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Prevalence of Drug Use in West Virginia Pregnancies

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

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  1. Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

  2. Sponsor • Office of Maternal, Child and Family Health, West Virginia Department of Health and Human Resources

  3. Selena Johe

  4. Co-Conspirators • Michael Stitely, MD - WVU • Byron Calhoun, MD - WVU Charleston • Stefan Maxwell, MD - Pediatrix Charleston

  5. We Have a Problem

  6. I have no clue about what to do about it.

  7. Background • Range of reported incidence of drug use in pregnancy 10-14% • Dependence on data collection • Survey • Samples with consent • Anonymous sampling

  8. Rising incidence of NAS

  9. 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)

  10. 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

  11. Study Limitations • No other information • No account for legal use

  12. Final Result • 146 of 759 cord samples positive for drugs or alcohol

  13. 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

  14. 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

  15. USDTL CordStat • Drug ClassNumber • Amphetamines 1 • Cocaines 0 • Opiates 41 • Cannabinoids 58 • Benzodiazepines 17 • Methadones 14 • Buprenorphine 0 • Alcohol 39

  16. Distribution of Drugs

  17. Polysubstance abuse

  18. CHH Neonates vs Cord Study

  19. Lessons • 1 in 5 babies in WV exposed to drugs or alcohol • Polypharmacy is common • There are regional distributions of drug use

  20. We have a problem

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