1
|
Joya X, Gomez-Culebras M, Callejón A, Friguls B, Puig C, Ortigosa S, Morini L, Garcia-Algar O, Vall O. Cocaine use during pregnancy assessed by hair analysis in a Canary Islands cohort. BMC Pregnancy Childbirth 2012; 12:2. [PMID: 22230295 PMCID: PMC3277455 DOI: 10.1186/1471-2393-12-2] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2011] [Accepted: 01/09/2012] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Drug use during pregnancy is difficult to ascertain, and maternal reports are likely to be inaccurate. The aim of this study was to estimate the prevalence of illicit drug use among pregnant women by using maternal hair analysis. METHODS A toxicological analysis of hair was used to detect chronic recreational drug use during pregnancy. In 2007, 347 mother-infant dyads were included from the Hospital La Candelaria, Santa Cruz de Tenerife, Canary Islands (Spain). Data on socioeconomic characteristics and on substance misuse during pregnancy were collected using a structured questionnaire. Drugs of abuse: opiates, cocaine, cannabinoids and amphetamines were detected in maternal hair by immunoassay followed by gas chromatography-mass spectrometry for confirmation and quantitation. RESULTS Hair analysis revealed 2.6% positivity for cocaine and its metabolites. Use of cocaine during pregnancy was associated with unusual behaviour with potentially harmful effects on the baby. CONCLUSIONS The results of the study demonstrate significant cocaine use by pregnant women in Canary Islands. The data should be used for the purpose of preventive health and policy strategies aimed to detect and possibly to avoid in the future prenatal exposure to drugs of abuse.
Collapse
Affiliation(s)
- Xavier Joya
- Unitat de Recerca Infància i Entorn (URIE), Institut de Recerca Parc de Salut Mar (IMIM-Parc de Salut Mar), Barcelona, Spain
- Red de Salud Materno-Infantil y del Desarrollo (SAMID
- Programa RETIC, Instituto Carlos III (ISCIII), Madrid, Spain
| | | | - Alicia Callejón
- Departamento de Cirugía Pediátrica, Universidad de Tenerife, Spain
| | - Bibiana Friguls
- Unitat de Recerca Infància i Entorn (URIE), Institut de Recerca Parc de Salut Mar (IMIM-Parc de Salut Mar), Barcelona, Spain
- Red de Salud Materno-Infantil y del Desarrollo (SAMID
- Programa RETIC, Instituto Carlos III (ISCIII), Madrid, Spain
- Servei de Pediatria, Parc de Salut Mar, Barcelona, Spain
- Departament de Pediatria, Ginecologia i Obstetrícia i Medicina Preventiva, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
| | - Carme Puig
- Unitat de Recerca Infància i Entorn (URIE), Institut de Recerca Parc de Salut Mar (IMIM-Parc de Salut Mar), Barcelona, Spain
- Red de Salud Materno-Infantil y del Desarrollo (SAMID
- Programa RETIC, Instituto Carlos III (ISCIII), Madrid, Spain
| | - Sandra Ortigosa
- Unitat de Recerca Infància i Entorn (URIE), Institut de Recerca Parc de Salut Mar (IMIM-Parc de Salut Mar), Barcelona, Spain
- Red de Salud Materno-Infantil y del Desarrollo (SAMID
- Programa RETIC, Instituto Carlos III (ISCIII), Madrid, Spain
- Servei de Pediatria, Parc de Salut Mar, Barcelona, Spain
- Departament de Pediatria, Ginecologia i Obstetrícia i Medicina Preventiva, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
| | - Luca Morini
- Department of Legal Medicine and Public Health, University of Pavia, Italy
| | - Oscar Garcia-Algar
- Unitat de Recerca Infància i Entorn (URIE), Institut de Recerca Parc de Salut Mar (IMIM-Parc de Salut Mar), Barcelona, Spain
- Red de Salud Materno-Infantil y del Desarrollo (SAMID
- Programa RETIC, Instituto Carlos III (ISCIII), Madrid, Spain
- Servei de Pediatria, Parc de Salut Mar, Barcelona, Spain
- Departament de Pediatria, Ginecologia i Obstetrícia i Medicina Preventiva, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
| | - Oriol Vall
- Unitat de Recerca Infància i Entorn (URIE), Institut de Recerca Parc de Salut Mar (IMIM-Parc de Salut Mar), Barcelona, Spain
- Red de Salud Materno-Infantil y del Desarrollo (SAMID
- Programa RETIC, Instituto Carlos III (ISCIII), Madrid, Spain
- Servei de Pediatria, Parc de Salut Mar, Barcelona, Spain
- Departament de Pediatria, Ginecologia i Obstetrícia i Medicina Preventiva, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
| |
Collapse
|