Pregnancy and addiction - A comprehensive care model

Pregnancy and addiction - A comprehensive care model
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DOI:
10.1016/s0740-5472(96)00070-0
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发表时间:
1996-07-01
影响因子:
3.9
通讯作者:
Hackerman, F
Hackerman, F
中科院分区:
医学2区
文献类型:
--
作者:
Jansson, LM;Svikis, D;Hackerman, F

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怀孕期间药物滥用问题是一个重大的公共卫生困境。事实证明,对吸毒妇女进行有效的综合护理可以改善孕产妇和新生儿的结局。成瘾和怀孕中心 (CAP) 结合了儿科、药物滥用治疗、妇产科和计划生育等学科,致力于减少这一亚人群中经常出现的护理障碍。前 100 名 CAP 新生儿中,82% 是阴道分娩,平均孕周为 38 周。新生儿重症监护室入院率为 10%,6 个月和 12 个月时进行的贝利婴儿发育量表显示平均发育指数在正常范围内。在一项比较研究中,与匹配的队列相比,一组 CAP 参与者节省了近 5,000 美元的成本。 CAP 护理模式似乎是治疗药物滥用孕妇的有效模式。版权所有 (C) 1996 爱思唯尔科学公司。
The The problem of substance abuse in pregnancy is a major public health dilemma. Effective comprehensive care of drug addicted women has been shown to improve maternal and neonatal outcomes. The Center for Addiction and Pregnancy (CAP) combines the disciplines of pediatrics, substance abuse treatment, obstetrics/gynecology, and family planning in an effort to reduce the barriers to care often presenting in this subpopulation. For the first 100 CAP births, 82% were delivered vaginally, with a mean gestational age of 38 weeks. The Neonatal Intensive Care Unit admission rate was 10%, and the Bayley Scales of Infant Development performed at 6 and 12 months revealed mean developmental indices within the normal range. In a comparison study, a group of CAP participants had nearly $5,000 savings in costs when compared to a matched cohort. The CAP model of care appears to be an effective mode of treatment for substance abusing pregnant women. Copyright (C) 1996 Elsevier Science Inc.