Updated National Medical Protocol - 2009 

Resources

• Screening for Perinatal Illicit Drug Exposure  The Iowa Perinatal Letter, July 2008 - Statewide Screening, Testing, and Intervention Standard for Perinatal Illicit Drug Exposure.  Link to the Iowa 2008 Guidelines for Perinatal Services.

• Rizwan Shah, M.D., FAAP, Drug Endangered Children: The Medical Effects Regional Child Protection Center, Blank Children's Hospital CPC, Des Moines, Iowa and President, Iowa Chapter of the American Academy of Pediatrics.

• Resmiye Oral, M.D., Drug Endangered Children and Neo-Natal Screening director of the Child Protection Program at the University of Iowa Childrens Hospital of Iowa, at Iowa City, Iowa.

• Ed Bottei, M.D.Health Hazards of a Clandestine Methamphetamine Laboratory Medical Director of the Iowa Statewide Poison Control Center, State Medical Toxicologist for the Iowa Department of Public Health, and Clinical Assistant Professor of Pulmonary and Critical Care Medicine at The University of Iowa.

• "In spite of all we do know about the potential effects of methamphetamine production on the community, there is still much that we dont know."  Read Dr. John Martyny's Testimony before Congress regarding the need for research concerning specific exposure hazards associated with illegal methamphetamine manufacture.  He testified, "If the exposures encountered in methamphetamine laboratories are not known, then it is difficult to properly educate personnel about the risks they may encounter when entering an illegal laboratory...Information regarding long-term effects in children is especially needed, since the knowledge of potential physiologic and psychological conditions resulting from these exposures in children may help in our treatment for these individuals."

• Kathy Wells, M.D., Assorted Papers on Drug Endangered Children, Homepage. Online: http://www.colodec.org

• Neonatal Abstinence Syndrome - Neonatal abstinence syndrome (NAS) is a group of problems that occur in a newborn who had been exposed to drugs while in the mother’s womb.  There are a number of Internet resources devoted to this issue.   
  • http://emedicine.medscape.com/article/978763-overview
  • http://www.healthsystem.virginia.edu/uvahealth/peds_hrnewborn/nas.cfm
  • http://www.nlm.nih.gov/medlineplus/ency/article/007313.htm

• Fetal Alcohol Spectrum Disorders (FASD)- FASD is an umbrella term describing the range of effects that can occur in an individual whose mother drank alcohol during pregnancy. These effects may include physical, mental, behavioral, and/or learning disabilities with possible lifelong implications. Learn more at the Fetal Alcohol Sepcturm Disorders Center for Excellence (a service of the Substance Abuse and Mental Health Services Administration) - http://www.fascenter.samhsa.gov/