TABLE OF CONTENTS
EXECUTIVE SUMMARY
SYNTHESIS OF CONFERENCE FINDINGS
Scope
Effects
Prevalent Beliefs
Preliminary Data
Related Research
Implications
Recommendations
REFERENCES


ADOPTION AND PRENATAL ALCOHOL AND DRUG EXPOSURE

The Effects of Prenatal Alcohol and Drug Exposure

[Adapted from Brady, Posner, Lang, and Rosati 1994]

The drug epidemic that began in the early 1980s has had a devastating effect on families and on children in this country. Edelstein 1995.

 

Drug Type Potential Effects of Prenatal Exposure
Cocaine Preterm delivery Abruptio placentae Smaller-than-normal head size and low birthweight Low scores on APGAR Disorganized behavioral states in the prenatal and neonatal periods, possibly reflecting central nervous system damage
Opiates Preterm delivery Miscarriages Smaller-than-normal head size and low birthweight
Amphetamines and Methamphetamine Research inconclusive; findings of differences related to aggressivity and problems relating to peers may be result of postnatal environment
PCP Research very limited; studies suggest a number of possible consequences such as preterm delivery, neonatal withdrawal, poor consolability and neurobehavioral symptoms such as irritability and tremors
Marijuana Low birth weight Shortened gestational period Complications in delivery Neonatal neurobiological abnormalities
Alcohol Increased risk of spontaneous abortion and stillbirth
Shorter gestational periods
Reduced birth size and weight
FAS: Prenatal and/or postnatal growth retardation
Central nervous system involvement
Facial abnormalities
Alcohol Related Birth Defects [ARDB]/Fetal Alcohol Effects [FAE]:
Neurobehavioral deficits in attention and memory
Poor integration and quality of responses
Distractibility and poor organization
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PRENATAL SUBSTANCE EXPOSURE
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© 1997 The Evan B. Donaldson Adoption Institute