The clinical content of preconception care: Alcohol, tobacco, and illicit drug use exposures

National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA 30345, USA.
American journal of obstetrics and gynecology (Impact Factor: 4.7). 01/2009; 199(6 Suppl 2):S333-9. DOI: 10.1016/j.ajog.2008.09.018
Source: PubMed


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.

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Available from: Robert J Sokol, Apr 23, 2014
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    • "For many women, a positive pregnancy test is a stimulus to cease smoking, yet most women require multiple attempts to quit. Smoking cessation programs for adult men and women have been evaluated and demonstrate higher rates of women who quit before or during the first trimester [104]. Given the strong evidence of risk for preterm birth and low birth weight with tobacco use in pregnancy, it may be inferred that fewer women smoking translates to lower rates of preterm birth. "
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    • "The drug class of opioids, which contains opiates, are natural or semi-synthetic morphine-like substances, as well as the fully synthetic opioids. Morphine, codeine and heroine are opiates, while meperidine, fentanyl, propoxyphene, and methadone are synthetic opioids[32]. Most of the information available regarding the effects of opioids on pregnancy is derived from studies of patients who have used heroin or methadone. "

    Full-text · Article · Jan 2012
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