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Paediatric Environmental Health Speciality Unit.
Psychology of Children and Adolescents.
Paediatrics Service. Laboratory Environment and
Human Health. IMIB. Clinical Universitary Hospital
Virgen de la Arrixaca, Murcia, Spain
PROGRAMA NACER Y CRECER SIN OH:
AN INNOVATING MODEL FOR PREVENTING AND
MANAGING THE NEURODEVELOPMENTAL DISORDERS
CAUSED BY ALCOHOL AND DRUG PRENATAL
EXPOSURE IN A MEDITERRANIAN REGION
8th INTERNATIONAL NETWORK ON CHILDREN´S
HEALTH, ENVIROMENT AND SAFETY
Azurmendi Funes M.L., Tobarra Sánchez E.,
Sánchez Sauco M.F., Cárceles Alvarez A.,
Campillo i López F., Jaimes Vega D.C,
Pernas Barahona A., Saura Martínez I.,
Orozco Llamas M.A., Ortega García J.A
BIRTH AND GROWTH
WITHOUT OH
INTRODUCTION
BIRTH AND GROWTH
WITHOUT OH:
BIRTH AND GROWTH
WITHOUT OH:
Birth and without OH is a comprehensive
program of prevention, reduction of harm and
management of neurobehavioral disorders
associated with prenatal exposure to alcohol
and other drugs through the pediatric
environmental health from the beginning of
pregnancy until the end of adolescence.
Nacer sin OH=
Birth without OH
Nacer y crecer sin OH=
Birth and growth without OH
BIRTH AND GROWTH
WITHOUT OH
OBJETIVES
PREVENT AND REDUCE DAMAGE FROM
EXPOSURE TO ALCOHOL AND OTHER
DRUGS DURING CRITICAL PERIODS OF
DEVELOPMENT (PERICONCEPTIONAL
UNTIL THE END OF ADOLESCENCE).
INCREASE THE NUMBER OF HEALTHY
PREGNANCIES FROM EARLY PREGNANCY
IN REGION OF MURCIA, SPAIN.
OBJETIVES
EMPOWER PREGNANT COUPLES AND
TEENAGERS, NOT TO DRINK OR USE
OTHER DRUGS, THROUGH THE CREATION
OF HEALTHIER ENVIRONMENTS FROM THE
PERSPECTIVE OF HUMAN ECOLOGY
IMPROVE ACADEMIC PERFORMANCE AND
SOCIAL INTEGRATION OF CHILDREN / AND
ADOLESCENTS AFFECTED BY PRENATAL
EXPOSURE TO ALCOHOL AND OTHER
DRUGS IN THE REGION OF MURCIA, SPAIN
BIRTH AND GROWTH
WITHOUT OH
BIRTH AND GROWTH WITHOUT OH: 3 PARTS
BIRTH AND GROWTH
WITHOUT OH
PRENATAL
HOJA VERDE
HOJA VERDE
CAMPAIGNS
CAMPAIGNS
MOBILE APP MHEALTH
MOBILE APP MHEALTH
BORN WITHOUT OH: 3 PARTS
BIRTH AND GROWTH
WITOUT OH
NEONATAL
LEAFLETS ON ALCOHOL AND PREGNANCY
LEAFLETS ON ALCOHOL AND PREGNANCY
FOREST FOR HEALTH CAMPAIGN
FOREST FOR HEALTH CAMPAIGN
BORN WITHOUT OH: 3 PARTS
BIRTH AND GROWTH
WITOUT OH
POSTNATAL
(childhood-
adolescence)
GOOD ENVIROMENTAL HEALTH PRACTICES
GOOD ENVIROMENTAL HEALTH PRACTICES
CONTEST HIGH SCHOOL
CONTEST HIGH SCHOOL
VISITS TO FOREST HEALTH
VISITS TO FOREST HEALTH
MATERIAL AND METHODS
BEGINNING IN 2009 AT THE UNIVERSITARY CLINICAL HOSPITAL
VIRGEN DE LA ARRIXACA (MURCIA, SPAIN).
IMPLEMENTATION IN HOSPITAL CARE AND PRIMARY
CARE OF THE HOJA VERDE: A SET OF BASIC AND
CONCISE QUESTIONS TO WOMEN IN THE 1ST
TRIMESTER OF PREGNANCY TO DETECT THE
ENVIRONMENTAL RISK FACTORS RELATED TO
ALCOHOL AND OTHER DRUGS AMONG OTHERS
ENVIROMENTAL RISK FACTORS (socioeconomic,
obstetric-reproductive history, ionizing radiation, drugs,
occupational exposures, legal and illegal drugs, hobbies
of chemical risk, pesticide exposure)
LA HOJA VERDE
BIRTH AND GROWTH
WITOUT OH
Those with high-risk criteria by
prenatal exposure to alcohol and
other drugs proceed to a follow-up
program called ELIJO MAS SANO:
early and comprehensive
intervention for the management and
monitoring of pregnant women and /
or children at risk of Fetal Alcohol
Spectrum Disorders (FASD).
ELIJO MAS SANO REGISTRY
INCLUSION CRITERIA
(periconceptional, gestation or
lactation stages)
> 20 g/day ALCOHOL
3 INCIDENTS OF BINGE
DRINKING OF ≥ 40 g/day
FETAL EXPOSURE TO ANY ILLEGAL
DRUG IN LEAST ONCE A WEEK
BIRTH AND GROWTH
WITOUT OH
CHOOSE HEALTHIER REGISTRY=
REGISTRO ELIJO MAS SANO
CHOOSE HEALTHIER REGISTRY=
REGISTRO ELIJO MAS SANO
ELIJO MAS SANO: AN EARLY
INTERVENTION PROGRAM
BIRTH AND GROWTH
WITOUT OH
POSSIBLE ACTIONS
POSSIBLE ACTIONS
INDIVIDUALIZED INTERVENTION OF HARM REDUTION
BIRTH AND GROWTH
WITOUT OH
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1
2
3
4
5
RESULTS
BIRTH AND GROWTH
WITOUT OH
3600 GREEN LEAVES MADE
TRACKING 212 CHILDREN OF HIGH ENVIRONMENTAL RISK IN
ELIJO MAS SANO PROGRAM.
COMMISSIONING OF THE HOJA VERDE APP.
FOREST HEALTH CAMPAIGN: MORE THAN 870 SEEDLINGS
PLANTED IN NOVEMBER 2015
SIGNIFICANT DECREASE (P <0.05) OF WOMEN WHO DRINK
SOME ALCOHOL IN EARLY PREGNANCY AND THE AMOUNT OF
ALCOHOL IN THE COUPLE.
RESULTS
BIRTH AND GROWTH
WITOUT OH
DECREASE IN THE NUMBER OF NEWBORNS WITH CONGENITAL
HEART DISEASE ASSOCIATED WITH INTRAUTERINE EXPOSURE
TO ETHANOL CONTROLLED BY THE NUMBER OF BIRTHS AND
ABORTIONS.
6 CHILDREN DIAGNOSED WITH FETAL ALCOHOL SYNDROME
BORN IN THE FIRST 1500 PREGNANT COUPLES.
CONCLUSIONS
BIRTH AND GROWTH
WITOUT OH
The program of prevention and harm reduction by intrauterine exposure
to alcohol and other drugs has been implemented with good preliminary
results:
REDUCING THE CONSUMPTION OF ALCOHOL DURING PREGNANCY
DECREASED CONGENITAL HEART DISEASES RELATED TO INTRAUTERINE EXPOSURE TO
ALCOHOL
REGISTRATION OF SYNDROMES AND ALCOHOL-RELATED BIRTH DEFECTS
YOU CAN FOLLOW US ON OUR BLOG!!!!!
BIRTH AND GROWTH
WITOUT OH
http://www.pehsu.org/wp
8th CONFERENCE
BARCELONA
14-16th SEPTEMBER 2016
•Mount Sinai International Exchange Program for
Minority Students (grant MD001452) from the
national Center on Minority Health and Health
Disparities of the U.S. National Institutes of Health
•Nacer y Crecer sin OH Program Regional
cordination of DG Public Health and Drug
Addiction, The Regional Ministry of Health, Murcia,
Spanish National Plan on Drugs , Ministry of
Health, Social Services and Equality, Madrid,
Spain.
ACKNOWLEDGMENTS