Journal article
The Relationship Between Recent Cocaine Use and Pregnancy Outcome
Obstetrics and gynecology (New York. 1953), v 78(3), pp 326-327
Sep 1991
PMID: 1876358
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We conducted urine screening for cocaine metabolite in 500 consecutive women admitted to a labor and delivery unit. The pregnancy outcome of 411 of the women was determined at that admission. The prevalence of cocaine-positive urines was 15.3% (95% confidence interval 11.8-18.8%). A subset of this population that had not received prenatal care had a prevalence of 62% (95% confidence interval 47.2- 76.6%). Women with positive urines were almost four times more likely to have preterm labor and over twice as likely to deliver a premature infant or one with a 1-minute Apgar score of 6 or lower. Our findings support the concept that urine drug screening for cocaine and/or other drugs of abuse should be considered in patients who present with no prenatal care, premature labor, premature delivery, and delivery of an infant with a 1-minute Apgar score of 6 or less. This strategy may enable us to identify and bring to therapy a population of women that could potentially go unrecognized. (Obstet Gynecol 78:326, 1991)
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Details
- Title
- The Relationship Between Recent Cocaine Use and Pregnancy Outcome
- Creators
- Michael SpenceRobert WilliamsG John DigregorioAdrienne Kirby-McdonnelMarcia Polansky
- Publication Details
- Obstetrics and gynecology (New York. 1953), v 78(3), pp 326-327
- Publisher
- The American College of Obstetricians and Gynecologists
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]
- Web of Science ID
- WOS:A1991GC36800002
- Scopus ID
- 2-s2.0-0025835330
- Other Identifier
- 991019184073904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Obstetrics & Gynecology