Drug addicted mothers

  • Catherine Siney
Chapter
Part of the Midwifery Practice Series book series

Abstract

Drug abuse and pregnancy is not a new phenomenon but it is one that has become more widespread over recent years. For example, prior to 1970 in the New York Downstate Medical Centre the number of infants born to heroin addicted mothers was small (less than 1 in 200) but during the early 1970s these numbers increased to 1 in 69 (Harper et al 1974). This trend has continued over subsequent years. Shanley (1986) reported that the numbers of addicted women presenting at a maternity hospital in Sydney had increased from 22 in 1979 to 120 in 1985. Riley (1987) found a dramatic increase at University College Hospital in London; over the previous few years an average of 12 pregnant drug users per year had been seen there, but in 1986, 29 were seen and by the first three months of 1987, 12 had already attended.

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References

  1. Breen M 1991 Treating drug dependency. Nursing Times 87 (9): 62–3PubMedGoogle Scholar
  2. Broekhuizen FF, Utrie J, Van Mullem C 1992 Drug use or inadequate prenatal care? Adverse pregnancy outcome in an urban setting. American Journal of Obstetrics and Gynecology 166 (6): 1747–56CrossRefPubMedGoogle Scholar
  3. Campbell MJ 1990/91 Heroin-misuse in pregnancy. Journal of the Association of Chartered Physiotherapists in Obstetrics and Gynecology 68 (Winter): 13–15Google Scholar
  4. Dawe S, Gerada C, Strang J, 1992 Establishment of a liaison service for pregnant opiate-dependent women. British Journal of Addiction 87 (6): 867–71CrossRefPubMedGoogle Scholar
  5. Dixon A 1987 The pregnant addict. Druglink July/August: 6–8Google Scholar
  6. Edelin KC, Gurganious L, Golar K, Oellerich D, Kyei-Aboagye K, Adel-Hamid M 1988 Methadone maintenance in pregnancy: consequences to care and outcome. Obstetrics and Gynecology 71 (3): 399–404PubMedGoogle Scholar
  7. Expert Maternity Group 1993 Changing childbirth. HMSO, LondonGoogle Scholar
  8. Fraser AC, 1983 The pregnant drug addict. Maternal and Child Health. November: 461–3Google Scholar
  9. Fraser AC, Cavanagh S 1991 Pregnancy and drug addiction — long term consequences. Journal of the Royal Society of Medicine 84 (9): 530–32PubMedCentralPubMedGoogle Scholar
  10. Gerada C, Dawe S, Farrell M 1990 Management of the pregnant opiate user. British Journal of Hospital Medicine 43 (February): 138–41PubMedGoogle Scholar
  11. Green L, Gossop M 1988 The management of pregnancy in opiate addicts. Journal of Reproductive and Infant Psychology 6 (1): 51–7CrossRefGoogle Scholar
  12. Harper RG, Solish GI, Purow HM, Sang E, Panepinto WC 1974 The effect of a methadone treatment program upon heroin addicts and their newborn infants. Pediatrics 54 (3): 300–5PubMedGoogle Scholar
  13. HMSO 1991 Drug misuse and dependence. Guidelines on clinical management: 10. HMSO, LondonGoogle Scholar
  14. Hepburn M 1993, Drug use in pregnancy. British Journal of Hospital Medicine 49: 51–5PubMedGoogle Scholar
  15. Institute for the Study of Drug Dependence 1992 Drugs, pregnancy and childcare. A guide for professionals. ISDD, LondonGoogle Scholar
  16. Klein RF, Friedman-Campbell M, Tocco RV 1993 History taking and substance abuse counseling with the pregnant patient. Clinical Obstetrics and Gynecology 36 (2): 338–46CrossRefPubMedGoogle Scholar
  17. Klenka HM 1986 Babies born in a district general hospital to mothers taking heroin. British Medical Journal 293: 745–6PubMedCentralCrossRefPubMedGoogle Scholar
  18. Lam SK, To WK, Duthie SJ, Ma HK 1992 Narcotic addiction in pregnancy with adverse maternal and perinatal outcome. Australia & New Zealand Journal of Obstetrics and Gynecology 32 (3): 216CrossRefGoogle Scholar
  19. Latchem S 1994 Antenatal care for drug users. Health Professional Digest 5: 2–5Google Scholar
  20. Medical Working Group on Drug Dependence 1984 Guidelines. Available from ISDD, LondonGoogle Scholar
  21. Riley D 1987 The management of the pregnant drug addict. Bulletin of the Royal College of Psychiatrists 11 (November): 362–4CrossRefGoogle Scholar
  22. Shanley C 1986 The management of narcotic dependent pregnancy. Australian Nurses Journal 16 (2): 50–51Google Scholar
  23. Siney C 1994 Team effort helps pregnant drug users. Modern Midwife 4 (2): 23–4Google Scholar
  24. Siney C In press Drug misuse and pregnancy. In Karger I (ed) Challenges for midwifery practice. Macmillan, BasingstokeGoogle Scholar
  25. Siney C, Kidd M, Walkinshaw S, Morrison C, Manasse P 1995 Outcome of pregnancy in opiate dependent women within a methadone treatment programme. British Journal of Midwifery 3 (2): 69–73Google Scholar
  26. Standing Committee on Drug Abuse 1985 Drug problems in greater Glasgow: report of the SCODA Fieldwork survey in Greater Glasgow Health Board. Chameleon Press, LondonGoogle Scholar
  27. Strang J, Moran C 1985 The pregnant drug addict.(Unpublished)Google Scholar
  28. Tudor Hart J 1971 The inverse care law. Lancet i: 405–12Google Scholar
  29. Whitehead M 1988 The health divide. Pelican, LondonGoogle Scholar

Copyright information

© Catherine Siney 1995

Authors and Affiliations

  • Catherine Siney

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