Objective: To determine whether use of intrapartum Pethidine pain analgesia increases the risk for substance use disorder in adult offspring.

Design: Analysis of data from a cohort study.

Setting: Academic hospital in Leiden, the Netherlands.

Participants: 133 cases and 164 control individuals, aged 18-20 years at follow-up.

Main Outcome Measure: Incidence of substance use disorder or use of alcohol and tobacco.

Results: The lifetime use of addictive substances in children exposed to intrapartum Pethidine analgesia was 45% of 133 children versus 48% of 164 not-exposed subjects (adjusted OR=0.79, 95% CI 0.48 to 1.29). Recent use of alcohol, tobacco and hard drugs showed no statistical difference either.

Conclusion: Pethidine for labour pain medication appears not to be associated with substance misuse or smoking in later life.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3367141PMC
http://dx.doi.org/10.1136/bmjopen-2011-000719DOI Listing

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