Maternal Assessment of Infant Development: Associations with Alcohol and Drug Use in Pregnancy

Surveillance by parental concern has been advocated to assess whether formal child developmental testing is needed. To determine whether alcohol intake or illicit drug use in pregnancy is associated with differences in maternal perception of infant development, mothers with acknowledged alcohol and...

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Veröffentlicht in:Clinical pediatrics 1996-12, Vol.35 (12), p.621-628
Hauptverfasser: Seagull, F. N., Mowery, J. L., Simpson, P. M., Robinson, T. R., Martier, S. S., Sokol, R. J., McCarver-May, D. G.
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container_end_page 628
container_issue 12
container_start_page 621
container_title Clinical pediatrics
container_volume 35
creator Seagull, F. N.
Mowery, J. L.
Simpson, P. M.
Robinson, T. R.
Martier, S. S.
Sokol, R. J.
McCarver-May, D. G.
description Surveillance by parental concern has been advocated to assess whether formal child developmental testing is needed. To determine whether alcohol intake or illicit drug use in pregnancy is associated with differences in maternal perception of infant development, mothers with acknowledged alcohol and drug habits during pregnancy (N=120) were interviewed at 11 months' postpartum, within 1 month before infant testing by use of the Bayley Scales of Infant Development. Women with heavy alcohol intake during pregnancy (&gt3.5 oz absolute alcohol per week) were 15-fold more likely to overestimate their infant's mental development (P&lt0.05), whereas mothers using illicit drugs were 4-fold more likely to overestimate their infant's physical development (P=0.02). Given the frequent denial of substance abuse, we suggest that health care providers be cautious in accepting a lack of parental concern about a child's development and rely more heavily on formal testing, particularly in high-risk populations.
doi_str_mv 10.1177/000992289603501203
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Women with heavy alcohol intake during pregnancy (&amp;gt3.5 oz absolute alcohol per week) were 15-fold more likely to overestimate their infant's mental development (P&amp;lt0.05), whereas mothers using illicit drugs were 4-fold more likely to overestimate their infant's physical development (P=0.02). 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Women with heavy alcohol intake during pregnancy (&amp;gt3.5 oz absolute alcohol per week) were 15-fold more likely to overestimate their infant's mental development (P&amp;lt0.05), whereas mothers using illicit drugs were 4-fold more likely to overestimate their infant's physical development (P=0.02). Given the frequent denial of substance abuse, we suggest that health care providers be cautious in accepting a lack of parental concern about a child's development and rely more heavily on formal testing, particularly in high-risk populations.</description><subject>Adult</subject><subject>Alcohol Drinking - adverse effects</subject><subject>Biological and medical sciences</subject><subject>Child Development - drug effects</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy. Fetus. 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G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maternal Assessment of Infant Development: Associations with Alcohol and Drug Use in Pregnancy</atitle><jtitle>Clinical pediatrics</jtitle><addtitle>Clin Pediatr (Phila)</addtitle><date>1996-12-01</date><risdate>1996</risdate><volume>35</volume><issue>12</issue><spage>621</spage><epage>628</epage><pages>621-628</pages><issn>0009-9228</issn><eissn>1938-2707</eissn><coden>CPEDAM</coden><abstract>Surveillance by parental concern has been advocated to assess whether formal child developmental testing is needed. To determine whether alcohol intake or illicit drug use in pregnancy is associated with differences in maternal perception of infant development, mothers with acknowledged alcohol and drug habits during pregnancy (N=120) were interviewed at 11 months' postpartum, within 1 month before infant testing by use of the Bayley Scales of Infant Development. 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source MEDLINE; SAGE Complete A-Z List
subjects Adult
Alcohol Drinking - adverse effects
Biological and medical sciences
Child Development - drug effects
Diseases of mother, fetus and pregnancy
Female
Gynecology. Andrology. Obstetrics
Humans
Infant
Male
Medical sciences
Pregnancy
Pregnancy. Fetus. Placenta
Prenatal Exposure Delayed Effects
Smoking - adverse effects
Substance-Related Disorders
title Maternal Assessment of Infant Development: Associations with Alcohol and Drug Use in Pregnancy
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