Thirty‐Six‐Month Outcome of Prenatal Cocaine Exposure for Term or Near‐Term Infants: Impact of Early Case Management

  title={Thirty‐Six‐Month Outcome of Prenatal Cocaine Exposure for Term or Near‐Term Infants: Impact of Early Case Management},
  author={Howard Kilbride and Cheri A Castor and Edward L. Hoffman and Kathryn L. Fuger},
  journal={Journal of Developmental \& Behavioral Pediatrics},
&NA; Gestational cocaine use is associated with serious pregnancy complications having fetal and neonatal implications. However, many cocaine‐abusing women deliver uneventfully at term. The purpose of this study was to assess the neurodevelopmental outcome for term or near‐term infants after prenatal cocaine exposure and to determine whether that outcome would be modified by early, intensive family case management. Cocaine‐exposed infants identified after delivery at an urban hospital were… 
School-Age Outcome of Children With Prenatal Cocaine Exposure Following Early Case Management
No differences in growth, behavioral, cognitive, or language function were evident for inner-city, school-aged children related to prenatal cocaine exposure or early case management.
Influence of Prenatal Cocaine Exposure on Early Language Development: Longitudinal Findings from Four Months to Three Years of Age
Longitudinal findings remained stable after evaluation of potential confounding influences including other prenatal substance exposures and sociodemographic factors, and preliminary evidence indicated possible mediation through an intermediary effect involving cocaine-associated deficits in fetal growth.
Level of prenatal cocaine exposure and scores on the Bayley Scales of Infant Development: modifying effects of caregiver, early intervention, and birth weight.
Heavier prenatal cocaine exposure is not an independent risk factor for depressed scores on the Bayley Scales of Infant Development up to 24 months of age when term infants are compared with lighter exposed or unexposed infants of the same demographic background.
Cocaine-exposed infants and developmental outcomes: "crack kids" revisited.
The authors found that infants who had in utero cocaine exposure scored on average 6 points lower than the comparison group on the Mental Scale of the Bayley Scales of Infant Development at 24 months of age, the only study to show an unequivocal negative association between toddlers’ developmental test scores and prenatal exposure to cocaine.
Teacher-Assessed Behavior of Children Prenatally Exposed to Cocaine
Gender, prenatal exposures (cocaine and alcohol), and postnatal risk factors (custody changes, current drug use in the home, child's report of violence exposure) were all related to problem behaviors.
Outcome from a prospective, longitudinal study of prenatal cocaine use: preschool development at 3 years of age.
Structural equation modeling showed a direct effect of the amount of prenatal cocaine exposure on the adjusted birth head circumference which in turn directly affected preschool development, which is consistent with that of earlier work and now extending findings to age 3.
Four-year language outcomes of children exposed to cocaine in utero.
Severity of Prenatal Cocaine Exposure and Child Language Functioning Through Age Seven Years: A Longitudinal Latent Growth Curve Analysis
The observed cocaine-associated deficit was independent of multiple alternative suspected sources of variation in language performance, including other potential responses to prenatal cocaine exposure, such as child's intellectual functioning, and other birth and postnatal influences, including language stimulation in the home environment.
Keeping the needs of teenage parents at the heart of services
  • M. Limmer
  • Medicine
    The journal of the Royal Society for the Promotion of Health
  • 2005
It is important to be aware of the adverse effects of substance abuse during pregnancy, particularly on the infant, and the efficacy of interventions aimed at reducing this morbidity will be discussed.