Evidence map›Paper›PMID 35088297›Full record

ArticleMaternal and child health journal2022

Does Maternal Incarceration Impact Infants with Neonatal Abstinence Syndrome?

Matthew J Drago, Veronika Shabanova, Daniela Hochreiter, Matthew Grossman, Mark Mercurio

Abstract read
PubMed Publisher
In one paragraph

Article in Maternal and child health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Lactation Support for People Who Are Incarcerated: A Systematic Review.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2022
    Pooled it
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Matthew J DragoDepartment of Pediatrics, Section of Neonatology, Yale School of Medicine, New Haven, CT, USA. matthew.drago@mssm.edu.ORCID http://orcid.org/0000-0001-8562-8929
Veronika ShabanovaDepartment of Pediatrics, Section of General Pediatrics, Yale School of Medicine, New Haven, CT, USA.
Daniela HochreiterDepartment of Pediatrics, Section of Hospitalist Medicine, Yale School of Medicine, New Haven, CT, USA.
Matthew GrossmanDepartment of Pediatrics, Section of Hospitalist Medicine, Yale School of Medicine, New Haven, CT, USA.
Mark MercurioDepartment of Pediatrics, Section of Neonatology, Yale School of Medicine, New Haven, CT, USA.
Yale University · USYale New Haven Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOpioid exposed infants born to incarcerated women represent a vulnerable and understudied subset of infants with neonatal abstinence syndrome (NAS). The impact of maternal incarceration on length of stay (LOS) for infants with NAS is unknown. We hypothesized that infants with NAS born to incarcerated women have longer hospitalizations compared to infants with NAS born to non-incarcerated women.

methodsThis is a retrospective cohort study of infants with NAS born between 2011 and 2018 at the primary delivery site for Connecticut's only women's prison. Opioid exposed infants were assessed by Finnegan Scores for withdrawal and received morphine as a first line agent and phenobarbital as a second line agent. LOS was compared using Poisson regression.

resultsOf 206 infants identified, 166 were included in the analysis, with 28 born to incarcerated women and 138 to non-incarcerated women. Incarcerated women were more likely to report prenatal alcohol use, 14.3% vs 2.2% p = 0.016 and benzodiazepine use 21.4% vs 7.3% p = 0.032. Infants of incarcerated women were less likely to be fed breast milk at discharge, 3.6% vs 37% p < 0.001. Adjusted mean LOS was longer among infants born to incarcerated women, 18.5 vs 16.6 days (p = 0.009). CONCLUSIONS FOR PRACTICE: Infants with NAS born to incarcerated women in Connecticut had longer LOS, lower rates of being fed breast milk, and different prenatal substance exposures than infants with NAS born to non-incarcerated women. Supporting the maternal-infant dyad until infant discharge may mitigate the potential negative impact of maternal incarceration on the care of infants with NAS.

Indexed as

Neonatal Abstinence SyndromeOpioid-Related DisordersAnalgesics, OpioidFemaleHumansInfant, NewbornLength of StayMorphinePregnancyRetrospective StudiesAnalgesics, OpioidMorphineHealth equityIncarcerationNeonatal abstinence syndromeOpioid abusePregnant women

Identifiers

PMID35088297
OpenAlexW4210521036

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.