Infant Mental Health for the Pediatric Nurse Practitioner

Parental Substance Abuse

Parental Substance Abuse is a risk factor for infant mental health problems. Maternal substance abuse is associated with higher conflict in mother-infant feeding interactions. Studies support the perinatal period as being a good time for maternal substance abuse intervention. Maternal methamphetamine abuse and more recently, oxycodone abuse has gotten a lot of media exposure. It is important to remember that maternal tobacco and alcohol use also have negative effects on infant health.

References and Resources:

Are OxyContin Babies This Decade’s Crack Babies?  http://healthland.time.com/2011/04/11/are-oxycontin-babies-the-new-crack-babies/

Das Eiden, R. (2001). Maternal substance use and mother-infant feeding interactions. Infant Mental Health Journal, 22: 497-511.

Mattson, B., Williams, S., Rosenblatt, J. & Morrell. (2002). Preferences for cocaine-or pup-associated chambers differentiates otherwise behaviorally identical postpartum rats. Psychopharmacology, 167: 1-8. 

'Meth babies' exhibit more behavior problems:  http://www.mercurynews.com/education/ci_20203383/study-meth-babies-finds-behavior-problems

Neonatal Drug Withdrawal  http://pediatrics.aappublications.org/content/129/2/e540.full.pdf+html?sid=9e360359-7878-444b-afc0-77db088214b9

Smith et al. (2005). Effects of prenatal methamphetamine exposure on fetal growth and drug withdrawal symptoms in infants born at term. Journal of Developmental and Behavioral Pediatrics, 24: 17-23.

Substance Use Screening, Brief Intervention, and Referral to Treatment for Pediatricians: http://pediatrics.aappublications.org/content/128/5/e1330.full.pdf+html?sid=9f0e7c88-10a2-4b9c-b9d3-10366e6f8296