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http://dx.doi.org/10.1542/hpeds.2023-007482DOI Listing

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Pre-natal and post-natal screening and testing in neonatal abstinence syndrome.

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Yale University School of Medicine, Department of Pediatrics, Section of Hospital Medicine, United States. Electronic address:

The way we enact screening for substance use during pregnancy within our healthcare systems can work by decreasing stigma, promoting engagement, and supporting people with reaching the end of their pregnancy in a manner where the newborn can be well supported. The way we enact biochemical specimen toxicology testing for substance use during pregnancy and in newborns contributes to increased stigma, disengagement from care, and potential continuation of uncontrolled substance use up until delivery such that the newborn may not be able to be well supported in the family environment. These effects are inequitably distributed, leading to worse outcomes for families of color and families living in poverty.

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Article Synopsis
  • - The systematic review analyzed the link between socioeconomic disadvantage and risks of severe maternal morbidity (SMM) and maternal mortality (MM) in high-income countries by examining studies published from 2000 to 2023.
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Economic stability is one of the five domains of determinants of health influencing the well-being of families and communities. In this column, the impacts of economic instability, including poverty, employment, food insecurity, and housing instability, will be described. These challenges have unique impacts during pregnancy and the early years, with inequitable and accumulating health burdens over a lifetime.

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