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Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 1992 Apr;84(4):315–319.

Autism and developmental abnormalities in children with perinatal cocaine exposure.

E Davis 1, I Fennoy 1, D Laraque 1, N Kanem 1, G Brown 1, J Mitchell 1
PMCID: PMC2637680  PMID: 1380564

Abstract

Cocaine in all forms is the number one illicit drug of choice among pregnant women. Records of 70 children with cocaine exposure in utero who were referred for developmental evaluation at a large inner-city hospital were reviewed in an effort to determine whether a specific pattern of abnormalities could be discerned. Patients received physical examinations, neurological screenings, and behavioral and developmental assessments based on the Gesell Developmental Inventory, and the Denver Developmental Screening Test. Documentation of specified drug use was obtained by history. Mean age (SEM) at referral was 19.2 (1.7) months. All mothers used cocaine in one of its forms, although polydrug use was common. Growth parameters were low (median = 15th percentile). Significant neurodevelopmental abnormalities were observed, including language delay in 94% of the children and an extremely high frequency of autism (11.4%). The high rate of autistic disorders not known to occur in children exposed to alcohol or opiates alone suggests specific cocaine effects.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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