Health trajectories of women who used cocaine and/or cannabis during pregnancy. Retrospective cohort study in La Pampa, Argentina
Introduction: the use of cocaine and cannabis during pregnancy is a growing problem, of importance for the World Public Health. Women can present a wide range of complications during pregnancy and perinatally, although knowledge about evolution thereafter is scarce. Objectives: to describe and compa...
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| Formato: | Artículo revista |
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2020
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/26838 |
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I10-R10-article-26838 |
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Universidad Nacional de Córdoba |
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I-10 |
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Revistas de la UNC |
| language |
Español |
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Artículo revista |
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cocaine cannabis pregnancy health care (Public Health) hospitalization cannabis embarazo atención a la salud hospitalización cocaína cannabis gravidez atenção à saúde hospitalização |
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cocaine cannabis pregnancy health care (Public Health) hospitalization cannabis embarazo atención a la salud hospitalización cocaína cannabis gravidez atenção à saúde hospitalização Villarreal, Marina Belmonte, Valeria Olivares, Jorge Luis Abdala, Agustina Health trajectories of women who used cocaine and/or cannabis during pregnancy. Retrospective cohort study in La Pampa, Argentina |
| topic_facet |
cocaine cannabis pregnancy health care (Public Health) hospitalization cannabis embarazo atención a la salud hospitalización cocaína cannabis gravidez atenção à saúde hospitalização |
| author |
Villarreal, Marina Belmonte, Valeria Olivares, Jorge Luis Abdala, Agustina |
| author_facet |
Villarreal, Marina Belmonte, Valeria Olivares, Jorge Luis Abdala, Agustina |
| author_sort |
Villarreal, Marina |
| title |
Health trajectories of women who used cocaine and/or cannabis during pregnancy. Retrospective cohort study in La Pampa, Argentina |
| title_short |
Health trajectories of women who used cocaine and/or cannabis during pregnancy. Retrospective cohort study in La Pampa, Argentina |
| title_full |
Health trajectories of women who used cocaine and/or cannabis during pregnancy. Retrospective cohort study in La Pampa, Argentina |
| title_fullStr |
Health trajectories of women who used cocaine and/or cannabis during pregnancy. Retrospective cohort study in La Pampa, Argentina |
| title_full_unstemmed |
Health trajectories of women who used cocaine and/or cannabis during pregnancy. Retrospective cohort study in La Pampa, Argentina |
| title_sort |
health trajectories of women who used cocaine and/or cannabis during pregnancy. retrospective cohort study in la pampa, argentina |
| description |
Introduction: the use of cocaine and cannabis during pregnancy is a growing problem, of importance for the World Public Health. Women can present a wide range of complications during pregnancy and perinatally, although knowledge about evolution thereafter is scarce. Objectives: to describe and compare health trajectories up to 4 years pospartum of user and not user women of cocaine and/or cannabis during pregnancy. Methods: retrospective cohort study with a comparison group consisting of 2 not users women for each user during pregnancy. User women were detected in Neonatology Division of a public Hospital with an urine pospartum test, between 2009 and 2013. Results: 29 women cocaine and/or cannabis users during pregnancy, and 58 not users were evaluated. In the first group, 93% women were polydrug users. Users had higher frequency of: history of violence in childhood ((p<0,001), previous (p<0,0045) and acquired (p<0,0007) disease, medical (p<0,0001) and odontological (p=0,0002) emergency consultations, hospitalizations (p<0,0001), and violent deaths in relatives, compared with non users.
Conclusions: women who used cocaine and/or cocaine during pregnancy had a greater history of violence and illness, emergency medical and dental consultation, hospitalization and deaths, than non users. Injuries where the main cause of hospitalization. In the variables evaluated, the differences between consumers and non-consumers of pregnancy were significative.
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| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2020 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/26838 |
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I10-R10-article-268382020-06-19T15:10:06Z Health trajectories of women who used cocaine and/or cannabis during pregnancy. Retrospective cohort study in La Pampa, Argentina Trayectorias sanitarias de mujeres consumidoras de cocaína y/o cannabis durante el embarazo. Estudio de cohorte retrospectivo en La Pampa, Argentina Caminhos de cuidados de saúde das mulheres que consomem cocaína e/ou cannabis durante a gravidez. Estudo de coorte retrospectivo, La Pampa, Argentina Villarreal, Marina Belmonte, Valeria Olivares, Jorge Luis Abdala, Agustina cocaine cannabis pregnancy health care (Public Health) hospitalization cannabis embarazo atención a la salud hospitalización cocaína cannabis gravidez atenção à saúde hospitalização Introduction: the use of cocaine and cannabis during pregnancy is a growing problem, of importance for the World Public Health. Women can present a wide range of complications during pregnancy and perinatally, although knowledge about evolution thereafter is scarce. Objectives: to describe and compare health trajectories up to 4 years pospartum of user and not user women of cocaine and/or cannabis during pregnancy. Methods: retrospective cohort study with a comparison group consisting of 2 not users women for each user during pregnancy. User women were detected in Neonatology Division of a public Hospital with an urine pospartum test, between 2009 and 2013. Results: 29 women cocaine and/or cannabis users during pregnancy, and 58 not users were evaluated. In the first group, 93% women were polydrug users. Users had higher frequency of: history of violence in childhood ((p<0,001), previous (p<0,0045) and acquired (p<0,0007) disease, medical (p<0,0001) and odontological (p=0,0002) emergency consultations, hospitalizations (p<0,0001), and violent deaths in relatives, compared with non users. Conclusions: women who used cocaine and/or cocaine during pregnancy had a greater history of violence and illness, emergency medical and dental consultation, hospitalization and deaths, than non users. Injuries where the main cause of hospitalization. In the variables evaluated, the differences between consumers and non-consumers of pregnancy were significative. Introducción: el consumo de cocaína y cannabis durante el embarazo constituye un problema en ascenso, de importancia para la Salud Pública mundial. Las mujeres consumidoras pueden presentar un amplio rango de complicaciones durante el embarazo y perinatales, pero los conocimientos sobre su evolución posterior son escasos. Objetivos: describir las trayectorias sanitarias durante 4 años de mujeres consumidoras de cocaína y/o cannabis durante el embarazo, y compararlas con mujeres no consumidoras. Métodos: estudio de cohorte retrospectivo con grupo de comparación doble. Las mujeres consumidoras fueron detectadas en el Servicio de Neonatología de un Hospital público con prueba en orina posparto positivo para cocaína y/o cannabis, entre 2009 y 2013. Resultados: se evaluaron 29 mujeres consumidoras, y 58 no consumidoras. En el primer grupo, el 93% eran policonsumidoras. Las mujeres consumidoras presentaron mayor frecuencia de: antecedente de violencia en sus infancias (p<0,001), enfermedades previas (p<0,0045) y adquiridas (p<0,0007), consultas médicas (p<0,0001) y odontológicas (p=0,0002) de emergencia, internaciones (p<0,0001) y muertes familiares violentas, comparando con no consumidoras. Conclusión: las mujeres consumidoras de cocaína y/o cannabis durante el embarazo presentaron mayores antecedentes de violencia y enfermedad, de consultas médicas y odontológicas de emergencia, de internación y muertes violentas en el grupo familiar, que las no consumidoras. Los traumatismos constituyeron la principal causa de consulta e internación. En las variables evaluadas, las diferencias entre consumidoras y no consumidoras del embarazo fueron significativas. Introdução: o uso de cocaína e cannabis durante a gravidez é um problema crescente, de importância para a Saúde Pública Mundial. Mulheres consumidoras podem apresentar uma ampla gama de complicações durante a gravidez e os perinatais, embora o conhecimento sobre sua evolução subsequente seja escasso. Objetivos: descrever as trajetórias de saúde de mulheres consumidoras de cocaína e/ou cannabis durante a gravideze compará-las com mulheres não-consumidoras. Métodos: estudo de coorte retrospectivo com grupo de comparação composto por 2 mulheres não consumidoras para cada consumidor. Consumidores de mulheres foram detectados no Serviço de Neonatologia de um hospital público com um estudo em urina pós-parto positivo para cocaína e / ou cannabis, entre 2009 e 2013. Resultados: 29 mulheres consumidoras foram avaliadas e 58 não-consumidoras. No primeiro grupo, 93% das mulheres eram policonsumidores. Mulheres consumidoras apresentaram maior frequência de: histórico de violência em suas infâncias (p <0,001), consultas prévias (p <0,0045) e adquiridas (p <0,0007), consultas médicas (p <0,0001) e consultas odontológicas (p = 0,0002) emergência, hospitalizações (p <0,0001), e mortes violentas em parentes, comparando com não-consumidores. Conclusões: mulheres que consomem cocaína e / ou cannabis durante a gestação tiveram menor freqüência em consulta agendada, maior número de consultas médicas e odontológicas de emergência, de internação, e mortes. As lesões foram a principal causa de consulta e hospitalização. Nas variáveis avaliadas, as diferenças entre consumidores e não consumidores de gravidez foram significativos. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2020-05-10 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/26838 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 77 No. 2 (2020); 79-85 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 77 Núm. 2 (2020); 79-85 Revista da Faculdade de Ciências Médicas de Córdoba; v. 77 n. 2 (2020); 79-85 1853-0605 0014-6722 10.31053/1853.0605.v77.n2 spa https://revistas.unc.edu.ar/index.php/med/article/view/26838/29674 https://revistas.unc.edu.ar/index.php/med/article/view/26838/29878 Derechos de autor 2020 Universidad Nacional de Córdoba |