Dear All
Our maternity unit has a child (term baby) born to a cocaine using mother.
Two days post natal the baby had cocaine and its metabolites
present in its urine.
My questions are A) is cocaine metabolism in the neonate sufficiently slow
to allow parent drug to be still present two days after placental transfer,
or B) is the mother still taking cocaine and passing it on to baby via
breast milk? My guess is B), but I know little of neonatal cocaine
metabolism.
The child is now one week old and we have asked for a second sample to
check.
Thanks in anticipation
Paul Robinson
Royal Berkshire Hospital
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