- Title
- Short-term health outcomes of newborn infants of substance-using mothers in Australia and New Zealand: a systematic review
- Creator
- Oni, Helen T.; Khan, Md Nuruzzaman; Abdel-Latif, Mohamed; Buultjens, Melissa; Islam, M. Mofizul
- Relation
- Journal of Obstetrics and Gynaecology Research Vol. 45, Issue 9, p. 1783-1795
- Publisher Link
- http://dx.doi.org/10.1111/jog.14051
- Publisher
- Wiley-Blackwell
- Resource Type
- journal article
- Date
- 2019
- Description
- Aim: Substance use is not unusual among women of childbearing age. Pregnant women who use a substance and the consequent impacts on a newborn vary across studies and settings. We reviewed New Zealand and Australian literature to examine the short-term health outcomes of newborn of substance-using mothers and their demographic characteristics. Methods: Five medical/nursing databases and google scholar were searched in April 2017. Studies were considered eligible if they described outcomes of newborn of substance-using mothers. Mixed Methods Appraisal Tool was used for quality assessment of candidate studies. Relevant data were extracted and analyzed using narrative synthesis. Based on data availability, a subset of studies was included in meta-analysis. Results: Although findings of individual studies vary, there are some evidence that the infants born to substance-using mothers were likely to have preterm birth, low birthweight, small-for-gestational age, low Apgar score, and admission to neo-natal intensive care unit. The likelihood of adverse health outcomes was much higher for newborns of polysubstance-using mothers, than newborns of mothers using a single substance. Pregnant women who use illicit substance are predominantly socially disadvantaged, in their twenties and or of Aboriginal descent. Conclusion: Infants of substance-using mothers suffer a range of adverse health outcomes. Multidisciplinary and integrated approach of services that ensure supportive social determinants of health may result in a better outcome for newborn and positive behavioral change among mothers.
- Subject
- medical problems in pregnancy; neonatology; substance abuse; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1463647
- Identifier
- uon:46798
- Identifier
- ISSN:1341-8076
- Language
- eng
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