heroin and Fetal-Death

Three women, aged 21, 20 and 30 years, were cocaine users and pregnant. There had been no prenatal monitoring until they reported with uterine contractions. Blood of the first two women was then tested; serology revealed active syphilis infections: their children had died in utero. The blood of the third woman had been tested as part of a street project; it revealed an active syphilitic infection but she could not be found for treatment. After delivery, the child showed withdrawal symptoms. The first and third women and the child of the third woman were treated with benzylpenicillin. The system for screening and treating drug-addicted pregnant women should be intensified.

Topics: Adult; Cocaine; Female; Fetal Death; Heroin; Humans; Incidence; Infant, Newborn; Mass Screening; Netherlands; Pregnancy; Pregnancy Complications, Infectious; Risk Factors; Sex Work; Social Control Policies; Substance Abuse, Intravenous; Syphilis; Syphilis, Congenital

This case report describes the management of a patient, diagnosed with an intrauterine death at 31 weeks' gestation, who suffered a cardiorespiratory arrest during her induced labour while using a remifentanil PCA. She made a full recovery from resuscitation which included a peri-mortem caesarean section.

Topics: Adult; Analgesia, Obstetrical; Analgesia, Patient-Controlled; Analgesics, Opioid; Cardiopulmonary Resuscitation; Cesarean Section; Codeine; Female; Fetal Death; Heart Arrest; Heroin; Humans; Labor, Induced; Piperidines; Pregnancy; Remifentanil; Young Adult

Topics: Adult; Female; Fetal Death; Heroin; Heroin Dependence; Humans; Maternal-Fetal Exchange; Pregnancy; Tissue Distribution

Topics: Apgar Score; Birth Weight; Breech Presentation; Chlorpromazine; Delivery, Obstetric; Female; Fetal Death; Hepatitis; Hernia, Inguinal; Heroin; Heroin Dependence; Humans; Infant Mortality; Infant, Newborn; Infant, Newborn, Diseases; Infant, Premature; Jaundice, Neonatal; Menstruation Disturbances; Pregnancy; Pregnancy Complications; Prenatal Care; Substance Withdrawal Syndrome; United States

Topics: Abnormalities, Drug-Induced; Adult; Birth Weight; Female; Fetal Death; Fetus; Gestational Age; Heroin; Humans; Infant Mortality; Pregnancy; Pregnancy Complications; Substance Withdrawal Syndrome; Substance-Related Disorders

Topics: Administration, Oral; Adult; Apgar Score; Birth Weight; Female; Fetal Death; Heroin; Heroin Dependence; Humans; Infant, Newborn; Infant, Newborn, Diseases; Maternal-Fetal Exchange; Methadone; New York City; Obstetric Labor, Premature; Parity; Pregnancy; Pregnancy Complications; Prognosis; Substance Withdrawal Syndrome; Substance-Related Disorders