Prenatal care and drug use in pregnant women.
This case-control study tested the hypothesis that pregnant inner-city women with low utilization of prenatal care are likely to be frequent drug users. Cases registered consecutively for prenatal care at > or = 28 weeks gestation or had < 4 prenatal visits. Controls were matched to cases by date of delivery. 24/81 (30%) cases and 16/128 (12%) controls were frequent drug users (adjusted odds ratio = 2.5; 95% CI, 1.2-5.4). Drug use (P = 0.01) and socioeconomic status (P = 0.001) were significantly correlated with prenatal care utilization. Self-report alone failed to note as many drug users as toxicology screen alone. Both substance use history and toxicology screen are advisable in women with low utilization of prenatal care.
Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.
A W
AW
Funkhouser
A M
AM
Butz
T I
TI
Feng
M E
ME
McCaul
B J
BJ
Rosenstein
D000293:Adolescent; D000328:Adult; D000437:Alcoholism / Q000453:epidemiology / Q000534:rehabilitation; D015142:Baltimore / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D013287:Illicit Drugs / Q000009:adverse effects; D015994:Incidence; D007231:Infant, Newborn; D009357:Neonatal Abstinence Syndrome / Q000517:prevention & control; D011247:Pregnancy; D011256:Pregnancy Outcome; D011295:Prenatal Care; D011619:Psychotropic Drugs / Q000009:adverse effects; D015813:Substance Abuse Detection; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000534:rehabilitation; D014505:Urban Population
D013287:Illicit Drugs; D011619:Psychotropic Drugs