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Polysubstance Use in Pregnancy: Surveillance, Interventions, and Next Steps
Youngjoo Park1,2, Elizabeth P Dang1, Amy Board1
1National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Polysubstance use during pregnancy poses risks to maternal and infant health. The Centers for Disease Control and Prevention (CDC) identified gaps in surveillance, screening, and prevention to improve outcomes.
Area of Science:
- Public Health
- Maternal-Child Health
- Substance Use Disorders
Background:
- Substance use during pregnancy is linked to adverse maternal and neonatal outcomes.
- Polysubstance use is prevalent but its risks during pregnancy are not well understood.
- Understanding combined substance exposures is critical for effective interventions.
Purpose of the Study:
- To review Centers for Disease Control and Prevention (CDC) activities addressing polysubstance use in pregnancy.
- To identify gaps in surveillance, routine screening, and prevention strategies.
- To highlight the importance of addressing polysubstance use for improved maternal and infant health.
Main Methods:
- Overview of CDC and partner activities.
- Identification of knowledge and programmatic gaps.
- Literature review on polysubstance use during pregnancy.
Main Results:
- Gaps exist in surveillance systems for tracking polysubstance use in pregnant individuals.
- Routine screening for polysubstance use is not consistently implemented.
- Prevention efforts require enhanced strategies to address combined substance exposures.
Conclusions:
- Addressing identified gaps in surveillance, screening, and prevention is crucial.
- Collaborative efforts are needed to reduce polysubstance use during pregnancy.
- Interventions can improve health outcomes for pregnant people and their infants.
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