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Drinking alcohol in pregnancy, however little, is totally harmful to the fetus
It is not very well known where the (false) belief came from that drinking some alcohol in pregnancy, for example, a glass of wine or beer, is not harmful to the fetus. Well, that theory is not true. Nothing may happen, just as you can smoke your whole life and not develop any illness, but it does not mean that smoking is not bad in itself. With alcohol in pregnancy the same happens, in reality alcohol is never good but when pregnant is a bad choice.
Manuel Antonio Fernández, director of the Andalusian Institute of Pediatric NeurologyHe's an expert on these issues. Neuropediatra with a long career explains in this article the very serious consequences that alcohol may have ingested in pregnancy.
“In my first months of specialty, in the neonology unit of the Virgen del Rocío Hospital, I had to face for the first time a case of Neonatal withdrawal syndrome. My deputy, the Doctor Jesus Down I explain the fundamental keys to this type of case,” remember.
Even if it puts the hairs on the tip, the evolution of neonatal abstinence syndrome in the last ten years It's growing. parallel to consumption drugs in women of fertile age and women pregnant.
“In the case that I meant was a newborn whose mother had consumed different types of substances such as alcohol, cocaine and cannabis during pregnancy. The situation was not easy,” he said.
Neonatal withdrawal syndrome What is it? Main causes
Neonatal abstinence syndrome is the whole symptoms suffering a newborn shortly after delivery due to decrease blood level of toxic substances consumed by the mother during pregnancy.
Although it may be thought that these situations are exclusive to people of low social status, in exclusion or marginalization, it is not always so. ‘I would learn that drug use has a high frequency and in any kind of family situation You can find cases,’ explains the doctor.
Also high consumption rate medicines which can produce such consequences. In Spain many anti-depressants and anti-depressants are consumed and these are some of the drugs that can induce it more easily.
“The level of suspicion must be high to act as soon as possible because not always women report to doctors about their gestational use of risk substances”, the expert warns.
Neonatal withdrawal syndrome may appear after consumption of multiple substances and the consequences can be from a series of very mild symptoms to much more intense and even life-threatening.
Substances that cause it: alcohol, heroin, cocaine, methadone, cannabis.
It can also occur with others such as: Codeine, Benzodiazepines, Antidepressants and Barbiturates.
What are the symptoms of drug use?
The symptoms of neonatal withdrawal syndrome are similar but not the same for all substances. In addition, it also changes the time from birth to the appearance of symptoms as well as the duration that can appear with each of them.
The most common symptoms in newborns are:
General symptoms: fever, sweating and tremor
Cutaneous symptoms:skin and cold skin
Digestive symptoms: feeding problems, gagged skin, low weight gain, diarrhea, vomiting
Respiratory symptoms: fast breathing, nasal congestion, apnea ( respiratory parades), hypoxia (low oxygen level)
Neurological symptoms:excessive crying, irritability, hypertony, seizures, insomnia, lethargy or drowsiness, exalted reflections
Cardiological symptoms:tachycardia, palpitations and arrhythmias
How to know if a newborn has abstinence syndrome?
The diagnosis of neonatal withdrawal syndrome is based on a combination of suspicion, symptoms and tests. Precisely, it is key to have a high level of suspicion. The medical history of the mother is fundamental in order to obtain data that guides the possibility of consumption of some type of risk substance, whether legal or not, either drug or drug.
Given the existence of a suspicion, a drug screening test can be chosen to guide the situation in advance. Treating a case of this type early is a great help to reduce symptoms to the maximum and the same way, prevent mid-term sequelae.
Neonatal abstinence syndrome. Protocol of action
For good attention to a case of neonatal abstinence syndrome, joint work of the whole is essential health equipment of the neonology unit. The pillars are the doctor and the nursing team.
Nursing care is key to maintaining the necessary support at both serum and vital constant control levels. Keeping the baby stable hemodynamically is an essential factor in avoiding negative consequences as well as maximizing the risk of withdrawal syndrome in babies.
It's important to have a protocol for neonatal withdrawal syndrome to apply in case of suspicion. Having a defined procedure helps normalize both diagnostic and therapeutic procedures.
Sequelas and risks of drug use during pregnancy
Neonatal withdrawal syndrome sequelae may be very serious.
- Abortions and fetal deaths
- Alterations of the placenta
- Fetal suffering
- Pathological parts
- Impact on birth weight
- Congenital malformations
- Cerebral and cardiovascular pathology
- Abstinence syndrome
- Neuroconductual alterations
- Immune Alterations or Infections
- Sudden infant death syndrome
In summary
- Neonatal withdrawal syndrome is not exceptional
- Due to the deprivation of substances after delivery
- Substances that can cause it are both drugs and drugs
- The symptoms of abstinence syndrome affect all systems of the body
- For diagnosis, clinical history is fundamental because it allows early detection
- The protocol of action to a neonatal abstinence syndrome includes support and medication measures along with perfect coordination with the nursing team of the neonology unit.
Source Comunicae
The reasons why you can't drink alcohol in pregnancy explained by Neuropediatra
It is not very well known where the (false) belief came from that drinking some alcohol in pregnancy, for example, a glass of wine or beer, is not harmful to t
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2023-04-11
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