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Related Experiment Videos

Pregnancy in a drug-abusing population.

J Fitzsimmons1, S Tunis, D Webster

  • 1Department of Obstetrics & Gynecology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania 19107.

The American Journal of Drug and Alcohol Abuse
|January 1, 1986
PubMed
Summary

Substance abuse during pregnancy poses significant risks. A specialized program improved prenatal care access and outcomes for pregnant women with substance use disorders, though challenges remain.

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Area of Science:

  • Obstetrics and Gynecology
  • Perinatology
  • Public Health

Background:

  • Substance abuse in pregnancy presents severe risks to both mother and infant.
  • Limited data exists on how evolving drug use patterns and medical advancements affect pregnancy outcomes.
  • The Family Center Program offers comprehensive medical care, counseling, support, and education for pregnant women with substance use disorders.

Purpose of the Study:

  • To evaluate the impact of an intervention program on pregnancy outcomes for substance-abusing pregnant women.
  • To assess the effectiveness of a team approach in managing high-risk pregnancies.
  • To analyze trends in prenatal care utilization and complications among this population.

Main Methods:

  • Retrospective review of medical records for women in the Family Center Program from 1981 to 1983.

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  • Analysis of pregnancy complications such as prematurity, growth retardation, intrauterine fetal demise, and neonatal abstinence syndrome.
  • Comparison of outcomes with earlier program data to identify improvements.

    • Main Results:

    • Complications including prematurity, growth retardation, intrauterine fetal demise, and neonatal abstinence were frequent.
    • Early and frequent prenatal care was associated with a reduced risk of low birth weight infants.
    • Uncorrected perinatal mortality was 11/163 (67/1,000).
    • A significant increase in prenatal care utilization was observed compared to previous program data.

    Conclusions:

    • The specialized Family Center Program successfully increased prenatal care seeking among substance-abusing pregnant women.
    • The program demonstrated an apparent improvement in overall pregnancy outcomes.
    • Persistent serious complications highlight the need for stable, drug-free environments during pregnancy for better results.