title: The use of narcotics and street drugs during pregnancy.
abstract: All prenatal care providers should offer routine voluntary substance use screening to all patients. Parturients who screen positive for illicit substances require a multidisciplinary team approach to drug rehabilitation and prenatal care. This review will examine the pharmacological properties and the neonatal consequences of the use of opioids and amphetamines. Substance-abusing parturients typically abuse multiple substances simultaneously and have other comorbidities including psychosocial instability and mental illness. These comorbidities must be effectively addressed to achieve optimal health outcomes for both mother and infant.
authors: Department of Gynecology and Obstetrics, Emory University, Atlanta, Georgia, USA. mlindsa@emory.edu
authors: Michael K
authors: MK
authors: Lindsay
authors: Erin
authors: E
authors: Burnett
mesh_terms: D019969:Amphetamine-Related Disorders / Q000150:complications* / Q000453:epidemiology; D000662:Amphetamines / Q000009:adverse effects / Q000494:pharmacology*; D005260:Female; D003932:Heroin / Q000009:adverse effects / Q000494:pharmacology; D006556:Heroin Dependence / Q000150:complications / Q000453:epidemiology; D006801:Humans; D013287:Illicit Drugs / Q000009:adverse effects*; D009294:Narcotics / Q000009:adverse effects / Q000494:pharmacology*; D009293:Opioid-Related Disorders / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology; D011181:Postnatal Care; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology; D011295:Prenatal Care; D055553:Prescription Drugs / Q000009:adverse effects; D015813:Substance Abuse Detection
chemical_list: D000662:Amphetamines; D013287:Illicit Drugs; D009294:Narcotics; D055553:Prescription Drugs; D003932:Heroin