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A cohort study of the impact of perinatal drug use on prematurity in an inner-city population.
Author(s) -
Joseph Feldman,
Howard Minkoff,
Sandra McCalla,
Martin J. Salwen
Publication year - 1992
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.82.5.726
Subject(s) - medicine , drug , prenatal care , population , cohort , pregnancy , inner city , obstetrics , cohort study , pediatrics , environmental health , psychiatry , economic geography , biology , economics , genetics
Perinatal illicit drug use was determined by anonymously testing the urine of 1111 inner-city parturients. Fourteen percent tested positive, 11.5% for cocaine. As determined by self-report or by positive test results, 17% used drugs. Twenty-eight percent of low birthweights and 20% of premature births in this group were attributable to drug use. Risk of prematurity was reduced by a factor of 2 to 3 with adequate prenatal care. These data suggest an enormous potential for improving perinatal health.

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