{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T07:17:26Z","timestamp":1773299846435,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,4,4]],"date-time":"2012-04-04T00:00:00Z","timestamp":1333497600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim:\u2002<\/jats:bold> To study the relations between postnatal maternal morbidity, child morbidity and welfare interventions in families with prenatal alcohol or substance abuse.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> A register\u2010based longitudinal retrospective cohort study. The exposed cohort included 638 children born to 524 women followed\u2010up during pregnancy for alcohol or substance abuse 1992\u20132001. Non\u2010exposed children (n\u2003=\u20031914) born to control women were matched for maternal age, parity, number of foetuses, month of birth and delivery hospital of the index child. Perinatal and follow\u2010up data of both cohorts were collected from national registers until 2007.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> Postnatal maternal abuse\u2010related healthcare utilization and use of medication were associated with child out\u2010of\u2010home care. Significant differences were in particular observed in the categories of maternal mental and behavioural disorders caused by psychoactive substance use as well as injury and poisoning. Maternal inpatient care for mental and behavioural disorders peaked at the time of child out\u2010of\u2010home care. Maternal abuse\u2010related healthcare utilization was associated with early child healthcare utilization and use of medication for mental and behavioural disorders. These associations were largely explained by the association with child out\u2010of\u2010home care.<\/jats:p><jats:p><jats:bold>Conclusions:\u2002<\/jats:bold> Postnatal maternal abuse\u2010related morbidity is associated with significant early child morbidity, use of medication and timing of out\u2010of\u2010home care.<\/jats:p>","DOI":"10.1111\/j.1651-2227.2012.02670.x","type":"journal-article","created":{"date-parts":[[2012,3,16]],"date-time":"2012-03-16T22:49:10Z","timestamp":1331938150000},"page":"784-790","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Alcohol and substance abuse identified during pregnancy: maternal morbidity, child morbidity and welfare interventions"],"prefix":"10.1111","volume":"101","author":[{"given":"Taisto","family":"Sarkola","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mika","family":"Gissler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanna","family":"Kahila","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilona","family":"Autti\u2010R\u00e4m\u00f6","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erja","family":"Halmesm\u00e4ki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,4,4]]},"reference":[{"key":"e_1_2_8_2_2","volume-title":"Yearbook of alcohol and drug statistics 2010","author":"National Institute for Health and Welfare","year":"2009"},{"key":"e_1_2_8_3_2","volume-title":"Child welfare 2009. 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