in utero.Brain Research and Developing Brain Research. 2001; 130: 139-142
- Pathways of addiction. National Academy Press, Washington, DC1997
- Teratogenic insult and neurobehavioral function in infancy and childhood.in: Nelson C. The effects of early adversity on neurobehavioral development. Vol. 31. Lawrence Erlbaum, Mahwah, NJ2000: 61-112
- Cocaine-induced alterations in neuro-development.Seminars in Speech and Language. 1998; 19: 109-121
- Maternal substance abuse and child outcome.in: Zeanah C. Handbook of infant mental health. Guilford Press, New York2000: 161-175
- Neurobehavioral syndromes in cocaine-exposed newborn infants.Child Development. 1991; 62: 694-705
- Behavioral characteristics of prenatal drug exposed infants using the Lewis Protocol. University of San Francisco, San Francisco, CA1991 (Unpublished thesis)
- Saunders, Philadelphia, PA2003 (pp. 34–79; 300–326) Manual of School Health. (2nd ed.).
- The care of infants menaced by cocaine abuse.Maternal Child Nursing. 1989; 14: 324-329
- Maternal drug abuse and its effect on young children.Maternal Child Nursing. 1992; 17: 198-203
- Medical correlates of infant development.Pediatrics. 1978; 61: 470-474
- Delayed developmental effects following prenatal exposure to drugs.Current Pharmocology Research. 2001; 7: 859-880
- Neurobiology of prenatal cocaine exposure effect on developing monoamine systems.Infant Mental health Journal. 1994; 15: 122-131
- Exposure to cocaine.NIDA Research Monograph. 1996; 164: 211-227
- Who should be served? Identifying children in need of early intervention.in: Meisels S.J. Shonkoff J.P. Handbook of early childhood intervention. Cambridge University Press, New York1990: 605-632
- In utero cocaine exposure and language development.Seminars in Speech and Language. 1998; 19: 147-164
- Cognitive performance of prenatally drug-exposed infants.Infant-Toddler Intervention. 1993; 3: 211-221
- Prenatally drug-exposed toddlers.American Journal of Orthopsychiatry. 2000; 70: 278-283
- Influence of prenatal cocaine exposure on full term infant neurobehavioral functioning.Neurotoxicology and Teratology. 2001; 23: 533-544
- Mullen scales of early learning. American Guidance Service, Circle Pines, MN1995
- Frequency of maternal cocaine use during pregnancy and infant neurobehavioral outcome.Journal of Pediatric Psychology. 1999; 24: 511-514
- Developing language skills of cocaine-exposed infants.Pediatrics. 2001; 107: 1057-1064
- Prenatal cocaine exposure and cranial sonographic findings in preterm infants.Journal of Clinical Ultrasound. 2001; 29: 72-77
- NCAST Caregiver/parent-child interaction feeding manual. NCAST Publications, University of Washington, Seattle1994
- Perinatal outcome associated with PCP versus cocaine use.American Journal of Drug & Alcohol Abuse. 1990; 16: 337-348
- Early tactile experience of low birth weight children.Infant and Child Development. 2001; 10: 93-115
- Fetal exposure to methamphetamine in utero stimulates development of serotonergic neurons in three dimensional reaggregate tissue culture.Synapse. 2002; 43: 139-144
- Cocaine inhibits NGF-induced PC12 cells differentiation through D(1)-type dopamine receptors.Brain Research. 2000; 869: 85-97
- Developmental and behavioral consequences of prenatal drug and alcohol exposure.Pediatric Clinics of North America. 1991; 38: 1387-1405
- Maternal substance abuse and infant development.in: Zeanah Jr, C. Handbook of infant mental health. The Guilford Press, New York1993: 143-158
Further reading
- Longitudinal investigation of task persistence and sustained attention in children with prenatal cocaine exposure.Neurotoxicology and Teratology. 2001; 23: 545-559
- Intrauterine growth of full term infants.Pediatrics. 2001; 108: 1309-1319
Article info
Footnotes
☆The authors acknowledge support from Sigma Theta Tau International, Beta Gamma Chapter research award, for this research.
Identification
Copyright
© 2003 Elsevier Inc. Published by Elsevier Inc. All rights reserved.