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The Use of Narcotics and Street Drugs During Pregnancy

LINDSAY, MICHAEL K. MD, MPH; BURNETT, ERIN MD

Clinical Obstetrics & Gynecology: March 2013 - Volume 56 - Issue 1 - p 133–141
doi: 10.1097/GRF.0b013e31827fb6ad
Substance Abuse and Pregnancy

All prenatal care providers should offer routine voluntary substance use screening to all patients. Parturients who screen positive for illicit substances require a multidisciplinary team approach to drug rehabilitation and prenatal care. This review will examine the pharmacological properties and the neonatal consequences of the use of opioids and amphetamines. Substance-abusing parturients typically abuse multiple substances simultaneously and have other comorbidities including psychosocial instability and mental illness. These comorbidities must be effectively addressed to achieve optimal health outcomes for both mother and infant.

Department of Gynecology and Obstetrics, Emory University, Atlanta, Georgia

The authors declare that they have nothing to disclose.

Correspondence: Michael K. Lindsay, MD, MPH, Department of Gynecology and Obstetrics, 69 Jesse Hill Jr. Drive, SE, Atlanta, GA. E-mail: mlindsa@emory.edu

© 2013 Lippincott Williams & Wilkins, Inc.