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Substance Abuse in Pregnancy
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Substance Abuse in Pregnancy
, Chemical Dependency in Pregnancy
See Also
Chemical Dependency
Substance Abuse Evaluation
Cocaine Abuse in Pregnancy
Risk Factors
Child Abuse
Associations
Substantial increase in risk of maltreatment
Risk of change in primary
Caregiver
before age 2 years
Breast Feeding
exposure to illicit substance
Deliberate
Poisoning
with illicit substance
Passive inhalation of illicit substance
Accidental Ingestion
of illicit substance
Physical or Sexual abuse
Household or neighborhood
Violence
Management
Preterm Recommendations for Obstetric Visits
Every 2 weeks until 30 weeks
Every week until delivery after 30 weeks
Labs
Sexually Transmitted Disease
screening
First
Prenatal Visit
Gestational age
36 weeks
Testing
Syphilis Serology
Condyloma
Gonorrhea Culture
Chlamydia
screen
Herpes Genitalis
Hepatitis B Serology
HIV Test
ing
Imaging
Obstetric Ultrasound
Baseline: late first or early second trimester
Serial
Ultrasound
for
Intrauterine Growth Retardation
Monitoring
Random
Urine Drug Screen
ing (obtain permit)
Obstetric Ultrasound
as above
Nonstress Test
Every two weeks from 30 to 35 weeks
Weekly after 35 weeks
Meconium Drug Screen
from fetus after delivery
Management
Child Protective Services reporting is required
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