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dr-ortiz
dr-ortiz, Médico
Categoría: Ginecología
Clientes satisfechos: 2628
Experiencia:  Atención en Ginecologia y Obstetricia
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Enviada: hace 4 año.
Categoría: Ginecología
Experto:  dr-ortiz escribió hace 4 año.
Hi, I'll assist you with your question.

Cocaine use during pregnancy can affect a pregnant woman and her unborn baby in many ways. During the early months of pregnancy, it may increase the risk of miscarriage. When the drug is used late in pregnancy, it may trigger premature labor. It also may cause an unborn baby to die or to have a stroke, which can result in irreversible brain damage.

Women who use cocaine during pregnancy are: A. twice as likely to have a premature baby; B. More likely to have a low birth-weight baby; C. More likely to have babies born with smaller heads and smaller brains proportionate to body size.

Studies show that women who use cocaine during pregnancy are at least twice as likely as other women to have a premature baby. And because cocaine cuts the flow of nutrients and oxygen to the fetus, the baby may be much smaller at birth than it would be otherwise. Cocaine-exposed babies also tend to have smaller heads, which may indicate a smaller brain. These problems appear more commonly in babies of women who use cocaine throughout pregnancy than in babies whose mothers stop using the drug in the first trimester.

Babies exposed to cocaine before they are born may start life with serious health problems. Babies of women who use cocaine regularly during pregnancy are between three and six times more likely to be born at a low birthweight (less than 5.5 pounds) than babies of women who do not use the drug. Low birthweight can result from poor growth before birth, premature birth, or a combination of both. Low-birthweight babies are 20 times more likely to die in their first month than normal-weight babies. Those who survive are at increased risk of lifelong disabilities including mental retardation, cerebral palsy, visual and hearing impairment.

Some studies suggest that cocaine-exposed babies are at increased risk of birth defects. The Centers for Disease Control and Prevention (CDC) reported that mothers who used cocaine early in pregnancy were five times as likely to have a baby with a malformation of the urinary tract as mothers who do not use the drug.

A number of studies have found that cocaine-exposed babies tend to score poorly on tests given at birth to assess the newborn's physical condition and overall responsiveness. They do not do as well as unexposed babies on measures of motor ability and reflexes, attention and mood control, and they appear less likely to respond to a human face or voice.

Babies exposed to cocaine before birth sometimes have feeding difficulties and sleep disturbances. Beginning at birth, some exposed babies go through something similar to "withdrawal" from the drug. Many are very jittery and irritable, and startle and cry at the gentlest touch or sound. Consequently, these babies are very difficult to comfort and often are described as withdrawn or unresponsive. Other cocaine-exposed babies "turn off" surrounding stimuli by going into a deep sleep for most of the day.

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