| dc.description.abstract | Se realizó un estudio de prevalencia con el fin de rastrear cocaína en orina y caracterizar
a las madres consumidoras de pasta básica de cocaína (bazuco) durante el embarazo y sus
recién nacidos, donde se incluyeron dos grupos de madres, unas que aceptaron su
consumo y otras madres que aceptaron consumo de otras sustancias y tenían complicaciones
del embarazo. Se captaron 117 binomios madre-recién nacidos, 25 (21%) aceptaron
consumo y 92 (79%) tenían complicaciones. Las primeras tuvieron menor escolaridad
y control prenatal, más enfermedades de transmisión sexual y de consumo de cigarrillo y
marihuana; 72% resultaron positivas en orina para cocaína contra 15% de las madres con
complicaciones. La mitad de sus recién nacidos fueron prematuros y de bajo peso al nacer,
20% con desnutrición intrauterina y 12% con muy bajo peso al nacer. Además 60%
resultaron positivos en orina para cocaína contra 16% de los recién nacidos hijos de
madres con complicaciones. A menor nivel educativo y control prenatal, a mayor gravidez
y paridad fue mayor significativamente el riesgo de tener en orina un resultado positivo
para cocaína. Es urgente la implementación de políticas educativas y de salud pública que
eleven el nivel de escolaridad de la mujer, aumenten la cobertura del programa de control
prenatal a todas las mujeres embarazadas y prevengan el consumo de sustancias
deletéreas durante el embarazo. A prevalence study was carried out
to track cocaine in urine and characterize
the cocaine (bazuco) consumer
mother during their pregnancy and their
newborn, in the Hospital Universitary
in Cali, Colombia, where two groups of
mothers were included, ones that
accepted its consumption, and other
ones who accepted using other substances
and had complications of their
pregnancy; 117 mother-newborn binomials
were included, 25 (21%) accepted
consumption and 92 (79%) had
complications. The first one had a lower
scholarship and prenatal control more
sexual transmission diseases and higher
cigarette and marihuana smoking rates;
72% resulted positive during a urine
test for cocaine, against 15% of mothers
having complications. Half of their
babies were premature and low birth
weight, 20% with intrauterine malnutrition
and 12% had a very low birth
weight. In addition 60% resulted positive
on urine test for cocaine, against
16% of the babies from mothers that
had complications. Low scholarship,
absence of prenatal control, a higher
gravidity and parity were associated
with a major risk of having a positive
result on urine test for cocaine. It is very
urgent to apply educative and public
health politics that rise scholarship on
women, and make higher coverage on
prenatal control over every woman who is pregnant, also preventing
consumption of deleterious substances
during pregnancy period. | spa |
