Evidence of gestational heroin exposure by comparative analysis of fetal and maternal body fluids, tissues, and hair in a heroin-related death.

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Evidence of gestational heroin exposure by comparative analysis of fetal and maternal body fluids, tissues, and hair in a heroin-related death. / Iwersen-Bergmann, Stefanie; Schmoldt, A; Schulz, F; Püschel, K.

in: J ANAL TOXICOL, Jahrgang 22, Nr. 4, 4, 1998, S. 296-298.

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@article{a94ca836d3de45c589aea5cc5f80780d,
title = "Evidence of gestational heroin exposure by comparative analysis of fetal and maternal body fluids, tissues, and hair in a heroin-related death.",
abstract = "In order to determine the fetal-maternal distribution of heroin and its main metabolites (6-monoacetylmorphine and morphine) the drug concentrations were measured in autopsy material. The heroin-related death of a pregnant drug abuser (approximately the 32nd week of gestation) provided the fetal and maternal material. Fetal and maternal hair was analyzed in order to obtain long-term information on the transplacental opiate transfer. Morphine and 6-monoacetylmorphine were detected in toxic concentrations in maternal as well as in fetal tissues and body fluids. The drug concentrations in the fetal blood were significantly lower than in the maternal blood. The ratio of fetal-to-maternal (F/M) blood morphine concentration was found to be 0.39, whereas the F/M ratio of 6-monoacetylmorphine in blood was 0.15. In fetal hair analysis, morphine, heroin, and, for the first time, 6-monoacetylmorphine were measured. The resulting F/M ratios were 0.49, 0.36, and 0.6, respectively.",
keywords = "Adult, Humans, Female, Pregnancy, Autopsy, *Maternal-Fetal Exchange, Fetus/chemistry, Hair/chemistry, Heroin/*analysis/toxicity, Morphine/analysis, Morphine Derivatives/analysis, Narcotics/*analysis/toxicity, Substance-Related Disorders/diagnosis, Adult, Humans, Female, Pregnancy, Autopsy, *Maternal-Fetal Exchange, Fetus/chemistry, Hair/chemistry, Heroin/*analysis/toxicity, Morphine/analysis, Morphine Derivatives/analysis, Narcotics/*analysis/toxicity, Substance-Related Disorders/diagnosis",
author = "Stefanie Iwersen-Bergmann and A Schmoldt and F Schulz and K P{\"u}schel",
year = "1998",
doi = "10.1093/jat/22.4.296",
language = "English",
volume = "22",
pages = "296--298",
journal = "J ANAL TOXICOL",
issn = "0146-4760",
publisher = "Preston Publications",
number = "4",

}

RIS

TY - JOUR

T1 - Evidence of gestational heroin exposure by comparative analysis of fetal and maternal body fluids, tissues, and hair in a heroin-related death.

AU - Iwersen-Bergmann, Stefanie

AU - Schmoldt, A

AU - Schulz, F

AU - Püschel, K

PY - 1998

Y1 - 1998

N2 - In order to determine the fetal-maternal distribution of heroin and its main metabolites (6-monoacetylmorphine and morphine) the drug concentrations were measured in autopsy material. The heroin-related death of a pregnant drug abuser (approximately the 32nd week of gestation) provided the fetal and maternal material. Fetal and maternal hair was analyzed in order to obtain long-term information on the transplacental opiate transfer. Morphine and 6-monoacetylmorphine were detected in toxic concentrations in maternal as well as in fetal tissues and body fluids. The drug concentrations in the fetal blood were significantly lower than in the maternal blood. The ratio of fetal-to-maternal (F/M) blood morphine concentration was found to be 0.39, whereas the F/M ratio of 6-monoacetylmorphine in blood was 0.15. In fetal hair analysis, morphine, heroin, and, for the first time, 6-monoacetylmorphine were measured. The resulting F/M ratios were 0.49, 0.36, and 0.6, respectively.

AB - In order to determine the fetal-maternal distribution of heroin and its main metabolites (6-monoacetylmorphine and morphine) the drug concentrations were measured in autopsy material. The heroin-related death of a pregnant drug abuser (approximately the 32nd week of gestation) provided the fetal and maternal material. Fetal and maternal hair was analyzed in order to obtain long-term information on the transplacental opiate transfer. Morphine and 6-monoacetylmorphine were detected in toxic concentrations in maternal as well as in fetal tissues and body fluids. The drug concentrations in the fetal blood were significantly lower than in the maternal blood. The ratio of fetal-to-maternal (F/M) blood morphine concentration was found to be 0.39, whereas the F/M ratio of 6-monoacetylmorphine in blood was 0.15. In fetal hair analysis, morphine, heroin, and, for the first time, 6-monoacetylmorphine were measured. The resulting F/M ratios were 0.49, 0.36, and 0.6, respectively.

KW - Adult

KW - Humans

KW - Female

KW - Pregnancy

KW - Autopsy

KW - Maternal-Fetal Exchange

KW - Fetus/chemistry

KW - Hair/chemistry

KW - Heroin/analysis/toxicity

KW - Morphine/analysis

KW - Morphine Derivatives/analysis

KW - Narcotics/analysis/toxicity

KW - Substance-Related Disorders/diagnosis

KW - Adult

KW - Humans

KW - Female

KW - Pregnancy

KW - Autopsy

KW - Maternal-Fetal Exchange

KW - Fetus/chemistry

KW - Hair/chemistry

KW - Heroin/analysis/toxicity

KW - Morphine/analysis

KW - Morphine Derivatives/analysis

KW - Narcotics/analysis/toxicity

KW - Substance-Related Disorders/diagnosis

U2 - 10.1093/jat/22.4.296

DO - 10.1093/jat/22.4.296

M3 - SCORING: Journal article

VL - 22

SP - 296

EP - 298

JO - J ANAL TOXICOL

JF - J ANAL TOXICOL

SN - 0146-4760

IS - 4

M1 - 4

ER -