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Perinatal Substance Abuse

Across
Obstetrician and possibly addiction specialist
Risk of using drugs while pregnant
Miscarriage, premature birth and labor, fetal addicted, pre-eclampsia, birth defects
Tachycardia, agitation, dilated pupils, diaphoresis, anxiety, irritability
Early; thorough medical and physical exam
When mother drinks while pregnant- adverse effect on fetus
No smoking, no drinking when pregnant; avoid second hand smoke also- can increase risk of SIDS
Chronic disorder of brain caused by compulsive use of drugs
Down
Use of opioids leads to functional impairment
Methadone/buprenorphine
Missed appts., poor wt.gain, late prenatal care, poor nutrition
CBC,LFTs,Hepatitis B & C, HIV
Alcohol, tobacco, drugs, OTC meds
Be Nonjudgmental and compassionate
Narcotics- synthetic, semi-synthetic, or naturally occurring