Abstract

The effect of prenatal cocaine exposure on the neuromotor outcome of infants has been investigated through animal research, neurophysiological studies of neonates, and longitudinal follow-up of exposed infants. The inconsistency in reported findings may reflect methodological problems as well as variations among study populations and individual infants. Several studies using the Movement Assessment of Infants (MAI) have reported significant differences in motor performance at four months of age in infants who were cocaine-exposed prenatally, but specific clinical findings vary. A review of relevant work is presented here with a discussion of issues and variables which must be considered in an evaluation of the neuromotor consequences of intrauterine cocaine exposure for the developing infant.

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