Substance use and use disorders during pregnancy and the postpartum period

被引:0
|
作者
Habersham, Leah L. [1 ,2 ]
Townsel, Courtney [3 ]
Terplan, Mishka [4 ]
Hurd, Yasmin L. [2 ]
机构
[1] Icahn Sch Med Mt Sinai, Dept Obstet Gynecol & Reprod Sci, New York, NY 10029 USA
[2] Icahn Sch Med Mt Sinai, Dept Psychiat, New York, NY 10029 USA
[3] Univ Maryland, Sch Med, Dept Obstet & Gynecol, Baltimore, MD USA
[4] Friends Res Inst Inc, Baltimore, MD USA
关键词
alcohol; benzodiazepines; cannabis; comprehensive overview of substance use; epidemiology; ethics; intervention; maternal and fetal adverse effects; nicotine; obstetric complications; opioids; postpartum substance disorders; substance use; NEONATAL ABSTINENCE SYNDROME; SMOKING; WOMEN; BENZODIAZEPINES; GYNECOLOGISTS; MEDICINE; EXPOSURE; STATES;
D O I
10.1016/j.ajog.2025.01.007
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Substance use and substance use disorders among pregnant and postpartum individuals have risen dramatically, necessitating enhanced clinician education and intervention strategies. This expert review offers obstetricians and gynecologists a comprehensive overview of substance use during the prenatal and postpartum periods. We discuss the epidemiology, maternal and fetal adverse effects, as well as treatment approaches for major substances: nicotine, cannabis, alcohol, benzodiazepines, stimulants, and opioids. Additionally, we address the ethical and legal implications of substance use during pregnancy and emphasize the importance of equitable and nonstigmatizing care. By integrating evidence-based practices, we aim to support obstetricians and gynecologists in providing optimal care for pregnant and postpartum individuals affected by substance use disorders.
引用
收藏
页数:18
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