Substance Use in the Perinatal Period.
Substance Use in the Perinatal Period.
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DOI：
10.1007/s11920-015-0626-5
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发表时间：
2015-11
影响因子：
6.7
通讯作者：
Foster D
中科院分区：
文献类型：
--
作者：
Forray A;Foster D
围产期物质使用仍然是一个主要的公共卫生问题，并与一些有害的母婴影响有关。在怀孕期间使用多种物质是很常见的，并且会加剧不良的母婴结局。烟草是怀孕期间最常用的物质，其次是酒精和非法物质。围产期使用药物的治疗是有限的，主要包括行为和心理社会干预。在这些应急管理中，应急管理显示出最大的成效。最近，黄体酮等用于产后可卡因的新干预措施显示出了希望。这篇综述的目的是审查最近关于烟草、酒精、大麻、兴奋剂和阿片类药物在围产期的使用、它们对母婴健康的影响以及目前的治疗方法的文献。
Perinatal substance use remains a major public health problem and is associated with a number of deleterious maternal and fetal effects. Polysubstance use in pregnancy is common, and can potentiate adverse maternal and fetal outcomes. Tobacco is the most commonly used substance in pregnancy, followed by alcohol and illicit substances. The treatments for perinatal substance use are limited and consist mostly of behavioral and psychosocial interventions. Of these contingency management has shown the most efficacy. More recently, novel interventions such as progesterone for postpartum cocaine use have shown promise. The purpose of this review is to examine the recent literature on the use of tobacco, alcohol, cannabis, stimulants, and opioids in the perinatal period, their effects on maternal and fetal health and current treatments.