title: The clinical content of preconception care: alcohol, tobacco, and illicit drug exposures.
abstract: Substance abuse poses significant health risks to childbearing-aged women in the United States and, for those who become pregnant, to their children. Alcohol is the most prevalent substance consumed by childbearing-aged women, followed by tobacco, and a variety of illicit drugs. Substance use in the preconception period predicts substance use during the prenatal period. Evidence-based methods for screening and intervening on harmful consumption patterns of these substances have been developed and are recommended for use in primary care settings for women who are pregnant, planning a pregnancy, or at risk for becoming pregnant. This report describes the scope of substance abuse in the target population and provides recommendations from the Clinical Working Group of the Select Panel on Preconception Care, Centers for Disease Control and Prevention, for addressing alcohol, tobacco, and illicit drug use among childbearing-aged women.
authors.affiliation: National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA 30345, USA. rlf3@cdc.gov
authors.forename: R Louise
authors.initials: RL
authors.lastname: Floyd
authors.forename: Brian W
authors.initials: BW
authors.lastname: Jack
authors.forename: Robert
authors.initials: R
authors.lastname: Cefalo
authors.forename: Hani
authors.initials: H
authors.lastname: Atrash
authors.forename: Jeanne
authors.initials: J
authors.lastname: Mahoney
authors.forename: Anne
authors.initials: A
authors.lastname: Herron
authors.forename: Corinne
authors.initials: C
authors.lastname: Husten
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Sokol
mesh_terms: D000428:Alcohol Drinking / Q000009:adverse effects*; D017281:Cost of Illness; D005260:Female; D006801:Humans; D013287:Illicit Drugs / Q000009:adverse effects*; D016742:Preconception Care; D011247:Pregnancy; D011248:Pregnancy Complications; D012907:Smoking / Q000009:adverse effects*; D019966:Substance-Related Disorders / Q000150:complications*
chemical_list: D013287:Illicit Drugs