Back to Search
Start Over
Prenatal drug exposure and maternal and infant feeding behaviour.
- Source :
-
Archives of disease in childhood. Fetal and neonatal edition [Arch Dis Child Fetal Neonatal Ed] 2003 Sep; Vol. 88 (5), pp. F391-9. - Publication Year :
- 2003
-
Abstract
- Objective: To evaluate feeding difficulties and maternal behaviour during a feeding session with 1 month old infants prenatally exposed to cocaine and/or opiates.<br />Methods: The study is part of the maternal lifestyle study, which recruited 11 811 subjects at four urban hospitals, then followed 1388 from 1 to 36 months of age. Exposure to cocaine and opiates was determined by maternal interview and meconium assay. At the 1 month clinic visit, biological mothers were videotaped while bottle feeding their infants. This sample included 364 exposed to cocaine, 45 exposed to opiates, 31 exposed to both drugs, and 588 matched comparison infants. Mothers were mostly black, high school educated, and on public assistance. Videotapes were coded without knowledge of exposure status for frequency, duration and quality of infant sucking, arousal, feeding problems, and maternal feeding activity and interaction.<br />Results: No cocaine effects were found on infant feeding measures, but cocaine-using mothers were less flexible (6.29 v 6.50), less engaged (5.77 v 6.22), and had shorter feeding sessions (638 v 683 seconds). Opiate exposed infants showed prolonged sucking bursts (29 v 20 seconds), fewer pauses (1.6 v 2.2 per minute), more feeding problems (0.55 v 0.38), and increased arousal (2.59 v 2.39). Their mothers showed increased activity (30 v 22), independent of their infants' feeding problems.<br />Conclusions: Previous concerns about feeding behaviour in cocaine exposed infants may reflect the quality of the feeding interaction rather than infant feeding problems related to prenatal exposure. However, opiate exposed infants and their mothers both contributed to increased arousal and heightened feeding behaviour.
- Subjects :
- Adult
Arousal drug effects
Bottle Feeding psychology
Chi-Square Distribution
Feeding and Eating Disorders psychology
Female
Follow-Up Studies
Gestational Age
Humans
Infant
Longitudinal Studies
Male
Pregnancy
Prenatal Exposure Delayed Effects
Sucking Behavior drug effects
Videotape Recording
Cocaine-Related Disorders psychology
Feeding Behavior drug effects
Infant Behavior drug effects
Maternal Behavior
Mother-Child Relations
Opioid-Related Disorders psychology
Pregnancy Complications psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1359-2998
- Volume :
- 88
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Archives of disease in childhood. Fetal and neonatal edition
- Publication Type :
- Academic Journal
- Accession number :
- 12937043
- Full Text :
- https://doi.org/10.1136/fn.88.5.f391