Substance Abuse During Pregnancy

Question 1

Drug Test

Answer 1

Is not req in the U.S. to test mother or fetus for presence of drugs

Question 2

Common Abused Drug

Answer 2

Nicotine and caffeine: decrease placental perfusion
Alcohol: FAS
Marijuana: Amotivational syndrome in users, increased carbon monoxide levels in mothers causes decreased O2 to fetus
Cocaine: placental abruption, increased SIDS
Methamphetamine: IUGR and PTB
Opiates: IUGR, NAS
* Methadone

Question 3

Care Management

Answer 3

Screening
Collab Care
* Methadone maintenance programs
* perinatal outreach

Intrapartum and postpartum consideration