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Stimulant Use in Pregnancy

An Under-recognized Epidemic Among Pregnant Women

SMID, MARCELA C., MA, MD, MS*,†,‡; METZ, TORRI D., MD, MS*; GORDON, ADAM J., MD, MPH†,‡

Clinical Obstetrics and Gynecology: March 2019 - Volume 62 - Issue 1 - p 168–184
doi: 10.1097/GRF.0000000000000418
Substance Abuse in Pregnancy
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Stimulant use, including cocaine, methamphetamines, ecstasy, and prescription stimulants, in pregnancy is increasingly common. In the United States, stimulants are the second most widely used and abused substances during pregnancy and pregnant women using stimulants in pregnancy are at increased risk of adverse perinatal, neonatal, and childhood outcomes. In this review, we describe the pharmacology, pathophysiology, and epidemiology of stimulants, summarize the maternal and neonatal effects of perinatal stimulant use, and outline treatment options for stimulant use disorders among pregnant women. Development of effective treatment strategies for stimulant use disorders identified among pregnant women are urgently needed.

*Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine

Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA), Department of Internal Medicine, Division of Epidemiology, University of Utah School of Medicine

Informatics, Decision-Enhancement, and Analytic Sciences Center (IDEAS), Salt Lake City VA Health Care System, Salt Lake City, Utah

M.C.S. is supported by Women’s Reproductive Health Research (WRHR K12, 1K12 HD085816) Career Development Program. The remaining authors declare that they have nothing to disclose.

Correspondence: Marcela C. Smid, MA, MD, MS, 30 N 1900 E #2B200, Salt Lake City, UT. E-mail: marcela.smid@hsc.utah.edu

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