Current Psychiatry Reports

, 17:91 | Cite as

Substance Use in the Perinatal Period

  • Ariadna ForrayEmail author
  • Dawn Foster
Women's Mental Health (CN Epperson, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Women's Mental Health


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.


Pregnancy Drug Tobacco Smoking Alcohol Cannabis Marijuana Methamphetamine Cocaine Opiates Opioid Stimulant Perinatal Antenatal Postpartum 


Compliance with Ethics Guidelines

Conflict of Interest

Ariadna Forray and Dawn Foster declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Funding Information

Funding for this study was provided in part by grants from the National Institute of Drug Abuse (K12-DA-000167). NIDA had no further role in study design; in the collection, analysis and interpretation of data; in the writing of the manuscript; or in the decision to submit the manuscript for publication.


Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of PsychiatryYale School of MedicineNew HavenUSA

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