Maternal Opioid Use Disorder and the Risk of Postneonatal Infant Mortality

Original research
by
Grossarth, Sarah et al

Release Date

2023

Geography

USA

Language of Resource

English

Full Text Available

No

Open Access / OK to Reproduce

No

Peer Reviewed

Yes

Objective

To characterize the risk of postneonatal infant mortality among infants with a neonatal opioid withdrawal syndrome (NOWS) diagnosis or born to individuals with opioid use disorder (OUD).

Findings/Key points

The study team observed 1317 postneonatal infant deaths and incidence rates of 3.47 (OUD negative/NOWS negative, 375 718), 8.41 (OUD positive/NOWS positive, 4922); 8.95 (OUD positive/NOWS negative, 7196), and 9.25 (OUD negative/NOWS positive, 2239) per 1000 person-years. After adjustment, the risk of postneonatal death was elevated for all groups, relative to the unexposed: OUD positive/NOWS positive, OUD positive/NOWS negative, and OUD negative/NOWS positive.

Design/methods

Retrospective cohort study (n=390 075)

Keywords

Mortality
Parents/caregivers
Outcomes