Certain legal and illegal drugs used during
pregnancy may interfere with the development of the foetus, and or result in complications
during and after childbirth. Drug use during pregnancy is generally associated with
low birth weight infants and premature births. These factors are associated with
higher child abuse, neglect and child homicides as compared to the general population. Serious
or recurrent illnesses increases a child's likelihood of experiencing child abuse.
However, the effects and their severity depend on the frequency, dosage, genetic
metabolism of the parent and foetus and the type(s) of drugs used during the gestation
period.
This table below and associated links may help determine possible risks associate with
use of drugs during pregnancy.
|
Summary of main harms Some
of the harms resulting to children from different types of substances used during
pregnancy include:
|
| amphetamines, marijuana, benzodiazepines,
nicotine and prescribed drugs have been shown to harm the foetus
|
|
| alcohol is connected with mental retardation,
abnormalities of the central nervous system such as microcephaly, poor coordination,
irritability in infancy, hyperactivity in childhood, growth deficiency and cranio-facial
abnormalities
|
|
| methadone causes low birth weight, addiction and
withdrawal symptoms. Supervised methadone in women receiving adequate prenatal care
decreases the incidence of neonatal complications and deaths (but not withdrawal
symptoms).
|
|
Class of Drugs |
Possible Perinatal Effects on
Children |
Possible Long Term Effects on
Children |
Amphetamine
(Stimulant) |
Possible Symptoms Excessively
sleepy, rarely cry, feeding may be poor requiring tube feeding
Foetal distress
Intrauterine growth retardation
Decrease in head circumference
In one-third of full term, evidence of brain haemorrhage, cavitation or infarction
|
Possible Effects Increased
incidences of aggressive behaviours
Peer related problems
Hyperactivity
Prenatal damage cannot be fully compensated for by good psychosocial environments after
birth
|
Alcohol
(Depressant) |
Possible Symptoms Foetal
Alcohol Effects and Foetal Alcohol Syndrome: 1-3 per 1,000 births
Growth failure, facial abnormalities and abnormalities of the heart, kidneys, ears and
skeletal system
Hearing loss and chronic inflammation of ear
Average IQ of 63 but wide ranging
Symptoms of withdrawal have occurred in neonates who mothers continued to drink
throughout pregnancy
FAS - include palpebral fissures, short upturned nose, hypoplastic philtrum
(depression between nose and upper lip), flat midface and thinned upper lip.
|
Possible Effects Improvement
of dysmorphic features over time
High level of psychosocial problems, i.e. learning disabilities, hyperactivity,
impulsivity, and antisocial behaviour
Growth failure and mental retardation are not ameliorated even if the children are
reared in positive environment
Average academic functioning at the second to fourth grade levels, with a significant
deficit in arithmetic skills. Poor independent living skills, judgements
Maladaptive behaviours such as destructibility and difficulty perceiving social cues
|
Class of Drugs |
Possible Perinatal Effects on
Children |
Possible Long Term Effects on
Children |
Cannabis
(Depressant with some Stimulant and Hallucinogenic effects) |
Possible Symptoms Higher
risk of pre-term, low birthweight or small for gestational age infant (may be primarily
related to tobacco and other drug use)
|
Possible Effects Signs of
some irritability
Signs of optical blink, strabismus
Research continuing
|
Cocaine
Stimulant |
Possible Symptoms Intrauterine
growth retarded, small head circumference
Withdrawal symptoms (after a few days)
Cardiac, urinary tract defects
Neurobehavioural effects
Poor social interaction
Sleep poorly
Poor feeding
|
Possible Effects Delays in
fine motor and visual coordination
Hyperactivity
Persistent irritability
Difficulty sitting balanced
Central nervous system damage
Immune system damage
|
Class of Drugs |
Possible Perinatal Effects on
Children |
Possible Long Term Effects on
Children |
Inhalants
(Depressant with some hallucinatory properties)Glue, Solvents, Petrol,
Aerosol, Toluene, Nitrous Oxide
|
Possible Symptoms May have
similar effects to alcohol
Lead in petrol affects brain functioning
Difficult to separate effects as often used with other substances
Some likely to be more hazardous that others (eg leaded petrol more hazardous than
glue. Nitrous Oxide less hazardous than glue)
|
Possible Effects Unknown
|
Opiates
(Heroin/Methadone) |
Possible Symptoms May be
born addicted to opiates
Withdrawal symptoms (birth to 4 months but most symptoms over in one to two weeks):
extreme reflex reactions, tremors, irritability, abnormal crying disturbed sleep and
impaired motor control
|
Possible Effects Few if
any long term-effects.
Initial symptoms may interfere with bonding which can have a range of long-term
effects.
|
Adapted from Department of
Community Services
Alcohol and Other DrugsL Issues for Child Protection Risk Assessment Training Package,
April, 1999 |