Upload File

prevalence of drug use in west virginia pregnancies david chaffin, md

  • Home
  • Documents
  • Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD
20
Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

Upload: marybeth-clarke

Post on 17-Jan-2016

218 views

Category:

Documents


0 download

Report

Tags:

TRANSCRIPT

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

Prevalence of Drug Use in West Virginia Pregnancies

David Chaffin, MD

Page 2: 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

Page 3: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

Selena Johe

Page 4: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

Co-Conspirators

Michael Stitely, MD - WVUByron Calhoun, MD - WVU CharlestonStefan Maxwell, MD - Pediatrix Charleston

Page 5: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

We Have a Problem

Page 6: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

I have no clue about what to do about it.

Page 7: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

Background

Range of reported incidence of drug use in pregnancy 10-14%

Dependence on data collection Survey Samples with consent Anonymous sampling

Page 8: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

Rising incidence of NAS

25

21

48

52

70

0

10

20

30

40

50

60

70

2003 2004 2005 2006 2007

Page 9: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

Participating Hospitals

Bluefield Regional (BRMC)Raleigh General (RGH)Thomas Memorial (TMH)Charleston Area Medical Ctr (CAMC)Cabell Huntington HospitalRuby Memorial Hospital (RMH)Wheeling Hospital (WH)City Hospital Martinsburg (CH)

Page 10: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

USDTL CordStat

Drug Class Test Method Cutoff 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

Page 11: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

Study Limitations

No other informationNo account for legal use

Page 12: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

Final Result

146 of 759 cord samples positive for drugs or alcohol

Page 13: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

759 Samples: Drugs + Alcohol

BRMC 50 samples 16%RGH 83 20TMH 59 19CAMC 133 22CHH 245 18RMH 52 17WH 65 28CH 72 13

Page 14: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

759 Samples: Drugs + Alcohol

Drugs AlcoholBRMC 14 % 4%RGH 19 2TMH 10 8CAMC 16 8CHH 17 1RMH 13 4WH 12 15CH 10 5

Page 15: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

USDTL CordStat

Drug Class Number Amphetamines 1 Cocaines 0 Opiates 41 Cannabinoids 58 Benzodiazepines 17 Methadones 14 Buprenorphine 0 Alcohol 39

Page 16: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

Distribution of Drugs

Opiates

24%

THC

35%

Benzos

10%

Methadone

8%

EtOH

23%

Page 17: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

Polysubstance abuse

0

5

10

15

20

25

30

Page 18: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

CHH Neonates vs Cord Study

05

10152025303540

Number affected

AmphetaminesBenzodiazepines

CocaineMarijuanaMethadoneOpiatesAlcohol

Mother Cord

Page 19: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

Lessons

1 in 5 babies in WV exposed to drugs or alcohol

Polypharmacy is commonThere are regional distributions of drug

use

Page 20: Prevalence of Drug Use in West Virginia Pregnancies David Chaffin, MD

We have a problem


All About the Industry! Amanda Chaffin Ph. D. Student

หวขั้อการนําเสนอ · High prevalence (> 1.5 cases per 10,000 pregnancies): screen with high-performance liquid chromatography (HPLC) Low prevalence

Chaffin HPE Evals

ECTOPIC PREGNANCIES - MANAGEMENT

Multiple pregnancies

Reported Pregnancies and Pregnancy Rates · Reported Pregnancies and Pregnancy Rates in the District of Columbia, 2009 - 2013 Introduction This report provides statistics on the pregnancies

Balsamo Public Pregnancies

Adolescent pregnancies in Botswana!!!!!

Harmful Algal Blooms in Lake Erie ·  · 2015-07-20Harmful Algal Blooms in Lake Erie Justin Chaffin, PhD Stone Laboratory, Ohio Sea Grant [email protected]

…  · Web view30Good Friday. 1Brenden Chaffin. 1Zach Chaffin. ... This is a visit with Christian love as a ways to maintain contact with ... “I’m spiritual but not part of

Management and women’s experiences of pregnancies …globally occur in pregnancies lasting ≥42+0 gestational weeks i.e. postterm pregnancies (Lawn et al., 2016). There is insufficient

Sheepy Cornersheepycorner.com/wp-content/uploads/2012/11/Fell...JAMES/LOLA CHAFFIN VESPER, WI IMP.QUEEN ABC 197083 LOLA L. CHAFFIN VESPER, WI # DUNEDIN GEM ISDS 221683 J. BRENNAN NO.IRELAND,

CHAFFIN CV 7-09 · 2012-03-04 · Page 2 Don B. Chaffin SPECIFIC CONTRIBUTIONS TO CLASSROOM OR LABORATORY INSTRUCTION AT BOTH GRADUATE AND UNDERGRADUATE LEVEL Introduced (taught and

Another conversation with Ned Chaffin

Practical Implications for Gestational Diabetes · PDF fileCurrently 7-14% of pregnancies are complicated by gestational diabetes. Prevalence in the US has increased in the last decade.11

Induction of Labour at 40 weeks in ART Pregnancies...pregnancies after natural conception has been reported. Most studies only include IVF/ICSI pregnancies, studies describing the

Abnormal Early Pregnancies

Reported Pregnancies and Pregnancy Rates

1 in 550 Pregnancies - cs.stanford.edu

MICHAEL R. BRADEN, Petitioner · MICHAEL R. BRADEN, Petitioner, v. MARK N. CHAFFIN, Patent Owner _____ U.S. Patent No. 6,932,912 to Chaffin Issue Date: August 23, 2005 Title: WASTEWATE

A Conversation with Ned Chaffin - NPS.gov

Amanda Chaffin Ph. D. Student Games + Learning Lab

Ethics in Abnormal Pregnancies

Chapter 19 unexpected pregnancies

Another conversation with Ned Chaffin - National Park Service · Another conversation with Ned Chaffin The following is the transcription of an Oral History Interview with Ned Chaffin

Molar Pregnancies

15a.Abnormal Early Pregnancies

Chaffin Imreh Practicing Perfection

Chaffin Final CQI

Prevalence of Drug Use in West Virginia Pregnancies

Twin Pregnancies—A BrighterPicture

Healthy Pregnancies

Managemant of Prolonged Pregnancies

Dynamics of cyanobacterial bloom formation Justin Chaffin Ph.D. F.T. Stone Laboratory Ohio Sea Grant The Ohio State University [email protected] HABs

Ben Chaffin Chaffin Farms Ithaca, Michigan · 2020-01-06 · resents any region, typically composed of grassland and cropland. Food pro-duction consists of crops, conned livestock