Publication: Methamphetamine abuse during pregnancy and the risk of foster care placement in Thailand
Issued Date
2020-06-01
Resource Type
ISSN
01907409
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2-s2.0-85082479840
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Mahidol University
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SCOPUS
Bibliographic Citation
Children and Youth Services Review. Vol.113, (2020)
Suggested Citation
Boonying Manaboriboon, Supinya In-iw, Sureelak Sutcharipongsa, Gornmigar Sanpawitayakul, Sujitra Kumpa, Chiraporn Somchit, Chulathida Chomchai Methamphetamine abuse during pregnancy and the risk of foster care placement in Thailand. Children and Youth Services Review. Vol.113, (2020). doi:10.1016/j.childyouth.2020.104941 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/54709
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Title
Methamphetamine abuse during pregnancy and the risk of foster care placement in Thailand
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Abstract
© 2020 Elsevier Ltd Purpose: This study aimed to examine characteristic and outcome of mothers and babies focusing on the teen-mothers and their existing risk-behaviors, also to evaluate factors associated with subsequent foster care placements of their infants. Method: Data of all pregnant women, categorized as teens and non-teens, with history of methamphetamine abuse giving birth at Siriraj Hospital between August2003 and December2011 were reviewed. Maternal demographic, characteristic of substance uses and neonatal outcome were collected. Chi-square, Fisher exact, Mann-whiney U test, and logistic regression were used to analyze where appropriate. The protocol was approved by Siriraj Hospital IRB. Results: Overall 235 pregnant women, both groups’ characteristics were similar except number of life-time partners, contraception-use, smoking history and sexual risk behaviors (p < .05). Majority of pregnancies (96.2%) were unplanned with 78.3% no antenatal care. 76.2% had positive methamphetamine-screen urine at delivery. During follow-up, 58.3% remained using methamphetamine. 75.3% of babies were born at term and 70.2% had positive meth-urine at birth. Significant predictors for the need of foster care placements were history of using methamphetamine while pregnant (OR 5.931; 95% CI 3.060–11.496, p ≤ .05), positive meth-screen urine at delivery (OR 3.471; 95% CI 1.635–7.367, p ≤ .05), positive meth-screen urine of babies after birth (OR 5.021; 95%CI 2.456–10.268, p ≤ .05), and using methamphetamine during the home visit period (OR 9.073, 95%CI 3.843–21.419, p < .05) Conclusion: Characteristics and psychosocial outcome of methamphetamine abuse between teen and non-teen mothers were similar. History of methamphetamine use during pregnancy, positive meth-screen urine of mother and babies after birth were the noteworthy predictors to place the babies to foster parents. Clinical trials registry site and number: This study was not a clinical trial research.