Exposure to intrauterine drugs, alcohol and medicines can have profound effects on the child’s behaviour and propensity to behavioural disturbances. Some agents alter anatomic structure; others alter the chemical balance of neurotransmitters and may thus alter the regulation of brain function. This book documents the outcome and consequences for children exposed to intrauterine drugs, alcohol and medicine and explores strategies to support these children and those who care for them, including statutory agencies.
The international team of contributors sets out to inform the reader of the potential risks to infants exposed to a range of intrauterine chemicals that are potentially neuroactive, including medicinal drugs such as antiepileptics, antidepressants and antipsychotics, as well as drugs of abuse, including alcohol, opiates, and recreational drugs such as cannabis and tobacco. They review the teratogenic action of some of the chemical processes and the relationship of exposure to the stage of pregnancy.
In setting out the evidence for outcomes, the authors demonstrate that decisions about future care and management can and should be made early, with a secure understanding of the effect of this early exposure. This should allow professionals to provide protective management and prevent the delays in intervention and decision making that have so often been seen in this area of medical and social care.
- Demonstrates the consequences for the child of alcohol and drugs in pregnancy
- Includes chapters on the diagnosis and management of fetal alcohol syndrome
- Explores strategies to support affected children and those who care for them
Paediatricians, neonatologists, obstetricians, gynaecologists, child and adolescent psychiatrists and psychologists, those working in child care and child protection.
Clinics in Developmental Medicine No. 188
'This book tackles a common problem from a slightly different angle. It is comprehensive and not designed for quick and easy reference. The chapters on recreational drugs are standouts. Overall it is an aesthetically pleasing textbook and a nice addition to the literature.'
Anthony Shanks, MD, Indiana University School of Medicine
'This book will be of interest to professionals who work in the fields of midwifery, obstetrics, paediatrics, general practice and adolescent addiction. The information provided is comprehensive and based on clearly cited research evidence making it a reliable and useful resource. The consequences of intrauterine exposure to prescribed drugs and substances of abuse are extensively explored and well documented, and the modification and management strategies of these during ante-, peri- and postnatal stages to improve outcomes are clearly presented.'
Jess Dorrett, Nursing Children and Young People, 2012
'This book will be of value to those working directly or indirectly with pregnant women or their partners, young children of parents or potential parents who use drugs of abuse (or specific prescribed drugs). They could be clinicians (of medical, nursing, psychological or social welfare backgrounds), researchers, students, managers or policy makers (providers of services). Although it has a strong scientific basis, the content is useful and understandable irrespective of the readerís scientific background. Overall, the authors have provided an excellent foundation to facilitate an understanding of the long-term outcomes of alcohol, drugs and medication use in pregnancy and the challenges involved with the management of the families involved.'
Lucy Harvey-Dodds, Drug and Alcohol Review