Alcohol and substance abuse identified during pregnancy: maternal morbidity, child morbidity and welfare interventions
Acta Pediatrica, 03/30/2012
Sarkola T et al. – Postnatal maternal abuse–related morbidity is associated with significant early child morbidity, use of medication, and timing of out–of–home care.
- A register-based longitudinal retrospective cohort study.
- The exposed cohort included 638 children born to 524 women followed-up during pregnancy for alcohol or substance abuse 1992-2001.
- Non-exposed children (n=1914) born to control women were matched for maternal age, parity, number of fetuses, month of birth, and delivery hospital of the index child.
- Perinatal and follow-up data of both cohorts was collected from national registers until 2007.
- Postnatal maternal abuse-related health care utilization and use of medication was associated with child out-of-home care.
- Significant differences were in particular observed in the categories of maternal mental and behavioral disorders due to psychoactive substance use as well as injury and poisoning.
- Maternal inpatient care for mental and behavioral disorders peaked at the time of child out-of-home care.
- Maternal abuse-related health care utilization was associated with early child health care utilization and use of medication for mental and behavioral disorders.
- These associations were largely explained by the association with child out-of-home care.