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Infancy and Early Childhood Development of Drug Addicted Children

While in the womb fetus is in the it feeds off the food intake and nourishment through the

placenta, which also means that any substances such as drugs, alcohol or tobacco that enters the

mothers system flows through the placenta and is delivered to the fetus as well. From birth to three

years old is the most critical period in a child’s development process. Children of mothers that use

drugs while they are pregnant increase the likelihood that the child will suffer from some form of

birth defect and oftentimes born prematurely. The lasting effects of prenatal cocaine affect the

growth of the fetus physically. The results of the increase of premature birth, and generalized growth

retardation including decreased birth weight, shorter body length, and smaller head circumference

(Bigsby et al, 2011; Covington et al, 2002; Gouin et al, 2011; Mayes et al, 2003). 

These toxic chemicals can sometimes have irreversible damage that affect the child’s normal

development process with regards to proper development of organs and brain function.

From the ages of 0-2 months old a child are expected to have develop motor skills that would

include the ability to recognize different colors and shapes, kicking waving, have the ability to

recognize familiar voices and their sleeping patterns would change, meaning that as they grow older

children should be sleeping a little longer than a new born baby. Children from the ages of 2

months old should be able to extend their arm and reach and pick up toys and other objects,

hand coordination by shifting objects from one hand to another. The child should be able to pick up

finger food and bring it to their mouths. Identifying a problem with a child is when they are not able

to perform these age appropriate task.

A toddler ages 3 to 5 years old should be able to perform task such as holding crayons drawing horizontal lines, circles and have the ability to fold and snip paper with scissors. Children that have been exposed to substance may struggle with completing these tasks or will develop these cognitive skills at a slower rate. One study using play behavior (Rodning, Beckwith, & Howard, 1989a) found that preterm toddlers exposed to cocaine

and other drugs to show poorly developed play behaviors, and a lack of interest and motivation in

unstructured situations, in comparison to a group of high risk preterm children. Using play behavior,

one study found preterm toddlers exposed to cocaine and other drugs to show poorly. However, by

3 years of age, there were no changes associated with fine motor performance or behavior observed

with the child externalizing behavioral problems at age 5 years old. Stress and psychological

symptoms of caregivers were found to be in direct correlation with increased child behavioral issues;

indicating that the effected children may have more difficulties negotiating the increasing complex

academic and social demands of school-age children (LaGasse et al, 2012; Twomey et al, 2013).

A study in Florida conducted a study of 715 pregnant women who had positive urine results of

Black women treated at public clinics among White who were treated in private offices.

The frequency of positive toxicology results were similar, however Black women resulted in a high

use of cocaine oppose to White women who used marijuana, however Black women are more likely

to be reported to Child Protective Services than White women. Effective treatment is used when a

women comes in the prenatal treatment to detect drug use. “Despite Black women having

alcohol/drug use identified by prenatal care providers at similar rates to White women and entering

treatment more than expected, Black newborns were 4 times more likely than White newborns to be

reported to CPS at delivery”.

References

Perreira, K. M., & Cortes, K. E. (2006). Race/ethnicity and nativity differences in alcohol

and tobacco use during pregnancy. American journal of public health96(9), 1629-36.

Kenner, Carole & D'Apolito, Karen. (1997). Outcomes for Children Exposed to Drugs In Utero. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 26. 595 - 603. 10.1111/j.1552-6909.1997.tb02163.x.

Roberts, S. C., & Nuru-Jeter, A. (2012). Universal screening for alcohol and drug use and racial disparities in child protective services reporting. The journal of behavioral health services & research39(1), 3-16.