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Neonatal Abstinence Syndrome in Rural Appalachia.

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Title: Neonatal Abstinence Syndrome in Rural Appalachia.
Authors: Cain, Shannon M (AUTHOR), Conway, Anne (AUTHOR), Combs-Orme, Terri (AUTHOR), Bruck, Sarah L (AUTHOR), Cook, E Kyle (AUTHOR), Thomas, Elizabeth (AUTHOR)
Source: Social Work. Jul2021, Vol. 66 Issue 3, p197-205. 9p.
Subjects: Neonatal abstinence syndrome, Social services, Pregnancy outcomes, Disease risk factors, Children of prenatal substance abuse
Geographic Terms: Appalachian Region
Abstract: As the United States faces the repercussions of the current opioid epidemic, it is important for social workers to be able to identify risks for poor birth outcomes in infants with neonatal abstinence syndrome (NAS). Although some studies have identified single risk factors, no studies have tested associations between total amount of risk (that is, cumulative risk) and birth outcomes in infants with NAS. Authors examined 318 mothers who used opioids during pregnancy and their infants' birthweight, length, head circumference, and Apgar scores (which measure overall infant health after birth). All infants were admitted to a neonatal intensive care unit in Appalachia and were diagnosed with NAS. Authors found that high cumulative risk during pregnancy was associated with lower birthweight and Apgar scores one and five minutes after birth as well as shorter length and smaller head circumference at birth. Social workers are encouraged to assess for the quantity of prenatal adversity experienced by the mothers they serve and to consider multicomponent, comprehensive community-based interventions to reduce cumulative risk. [ABSTRACT FROM AUTHOR]
Copyright of Social Work is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: <searchLink fieldCode="JN" term="%22Social+Work%22">Social Work</searchLink>. Jul2021, Vol. 66 Issue 3, p197-205. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Neonatal+abstinence+syndrome%22">Neonatal abstinence syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22Social+services%22">Social services</searchLink><br /><searchLink fieldCode="DE" term="%22Pregnancy+outcomes%22">Pregnancy outcomes</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Children+of+prenatal+substance+abuse%22">Children of prenatal substance abuse</searchLink>
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  Data: As the United States faces the repercussions of the current opioid epidemic, it is important for social workers to be able to identify risks for poor birth outcomes in infants with neonatal abstinence syndrome (NAS). Although some studies have identified single risk factors, no studies have tested associations between total amount of risk (that is, cumulative risk) and birth outcomes in infants with NAS. Authors examined 318 mothers who used opioids during pregnancy and their infants' birthweight, length, head circumference, and Apgar scores (which measure overall infant health after birth). All infants were admitted to a neonatal intensive care unit in Appalachia and were diagnosed with NAS. Authors found that high cumulative risk during pregnancy was associated with lower birthweight and Apgar scores one and five minutes after birth as well as shorter length and smaller head circumference at birth. Social workers are encouraged to assess for the quantity of prenatal adversity experienced by the mothers they serve and to consider multicomponent, comprehensive community-based interventions to reduce cumulative risk. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Social Work is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1093/sw/swab014
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        Text: English
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      – SubjectFull: Pregnancy outcomes
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      – SubjectFull: Children of prenatal substance abuse
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            NameFull: Conway, Anne
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              Text: Jul2021
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              Y: 2021
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