3. Alcohol and Substance Abuse
- John T. Queenan MD2,
- Catherine Y. Spong MD3,
- Charles J. Lockwood MD4
Published Online: 4 JAN 2012
DOI: 10.1002/9781119963783.ch3
Copyright © 2012 John Wiley and Sons, Ltd
Book Title
Queenan's Management of High-Risk Pregnancy: An Evidence-Based Approach, Sixth Edition
Additional Information
How to Cite
Rayburn, W. F. (2012) Alcohol and Substance Abuse, in Queenan's Management of High-Risk Pregnancy: An Evidence-Based Approach, Sixth Edition (eds J. T. Queenan, C. Y. Spong and C. J. Lockwood), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781119963783.ch3
Editor Information
- 2
Department of Obstetrics and Gynecology, Georgetown University School of Medicine, Washington, DC, USA
- 3
Bethesda, MD, USA
- 4
Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA
Publication History
- Published Online: 4 JAN 2012
- Published Print: 24 FEB 2012
ISBN Information
Print ISBN: 9780470655764
Online ISBN: 9781119963783
- Summary
- Chapter
- References
Keywords:
- alcohol and substance abuse;
- alcohol, substance abuse, in reproductive age groups;
- care of alcohol- or substance-using in pregnancy, difficult;
- screening for substance use;
- obstetric, behavior, medical patterns in pregnant women;
- fetus effects, teratogenic;
- high alcohol intake in pregnancy, congenital anomalies;
- psychological and pharmacological treatments;
- hospital and postpartum care;
- alcohol and smoking education
Summary
Alcohol and substance abuse are most prevalent in reproductive age adults. Among women aged 15–44, almost 90% have used alcohol, approximately 44% have used marijuana, and at least 14% have used cocaine. Combined 2002–2007 national survey data show that past-month alcohol use among women aged 18–44 was highest for those who were not pregnant and did not have children living in the household (63%) but comparatively low for women in the first trimester of pregnancy (19%), and even lower for those in the second (7.8%) or third trimester (6.2%); similar patterns were seen with marijuana, cigarette, and binge alcohol use. Even though cessation in alcohol, illicit drug use or cigarette smoking usually occurs during pregnancy, some women may not reduce or alter their patterns until pregnancy is confirmed or well under way.