RESUMO
Retrospectively, were tested maternal-neonatal factors of 47 newborn with neonatal abstinence syndrome comparing them with a control group of 100 newborn, during the period from 1985 to 1991. An average incidence of 6/1000 living newborn were affected by abstinence syndrome. The mothers were young (75%), smokers (74%), unemployed (80%), with a high rate of previous abortions (21%) and with a bad pregnancy control. Within our environment, abstinence syndrome increase has been detected among children of young gypsy mothers. Heroin (88%) was the most popular drug. Nevertheless a change has been noted in the last few years in the drug administration going from intravenous to the inhalational route. The duration of syndrome was less in the newborn whose mothers had inhaled heroin and in the premature newborn. It was proved that there was a high rate of HIV (40%), hepatitis B (23%), and syphilis markers (25%).
Assuntos
Cocaína/efeitos adversos , Heroína/efeitos adversos , Metadona/efeitos adversos , Síndrome de Abstinência Neonatal/epidemiologia , Adulto , Distribuição de Qui-Quadrado , Feminino , Soropositividade para HIV/epidemiologia , Humanos , Incidência , Recém-Nascido , Masculino , Estudos Retrospectivos , Fatores Socioeconômicos , Espanha/epidemiologiaAssuntos
Anormalidades Múltiplas , Dextrocardia/complicações , Canal Anal/anormalidades , Dextrocardia/diagnóstico por imagem , Ossos Faciais/anormalidades , Feminino , Dedos/anormalidades , Humanos , Recém-Nascido , Masculino , Radiografia , Rádio (Anatomia)/anormalidades , Rádio (Anatomia)/diagnóstico por imagem , Síndrome , Vértebras Torácicas/anormalidades , Vértebras Torácicas/diagnóstico por imagem , Fístula Traqueoesofágica/complicaçõesRESUMO
Clinical results in 40 preterm newborns stimulated with maternal voice have been studied in a Neonatal Unit. We compared these results with a control group. After a period of ten days we observed a significant increase (p less than 0.001) in: weight gain (34 g. vs 26 g. per day), an advancement of the hospital discharge time of 3.8 days, spontaneous motor activity, hand sucking and increased interest in the human face. Auditory Brain Stem Response at 35 and 39 weeks, with a total of 21 registered in the experimental group vs 25 registered in the control group, showed that V wave latency decreased significantly (p less than 0.05) in the stimulated group--0.88 m.sc. vs, -0.61 m.sc.--in the control group. These results confirm an enhancement of the auditory way conduction speed from 0.06 m.sc. to 0.53 m.sc. (p less than 0.05).