Title Osobitosti novorođenčadi majki ovisnica u Zadarskoj županiji u razdoblju od 2011. do 2017. godine Title (english) The characteristics of newborns of addicted mothers in Zadar region in period from 2011.-2017. Author Iva Perinović Mentor Nataša Skitarelić (mentor)Committee member Nataša Skitarelić (predsjednik povjerenstva)Committee member Neven Skitarelić (član povjerenstva)Committee member Alan Medić (član povjerenstva)Granter University of Zadar Defense date and country 2018-10-31, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Uvod: Posljednjih desetljeća u Republici Hrvatskoj, s porastom broja ovisnika u ukupnoj populaciji, porastao je i broj trudnica ovisnica. Posljedica je povećan broj novorođenčadi pasivnih ovisnika koji po porodu razvijaju novorođenački apstinencijski sindrom (NAS). Cilj: Prikazati osobitosti novorođenčadi majki ovisnica, te najčešće simptome NAS-a, vrijeme nastanka i duljinu trajanja simptoma, pojavu mogućih malformacija novorođene djece, duljinu boravka u bolnici te načine zbrinjavanja i liječenja takve novorođenčadi. Ispitanici i postupci:U retrospektivnom istraživanju prikupljeni su podatci 20 majki ovisnica i njihovih 20-ero novorođenčadi, nadziranih i liječenih u razdoblju od 2011. do 2017.godine u Općoj bolnici Zadar. Rezultati: Od 20 trudnica ovisnica, polovina je koristila metadon, njih šest buprenorfin, dvije trudnice kombinaciju heroina i metadona, jedna buprenorfina i heroina, a jedna heroin. Trudnoću je kontroliralo 85% trudnica ovisnica. Na HBV i HCV je negativno 10 trudnica ovisnica, dok je od preostalih 10 trudnica 8 bilo pozitivno na HCV, a 2 su imale koinfekciju HBV i HCV. Većina ih je rodila u terminu, spontanim vaginalnim porodom. Tri poroda završena su carskim rezom, a rođeno je dvoje nedonoščadi, rodne mase ispod 2500 g i nižom ocjenom vitalnosti. Ultrazvučni nalaz mozga kod 85% novorođenčadi bio je uredan,a niti jedno dijete nije imalo vidljivih malformacija. Kod 55% novorođenčadi prvi simptomi NAS-a su se javili 24-48 sati nakon poroda dok su se kod četvero djece javili u prvih 24 sata života. Jedno novorođenče nije razvilo simptome NAS-a. Najčešći simptomi bili su nemir i tremor, te povraćanje. Konvulzivne napade je imalo 30% djece. Većina je primala terapiju fenobarbitonom, a troje djece kombinaciju fenobarbitona i tinkture morfija. Većina novorođenčadi je boravila u bolnici od 11 do 30 dana. Zaključak:Većina novorođenčadi rođena je u terminu, uredne rodne mase i duljine, dobre vitalnosti, bez vidljivih malformacija te su bili pasivni ovisnici o metadonu. Simptomi NAS-a javili su se u prvih 24 do 48 h života. a boravak novorođenčadi u bolnici je produljen zbog potrebe intenzivnog nadzora i specifične njege uz primjenu farmakološke terapije, najčešće fenobarbitonom, a ponekad i tinkturom morfija.
Abstract (english) Introduction:Last decades in Croatia with increasing number of addict in general population, number of pregnant addicts also increased. The result is increasing number of newborns of passive addicts that develop neonatal abstinence syndrom (NAS) after birth. Purpose: To show newbornpecularities of addicted mothers, and most common symptoms of NAS, ocurence time and lenght time of symptoms, occurence of possible malformations of newborns, lenght of stay in the hospital, and the way of caring and treating those newborns Respondents and procedures: In retrospective research the data were collected from 20 addicted mothers and theirs 20 newborns, monitored and treated in period from 2011-2017 in General Hospital Zadar Results:From20 addicted pregnant women, half of them used methadon, six of them buprenorphine, two pregnant women used combination of heroin and methadone, one buprenorphine and heroin, and one heroin. Pregnancy was controled by 85% of pregnant addicted women. 10 addict mothers were negative on HBV and HCV. HCV positive were 8 addictive mothers, and 2 had coinfection with HBV and HCV. Most of them gave a birth in delivery term and had vaginal birth. 3 deliveries ended with Cesarian section, 2 were prematures, birth weight below 2500 g and lower Apgar. 85% newborns had normal brain ultrasound, and none of them had visible malformations. In 55% of newborns first signs of Nas appear 24-48 hours after birth, while in four newborns appear in first 24 hours of life. One newborn didn't show any signs of NAS. The most common symptoms were tremor and restlessness, and vomiting. Convulsive attacks had 30% of newborns. Most of them were given phenobarbiton treatment, and three newborns were given phenobarbitom and morphine. Most newborns were in the hospital for 11-30 days. Conclusion:Most newborns were term delivered, had normal birth weight and lenght, with no visible malformations, and they were passive addicted to methadone. Symptoms of NAS appeard in first 24-48 hours, and hospital stay was prolonged because of intensive supervision, specific health care and administering pharmacological treatment, mostly phenobarbiton, and sometimes morphine.
Keywords
novorođenčad
majke ovisnice
novorođenački apstinencijski sindrom
sredstva ovisnosti
Keywords (english)
newborns
addicted mothers
neonatal abstinence syndrom
substance of abus
Language croatian URN:NBN urn:nbn:hr:162:440611 Study programme Title: Nursing Type of resource Text File origin Born digital Access conditions Access restricted to students and staff of home institution Terms of use Created on 2019-12-03 15:18:21
