Skip Navigation LinksHome > March 1988 - Volume 71 - Issue 3 > Methadone Maintenance in Pregnancy: Consequences to Care and...
Obstetrics & Gynecology:
Original Article: PDF Only

Methadone Maintenance in Pregnancy: Consequences to Care and Outcome.

EDELIN, KENNETH C. MD; GURGANIOUS, LEROY BA; GOLAR, KATHERINE BA; OELLERICH, DONALD PhD; KYEI-ABOAGYE, KWABENA MD, PhD; HAMID, M ADEL MD

Collapse Box

Abstract

A retrospective analysis was conducted on the outcomes of the pregnancies of 26 narcotic-addicted women who were enrolled in a methadone maintenance program. Of these women, 88% continued to use other drugs during their pregnancy, with opiates the most frequently used, and 56% of these women had urine toxicology screens positive for either heroin, cocaine, or benzodiazepines when they presented in labor. When these women were compared with a similar group of 37 pregnant polydrug users who were not in the methadone maintenance program and who delivered during the same 12-month period, there was ho difference in the birth weights or in the infants' one- and five-minute Apgar scores. However, the women' in the methadone maintenance program had more prenatal visits, more adequate prenatal care, and less anemia than the non-methadone maintenance program drug users. When these two drugusing groups were compared with a control group of pregnant women who delivered within the same time period, there was a significant difference in the birth weights of these two groups. This raises the question of the effectiveness of methadone maintenance programs in promoting fetal growth and well-being and in reducing polydrug use during pregnancy.

(C) 1988 The American College of Obstetricians and Gynecologists

Login

ACOG MEMBER SUBSCRIPTION ACCESS

If you are an ACOG Fellow and have not logged in or registered to Obstetrics & Gynecology, please follow these step-by-step instructions to access journal content with your member subscription.

Article Tools

Share