Examines growth parameters at birth in 204 infants born to mothers who used cocaine and/or opiates during pregnancy. Outcome measures included birth weight, length, and head circumference. Study provides support that in utero cocaine exposure may confer more risk for somatic growth retardation at birth than opiate exposure. (Author/GCP)

Researchers have identified three variables to explain the diversity among children born to cocaine/polydrug using women: (1) the dysfunctional family histories of the maternal user; (2) the purity, dosage, and regularity of illicit drugs used during pregnancy; and (3) subsequent mother-child interaction following birth and during formative…

Explored the criteria for placement decisions used by child protection workers in three suburban Chicago counties with regard to infants who have been exposed to cocaine. Content analyses uncovered a complex decision-making process that demonstrated consistency across geographic regions. Several primary factors influenced decisions for in-home or…

Estimates the number of infants exposed to legal and illegal substances before birth, drawing on 27 published reports and National Institute on Drug Abuse data. The following are estimated exposure levels: (1) cocaine, 2-3 percent; (2) marijuana, 3-12 percent; (3) cigarettes, 38 percent; and (4) alcohol, 73 percent. (SLD)

This paper considers the major consequences of prenatal exposure to cocaine, including physiological effects and characteristics of exposed infants and then goes on to discuss the education of these children, noting various behavioral approaches and the importance of assessment. (DB)

A review of the literature on biological and environmental effects of cocaine use suggests that the classification of infants and young children as prenatally cocaine exposed is neither descriptive nor predictive of behavior. The classification of behavior rather than labeling of the child is encouraged, as are partnerships with families of…