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Substance Abuse During Pregnancy and Repercussions in Pregnancy and in the Postpartum
Current Issue
Volume 4, 2019
Issue 3 (May)
Pages: 63-67   |   Vol. 4, No. 3, May 2019   |   Follow on         
Paper in PDF Downloads: 26   Since May 15, 2019 Views: 110   Since May 15, 2019
Authors
[1]
Antônio Chambô Filho, Escola Superior de Ciências, Santa Casa de Misericórdia, Vitória, Brazil.
[2]
Emmanuel Nasser Vargas Araujo de Assis, Escola Superior de Ciências, Santa Casa de Misericórdia, Vitória, Brazil.
[3]
Lorena Lemos Soares Soares, Escola Superior de Ciências, Santa Casa de Misericórdia, Vitória, Brazil.
[4]
Maria de Fátima Miranda de Abreu Schettino, Escola Superior de Ciências, Santa Casa de Misericórdia, Vitória, Brazil.
Abstract
The use of illicit drugs in pregnancy is a public health problem that implies multiple risks for its user. Specifically during pregnancy, this addiction causes risk to the fetus (malformation, prematurity, low birthweight, decreased head circumference, sudden death) as well as maternal risk (premature placental displacement, ischaemia, heart attack and death). In Europe, a study found that up to 7.9% of pregnant women had been exposed to these types of substances. There is little proven evidence in study describing the exposure to illicit prenatal drugs in Brazil and South America. Furthermore, omission of information during anamnesis in prenatal consultations has been making it more difficult to know the prevailing drugs used by this group of patients. Although there is no precise epidemiological data, it is known that the use of cocaine in the form of crack has been increasing due to its low cost and intense effect, being found in less favored classes and with a significant increase in female users. Further studies are necessary in order to provide new ways of conducting treatment. In this retrospective article, a sample of the population with an average age of around 25 years was studied, with a prevalence of 3 prenatal consultations. There was a 34% association with sexually transmitted infections (STIs) - Human Immunodeficiency Virus (HIV) and syphilis (VDRL). Around 83.7% of their partners were in use of some type of illicit substance. Over half the patients had failed to complete elementary school, with only around 10% having finished high school. No significant negative effect was found on 1st and 5th minute Apgar scores. Malformations were present in 5.4% of the infants.
Keywords
Pregnancy, Substance Abuse
Reference
[1]
Kassada DS, et al. [Prevalence of the use of drugs of abuse by pregnant women]. Acta Paul Enferm. 2013; 26 (5): 467- 71.
[2]
Tacon FSA, Amaral WN, Tacon KCB. [Illicit drugs and pregnancy: influence on fetal morphology]. Femina. 2018; 46 (1): 10-18.
[3]
Oliveira TA, et al. [Perinatal outcomes in pregnant women users of ilegal drugs]. RevBras Ginecol. Obstet. 2016; 38 (4): 183-8.
[4]
Lopes AB, Vieira AL, Ribeiro CC, Andrade DA, Generoso LN, Diamantino FC, et al. [Drug use in pregnancy]. Rev Med Minas Gerais 2011; 21 (2 Supl 4): S1-S113.
[5]
Coutinho T, Coutinho CM, Coutinho LM. [Prenatal care for illicit drug users]. Femina. Jan/Fev 2014; 42 (1).
[6]
Yamaguchi ET, et al. [Drugs of abuse and pregnancy]. Journal Psiquiatr Clín. 2008; 35 Suppl 1: 44-7.
[7]
Motta KM, Linhares MBM. [Profile of pregnantwomenusersofalcohol/drugsandtheeffectsonhealthanddevelopmentofchildren]. Int. Psicol. 2015; 19 (1): 133-44.
[8]
American College of Obstetricians and Gynecologists. ACOG Committee Opinion No. 422: at-risk drinking and illicit drug use: ethical issues in obstetric and gynecologic practice. ObstetGynecol. 2008; 112 (6): 1449-60.
[9]
Rocha PC, Britto e Alves MT, Chagas DC, Silva AA, Batista RF, Silva RA. [Prevalence of illicit drug use and associated factors during pregnancy in the BRISA cohort]. CadSaude Publica 2016; 32 (1): e00192714.
[10]
Kassada DS, Marcon SS, Waidman MA. [Perceptions and practices of pregnant women attended in primary care using illicit drugs]. Esc Anna NeryRevista de Enfermagem 2014; 18 (3): 428-34.
[11]
Wendell AD. Overview and epidemiology of substance abuse in pregnancy. ClinObstet Gynecol 2013; 56 (1): 91-6.
[12]
Ebrahim SH, Gfroerer J. Pregnancy-related substance use in the United States during 1996-1998. ObstetGynecol 2003; 101 (2): 374-9.
[13]
ACOG Committee on Health Care for Underserved Woman; American Society of Addiction Medicine. ACOG Committee Opinion No. 524: Opioid abuse, dependence, and addiction in pregnancy. ObstetGynecol 2012; 119 (5): 1070-6.
[14]
American Academy of Pediatrics and the American College of Obstetricians and Gynecologists. Guidelines for perinatal care, 7th ed. Elk Grove Village, IL: AAP; Washington, DC: ACOG; 2012.
[15]
World Heath Organization. Guidelines for the identification and management of substance use and substance use disorders in pregnancy. http://www.who.int/substance_abuse/publications/pregnancy_guidelines/en (Accessed on May 16, 2018).
[16]
Substance Abuse and Mental Health Services Administration. Results from the 2013 National Surveyon Drug Use and Health: Summary of National Findings, NSDUH Series H-48, HHS Publication No. (SMA) 14-4863. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2014.
[17]
Conner SN, Bedell V, Lipsey K, Macones GA, Cahill AG, Tuuli MG. Maternal marijuana use and adverse neonatal outcomes: a systematic review and meta-analysis. Obstet Gynecol 2016; 128: 713-23.
[18]
Hwang SS, Diop H, Liu CL, Yu Q, Babakhanlou-Chase H, Cui X, et al. Maternal substance use disorders and infant outcomes in the first year of life among Massachusetts singletons, 2003-2010. J Pediatr2017; 191: 69-75.
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