Drug Abuse and Pregnancy: Some Questions on Public Policy, Clinical Management, and Maternal and Fetal Rights
- 1 June 1991
- Vol. 18 (2) , 107-112
- https://doi.org/10.1111/j.1523-536x.1991.tb00070.x
Abstract
An estimated 9202 drug-exposed infants were born in the United States in 1986 according to the National Center for Health Statistics; the number increased to 13,765 in 1988. These figures were substantially underreported, however, notes the 1990 report by the U.S. General Accounting Office (GAO) (1). It surveyed 10 hospitals, two each in Boston, Chicago, Los Angeles, New York, and San Antonio, accounting for 44,655 births, of which approximately 4000 resulted in drug-exposed infants in 1989. Maternal cocaine use was estimated to range from below 1 to 12 percent among the 10 hospitals. The GAO report concluded that the number of these infants born nationwide each year could be “very high,” and that in these five cities the unavailability of drug treatment and lack of adequate prenatal care are contributing to the problem (1). Two health professionals and a health lawyer were invited to respond to some questions about the problems of cocaine and substance abuse by pregnant women and how maternity caregivers, health and social service agencies, law, and society are dealing with the issues.Keywords
This publication has 17 references indexed in Scilit:
- Effects of Maternal Marijuana and Cocaine Use on Fetal GrowthNew England Journal of Medicine, 1989
- Neonatal neurologic and electroencephalographic effects of intrauterine cocaine exposureThe Journal of Pediatrics, 1988
- Teratogenicity of cocaine in humansThe Journal of Pediatrics, 1987
- Medical Complications of Cocaine AbuseNew England Journal of Medicine, 1986
- Perinatal cerebral infarction and maternal cocaine useThe Journal of Pediatrics, 1986
- Cocaine Use in PregnancyNew England Journal of Medicine, 1985
- A Comprehensive Care Program for Pregnant Addicts: Obstetrical, Neonatal, and Child Development OutcomesInternational Journal of the Addictions, 1984
- Fetal Outcome in Narcotic-Dependent Women: The Importance of the Type of Maternal Narcotic UsedThe American Journal of Drug and Alcohol Abuse, 1982
- A study of factors that influence the severity of neonatal narcotic withdrawalThe Journal of Pediatrics, 1976
- Methadone withdrawal in newborn infantsThe Journal of Pediatrics, 1972