Maternal prepregnancy surgery and risk of neonatal abstinence syndrome in future newborns: a longitudinal cohort study.

Maternal prepregnancy surgery and risk of neonatal abstinence syndrome in future newborns: a longitudinal cohort study. CMAJ. 2019 Jul 15;191(28):E779-E786 Authors: Auger N, Low N, Carrier FM, Ayoub A, Luu TM Abstract BACKGROUND: Neonatal abstinence syndrome is increasingly prevalent, and may be related to opioid use disorders caused by postoperative prescriptions for pain control. We assessed the association of maternal prepregnancy surgery with risk of neonatal abstinence syndrome from opioid use disorders in future pregnancies. METHODS: We conducted a longitudinal retrospective cohort study of 2 182 365 deliveries in Quebec, Canada, between 1989 and 2016. The main exposure was maternal prepregnancy surgery. The main outcome measure was neonatal abstinence syndrome in offspring. We adjusted associations for maternal comorbidity and pregnancy characteristics using log-binomial regression models. RESULTS: The prevalence of neonatal abstinence syndrome in the cohort was 10.7 per 10 000 births. Compared with no surgery, prepregnancy surgery was associated with a risk ratio (RR) of neonatal abstinence syndrome of 1.63 (95% confidence interval [CI] 1.49-1.78). Risk was greater for 3 or more prepregnancy surgeries (RR 2.34, 95% CI 2.07-2.63) and age
Source: Canadian Medical Association Journal - Category: General Medicine Tags: CMAJ Source Type: research

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Source: The Scientific World Journal - Category: Science Tags: ScientificWorldJournal Source Type: research
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Source: Pathology Research and Practice - Category: Pathology Source Type: research
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Source: MCN: The American Journal of Maternal Child Nursing - Category: Nursing Tags: Feature Source Type: research
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Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Source Type: research
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Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Source Type: research
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Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
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Source: American Journal of Perinatology Reports - Category: Perinatology & Neonatology Authors: Tags: Original Article Source Type: research
A 25-year-old woman is evaluated in the emergency department for chest pain after a belted motor vehicle accident. She is pregnant at approximately 23 weeks’ gestation. She reports no additional symptoms and is otherwise well. Her only medication is a prenatal vitamin. On physical examination, the patient is afebrile, blood pressure is 102/62 mm Hg, […]Find jobs at  Careers by  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Conditions OB/GYN Source Type: blogs
University Hospital of Wales in Cardiff is trialling the VR headsets. If successful, it could be rolled out across more NHS maternity units.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
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Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
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