Drug abuse in pregnancy. Detection and intervention.
Drug abuse in the obstetric population of a large urban HMO is discussed. Marijuana metabolites were detected in 9.1% of urines submitted for routine pregnancy testing, while cocaine use was detected in 1.3%. A separate group of urines submitted for urine culture at the time of the first obstetric visit were tested and showed levels of 5.0% and 0.2%, respectively. Cocaine use was associated in an estimated 1-2% of all live births. The unexpected magnitude of this problem led to the creation of an outreach clinic and a process of care. The preliminary experience of our program forms the basis of this report.
D003042:Cocaine; D003625:Data Collection; D005260:Female; D006279:Health Maintenance Organizations / Q000458:organization & administration*; D006801:Humans; D007231:Infant, Newborn; D002189:Marijuana Abuse / Q000453:epidemiology / Q000517:prevention & control; D008910:Minnesota / Q000453:epidemiology; D009357:Neonatal Abstinence Syndrome / Q000517:prevention & control; D011247:Pregnancy; D011295:Prenatal Care / Q000458:organization & administration*; D015813:Substance Abuse Detection / Q000592:standards*; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000517:prevention & control*