<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1683-9803</journal-id>
<journal-title><![CDATA[Pediatría (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[Pediatr. (Asunción)]]></abbrev-journal-title>
<issn>1683-9803</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1683-98032022000100057</article-id>
<article-id pub-id-type="doi">10.31698/ped.49012022008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Recién nacidos hijos de madres adictas. Formas de presentación: no todo se trata de síndrome de abstinencia]]></article-title>
<article-title xml:lang="en"><![CDATA[Newborns born to mothers with substance abuse. Forms of presentation: not everything is about withdrawal syndrome]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz Cuquejo]]></surname>
<given-names><![CDATA[Lidia María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correa]]></surname>
<given-names><![CDATA[Angélica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Samudio Domínguez]]></surname>
<given-names><![CDATA[Gloria Celeste]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vera Quintana]]></surname>
<given-names><![CDATA[Luis María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brítez Martínez]]></surname>
<given-names><![CDATA[Ilsa Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Hospital General Barrio Obrero ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<volume>49</volume>
<numero>1</numero>
<fpage>57</fpage>
<lpage>61</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1683-98032022000100057&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1683-98032022000100057&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1683-98032022000100057&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El consumo de drogas ilegales por la mujer gestante puede ocasionar morbilidades potencialmente graves en el feto y recién nacido. Las manifestaciones en el niño pueden ser diversas, por lo que es necesario un alto índice de sospecha a fin de realizar el diagnóstico y tratamiento apropiados. Se presentan tres casos de recién nacidos, hijos de madres adictas, con variadas expresiones clínicas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Illegal drug consumption by pregnant women can cause potentially serious morbidities in the fetus and newborn. Manifestations in children can be diverse, so a high index of suspicion is necessary in order to appropriately diagnose and treat this condition. Three cases of newborns, born to mothers with substance-abuse disorder, with various clinical presentations are reviewed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[madre adicta]]></kwd>
<kwd lng="es"><![CDATA[hijos de madre toxicómana]]></kwd>
<kwd lng="es"><![CDATA[síndrome de abstinencia]]></kwd>
<kwd lng="es"><![CDATA[droga en leche materna]]></kwd>
<kwd lng="en"><![CDATA[addicted mother]]></kwd>
<kwd lng="en"><![CDATA[children of a drug addict mother]]></kwd>
<kwd lng="en"><![CDATA[withdrawal syndrome]]></kwd>
<kwd lng="en"><![CDATA[drug in breast milk]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bailey]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
<name>
<surname><![CDATA[Diaz-Barbosa]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effect of Maternal Substance Abuse on the Fetus, Neonate, and Child]]></article-title>
<source><![CDATA[Pediatr Rev]]></source>
<year>2018</year>
<volume>39</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>550-9</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<collab>SENAD</collab>
<source><![CDATA[Informe Nacional: situación de drogas en Paraguay 2017]]></source>
<year>2018</year>
<publisher-name><![CDATA[SENAD]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hudak]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
<name>
<surname><![CDATA[Tan]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neonatal drug withdrawal]]></article-title>
<collab>Committee on DrugsCommittee on Fetus and NewbornAmerican Academy of Pediatrics</collab>
<source><![CDATA[Pediatrics]]></source>
<year>2012</year>
<volume>129</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>e540-60</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Raffaeli]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Cavallaro]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Allegaert]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Wildschut]]></surname>
<given-names><![CDATA[ED]]></given-names>
</name>
<name>
<surname><![CDATA[Fumagalli]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Agosti]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neonatal Abstinence Syndrome Update on Diagnostic and Therapeutic Strategies]]></article-title>
<source><![CDATA[Pharmacotherapy]]></source>
<year>2017</year>
<volume>37</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>814-23</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<collab>Academia Española de Pediatría</collab>
<source><![CDATA[Protocolos Diagnóstico Terapeúticos de la AEP: Neonatología Abuso de tóxicos y gestación]]></source>
<year>2008</year>
<publisher-loc><![CDATA[Hospital Universitario del Mar ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Autónoma]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Berra]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kamo]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Mohnot]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rosselot]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Suire]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Stafford]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Association Between Antenatal Maternal Self-reported Substance Use, Maternal Characteristics, and Obstetrical Variables]]></article-title>
<source><![CDATA[J Addict Med]]></source>
<year>2019</year>
<volume>13</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>464-9</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gutiérrez-Padilla]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Padilla-Muñoz]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Gutiérrez-González]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Barrera-de León]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Aguirre-Jáuregui]]></surname>
<given-names><![CDATA[OM]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-Verónica]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evolución clínica de hijos de madres con adicciones internados en una unidad de terapia intensiva neonatal del Occidente de México Ginecol Obstet]]></article-title>
<source><![CDATA[Mex]]></source>
<year>2014</year>
<volume>82</volume>
<page-range>441-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bell]]></surname>
<given-names><![CDATA[SG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Drug Screening in Neonates]]></article-title>
<source><![CDATA[Neonatal Netw]]></source>
<year>2016</year>
<volume>35</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>321-6</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guillén Godoy]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Parrales Yagual]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Quinteros Vera]]></surname>
<given-names><![CDATA[JV]]></given-names>
</name>
</person-group>
<source><![CDATA[Complicaciones Perinatales por el consumo de Drogas durante la Gestación]]></source>
<year>2018</year>
<publisher-loc><![CDATA[Ecuador ]]></publisher-loc>
<publisher-name><![CDATA[Facultad de Ciencias de la Salud, Universidad Estatal de Milagro]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stover]]></surname>
<given-names><![CDATA[MW]]></given-names>
</name>
<name>
<surname><![CDATA[Davis]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Opioids in pregnancy and neonatal abstinence syndrome]]></article-title>
<source><![CDATA[Semin Perinatol]]></source>
<year>2015</year>
<volume>39</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>561-5</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schreiter]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Vogel]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kiep]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Thome]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Bläser]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Nickel]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Die kognitive, sprachliche und motorische Entwicklung pränatal methamphetamin- und opioid-exponierter Kinder]]></article-title>
<source><![CDATA[Klin Padiatr]]></source>
<year>2019</year>
<volume>231</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>262-8</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Piñuñuri]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Mardones]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Valenzuela]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Estay]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Llanos]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Exposition to drugs of abuse in pregnancy and breastfed babies growth in CONIN Valparaíso, Chile]]></article-title>
<source><![CDATA[Nutr Hosp]]></source>
<year>2015</year>
<volume>31</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>2070-8</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Joya]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Pacifici]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Salat-Batlle]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia-Algar]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Pichini]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal and neonatal hair and breast milk in the assessment of perinatal exposure to drugs of abuse]]></article-title>
<source><![CDATA[Bioanalysis]]></source>
<year>2015</year>
<volume>7</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1273-97</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Modernel Xavier]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Calcagno Gomes]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Portella Ribeiro]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Soares Mota]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Quadros Alvarez]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Use of crack in pregnancy repercussions for the newborn]]></article-title>
<source><![CDATA[Invest Educ Enferm]]></source>
<year>2017</year>
<volume>35</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>X</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McGovern]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gilvarry]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Addison]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Alderson]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Geijer-Simpson]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Lingam]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Association Between Adverse Child Health, Psychological, Educational and Social Outcomes, and Nondependent Parental Substance A Rapid Evidence Assessment]]></article-title>
<source><![CDATA[Trauma Violence Abuse]]></source>
<year>2020</year>
<volume>21</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>470-83</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dos Santos]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal, fetal and neonatal consequences associated with the use of crack cocaine during the gestational period a systematic review and meta-analysis]]></article-title>
<collab>de Melo Bastos Cavalcante C.Barbosa FT.Gitaí DLG.Duzzioni M.Tilelli CQ</collab>
<source><![CDATA[Arch Gynecol Obstet]]></source>
<year>2018</year>
<volume>298</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>487-503</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
