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Prevalence of Drug Use in West Virginia Pregnancies. David Chaffin, MD. Sponsor. Office of Maternal, Child and Family Health, West Virginia Department of Health and Human Resources. Selena Johe. Co-Conspirators. Michael Stitely, MD - WVU Byron Calhoun, MD - WVU Charleston
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Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD
Sponsor • Office of Maternal, Child and Family Health, West Virginia Department of Health and Human Resources
Co-Conspirators • Michael Stitely, MD - WVU • Byron Calhoun, MD - WVU Charleston • Stefan Maxwell, MD - Pediatrix Charleston
Background • Range of reported incidence of drug use in pregnancy 10-14% • Dependence on data collection • Survey • Samples with consent • Anonymous sampling
Participating Hospitals • Bluefield Regional (BRMC) • Raleigh General (RGH) • Thomas Memorial (TMH) • Charleston Area Medical Ctr (CAMC) • Cabell Huntington Hospital • Ruby Memorial Hospital (RMH) • Wheeling Hospital (WH) • City Hospital Martinsburg (CH)
USDTL CordStat • Drug ClassTest MethodCutoff • Amphetamines ELISA 5.0 ng/g • Cocaines ELISA 2.0 ng/g • Opiates ELISA 2.0 ng/g • Cannabinoids ELISA 100 pg/g • Benzodiazepines ELISA 2.0 ng/g • Methadones ELISA 2.0 ng/g • Buprenorphines LCMSMS 2.0 ng/g • Alcohol ELISA
Study Limitations • No other information • No account for legal use
Final Result • 146 of 759 cord samples positive for drugs or alcohol
759 Samples: Drugs + Alcohol • BRMC 50 samples 16% • RGH 83 20 • TMH 59 19 • CAMC 133 22 • CHH 245 18 • RMH 52 17 • WH 65 28 • CH 72 13
759 Samples: Drugs + Alcohol Drugs Alcohol • BRMC 14 % 4% • RGH 19 2 • TMH 10 8 • CAMC 16 8 • CHH 17 1 • RMH 13 4 • WH 12 15 • CH 10 5
USDTL CordStat • Drug ClassNumber • Amphetamines 1 • Cocaines 0 • Opiates 41 • Cannabinoids 58 • Benzodiazepines 17 • Methadones 14 • Buprenorphine 0 • Alcohol 39
Lessons • 1 in 5 babies in WV exposed to drugs or alcohol • Polypharmacy is common • There are regional distributions of drug use