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Pregnancy substance use disorder

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https://www.readbyqxmd.com/read/27824771/maternal-deaths-from-suicide-and-overdose-in-colorado-2004-2012
#1
Torri D Metz, Polina Rovner, M Camille Hoffman, Amanda A Allshouse, Krista M Beckwith, Ingrid A Binswanger
OBJECTIVE: To ascertain demographic and clinical characteristics of maternal deaths from self-harm (accidental overdose or suicide) to identify opportunities for prevention. METHODS: We report a case series of pregnancy-associated deaths resulting from self-harm in the state of Colorado between 2004 and 2012. Self-harm deaths were identified from several sources, including death certificates. Birth and death certificates along with coroner, prenatal care, and delivery hospitalization records were abstracted...
December 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27807736/-analgesic-drugs-during-pregnancy
#2
S Hultzsch, C Schaefer
Some important limitations must be taken into consideration for analgesic therapy during pregnancy. Paracetamol is the agent of choice for mild to moderate pain in any stage of pregnancy. Ibuprofen is the non-steroidal anti-inflammatory drug (NSAID) of choice; however, these substances are contraindicated after 28 weeks of gestation due to the increasing risk of premature closure of the ductus arteriosus and impairment of fetal kidney function. Even opioids can be used for severe pain but peripartum administration can lead to neonatal respiratory depression and adaptation disorders and long-term therapy up to the end of pregnancy can lead to neonatal withdrawal symptoms...
November 2, 2016: Der Schmerz
https://www.readbyqxmd.com/read/27773527/a-moral-or-medical-problem-the-relationship-between-legal-penalties-and-treatment-practices-for-opioid-use-disorders-in-pregnant-women
#3
Cara Angelotta, Carol J Weiss, John W Angelotta, Richard A Friedman
OBJECTIVE: The relationship between use of medication-assisted treatment (MAT) in pregnant women with opioid use disorders, the standard of care, and state laws that permit child abuse charges for illicit drug use during pregnancy has not been described. METHODS: Using publicly available data on substance abuse treatment in the United States, we describe patterns in the use of MAT for pregnant women with opioid use disorders in states with prenatal child abuse laws compared with states without such laws...
October 20, 2016: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/27760409/incidence-and-recurrence-of-common-mental-disorders-after-abortion-results-from-a-prospective-cohort-study
#4
Jenneke van Ditzhuijzen, Margreet Ten Have, Ron de Graaf, Peter Lugtig, Carolus H C J van Nijnatten, Wilma A M Vollebergh
Research in the field of mental health consequences of abortion is characterized by methodological limitations. We used exact matching on carefully selected confounders in a prospective cohort study of 325 women who had an abortion of an unwanted pregnancy and compared them 1-to-1 to controls who did not have this experience. Outcome measures were incidence and recurrence of common DSM-IV mental disorders (mood, anxiety, substance use disorders, and the aggregate measure 'any mental disorder') as measured with the Composite International Diagnostic Interview (CIDI) version 3...
October 11, 2016: Journal of Psychiatric Research
https://www.readbyqxmd.com/read/27611068/brain-derived-neurotrophic-factor-moderates-associations-between-maternal-smoking-during-pregnancy-and-offspring-behavioral-disorders
#5
Ardesheer Talati, Zagaa Odgerel, Priya J Wickramaratne, Myrna M Weissman
Maternal smoking during pregnancy is associated with a number of adverse offspring outcomes. In the present study, based on 209 offspring from a 3-generation family study of depression, we show that the effects of prenatal exposure on offspring externalizing psychopathology (conduct, substance use disorder) is more pronounced in the presence of lower-expressing brain derived neurotrophic factor (BDNF) gene variants. BDNF plays an important role in the development and survival of neural circuits. Individuals with low-expressing variants who are further exposed to prenatal tobacco smoke may be most vulnerable to a spectrum of behavioral disorders that depend on these circuits...
November 30, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27573672/-affective-disorders-during-pregnancy-therapy-with-antidepressants-and-mood-stabilizers
#6
N Bergemann, W E Paulus
BACKGROUND: It is not rare that the first manifestation or relapse of an affective disorder occurs during pregnancy. Should a pharmacological treatment be indicated, the selection of a suitable substance should be made on a basis which is as safe as possible. Even when treating women of childbearing age it should be assured that the psychotropic drug selected is safe to use during pregnancy as a high percentage of pregnancies are unplanned. OBJECTIVE: When assessing the risks and benefits of psychopharmacotherapy in women who are or wish to get pregnant, not only the exposure of the child to potentially teratogenic drug effects but also potential complications during or after pregnancy and long-term neuropsychological issues need to be addressed...
September 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27563497/caring-for-pregnant-women-with-opioid-use-disorder-in-the-usa-expanding-and-improving-treatment
#7
Kelley A Saia, Davida Schiff, Elisha M Wachman, Pooja Mehta, Annmarie Vilkins, Michelle Sia, Jordana Price, Tirah Samura, Justin DeAngelis, Clark V Jackson, Sawyer F Emmer, Daniel Shaw, Sarah Bagley
PURPOSE OF THE REVIEW: Opioid use disorder in the USA is rising at an alarming rate, particularly among women of childbearing age. Pregnant women with opioid use disorder face numerous barriers to care, including limited access to treatment, stigma, and fear of legal consequences. This review of opioid use disorder in pregnancy is designed to assist health care providers caring for pregnant and postpartum women with the goal of expanding evidence-based treatment practices for this vulnerable population...
2016: Current Obstetrics and Gynecology Reports
https://www.readbyqxmd.com/read/27531735/intimate-partner-violence-experienced-by-hiv-infected-pregnant-women-in-south-africa-a-cross-sectional-study
#8
Molly Bernstein, Tamsin Phillips, Allison Zerbe, James A McIntyre, Kirsty Brittain, Greg Petro, Elaine J Abrams, Landon Myer
OBJECTIVES: Intimate partner violence (IPV) during pregnancy may be common in settings where HIV is prevalent but there are few data on IPV in populations of HIV-infected pregnant women in Southern Africa. We examined the prevalence and correlates of IPV among HIV-infected pregnant women. SETTING: A primary care antenatal clinic in Cape Town, South Africa. PARTICIPANTS: 623 consecutive HIV-infected pregnant women initiating lifelong antiretroviral therapy...
August 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27513154/incidence-of-neonatal-abstinence-syndrome-28-states-1999-2013
#9
Jean Y Ko, Stephen W Patrick, Van T Tong, Roshni Patel, Jennifer N Lind, Wanda D Barfield
Neonatal abstinence syndrome (NAS) is a postnatal drug withdrawal syndrome that occurs primarily among opioid-exposed infants shortly after birth, often manifested by central nervous system irritability, autonomic overreactivity, and gastrointestinal tract dysfunction (1). During 2000-2012, the incidence of NAS in the United States significantly increased (2,3). Several recent publications have provided national estimates of NAS (2,3); however, data describing incidence at the state level are limited. CDC examined state trends in NAS incidence using all-payer, hospital inpatient delivery discharges compiled in the State Inpatient Databases of the Healthcare Cost and Utilization Project (HCUP) during 1999-2013...
2016: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/27491493/alcohol-consumption-smoking-and-drug-use-in-pregnancy-prevalence-and-risk-factors-in-southern-thailand
#10
Sawitri Assanangkornchai, Darika Saingam, Nualta Apakupakul, J Guy Edwards
INTRODUCTION: Substance use during pregnancy contributes to the risk of adverse health outcomes in mothers and children-in utero and during later development. In this study, we investigated the prevalence of substance use and associated factors in pregnant women receiving antenatal care in public hospitals in Thailand. METHODS: Women (3578) attending 7 antenatal care clinics in Songkhla for the first time during their current pregnancy were interviewed with a structured questionnaire focusing on demographic data, obstetric history, use of alcohol, tobacco, and other substances, and the General Health Questionnaire was administered...
August 5, 2016: Asia-Pacific Psychiatry: Official Journal of the Pacific Rim College of Psychiatrists
https://www.readbyqxmd.com/read/27472002/-mental-disorders-in-women-natural-course-during-premenstrual-phases-peripartum-period-and-perimenopause
#11
J Martini, S Knappe, S Garthus-Niegel, J Hoyer
Epidemiological studies indicate sex-specific differences in prevalence rates and the natural course of mental disorders. Affective, anxiety, somatoform and eating disorders are more prevalent in women than men, whereas substance use disorders occur more commonly in men, and some disorders are equally distributed in both sexes (e. g. psychotic disorders). The aim of this review is to depict the natural course of mental disorders during the reproductive stages (premenstrual phases, peripartum period, perimenopause) in women, including also neuroendocrine features associated with the menstrual cycle, pregnancy, puerperium and perimenopause...
July 2016: Fortschritte der Neurologie-Psychiatrie
https://www.readbyqxmd.com/read/27440391/family-planning-in-substance-use-disorder-treatment-centers-opportunities-and-challenges
#12
Natanya Robinowitz, Sadiya Muqueeth, Jill Scheibler, Elizabeth Salisbury-Afshar, Mishka Terplan
BACKGROUND: Alcohol, tobacco, and drug use during pregnancy can cause a range of adverse birth outcomes. Promoting family planning among women with substance use disorders (SUD) can help reduce substance exposed pregnancies. OBJECTIVES: We conducted qualitative research to determine the acceptability and feasibility of offering family planning education and services SUD treatment centers. METHODS: Focus groups and in-depth interviews were conducted with clients, staff and medical providers at three treatment centers...
September 18, 2016: Substance Use & Misuse
https://www.readbyqxmd.com/read/27416628/dietary-strategies-for-primary-prevention-of-atopic-diseases-what-do-we-know
#13
REVIEW
Anna Lis-Święty, Dorota Milewska-Wróbel, Irmina Janicka
The paper refers to the recently published empirical data and systematic reviews on the impact of diets, foods, nutrients and bioactive substance exposures in pregnancy and in early infancy, on the development of atopic disorders. The results of studies referring to a broad range on dietary factors are mostly conflicting. There are several limitations of these researches. Based on the existing information, it is not possible to establish the role of antioxidants and vitamin D supplementation in atopic disease development...
January 2016: Developmental Period Medicine
https://www.readbyqxmd.com/read/27400916/screening-for-post-traumatic-stress-disorder-in-prenatal-care-prevalence-and-characteristics-in-a-low-income-population
#14
Melodie Wenz-Gross, Linda Weinreb, Carole Upshur
Objectives Investigate the feasibility of using a brief, 4-item PTSD screening tool (PTSD-PC) as part of routine prenatal care in two community health care settings serving ethnically and linguistically diverse low-income populations. Report prevalence and differences by sub-threshold and clinical levels, in demographic, health, mental health, risk behaviors, and service use. Methods Women were screened as part of their prenatal intake visit over a 2-year period. Those screening positive at clinical or sub-threshold levels were recruited if they spoke English, Spanish, Portuguese, Vietnamese or Arabic...
October 2016: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/27375357/rural-pregnant-and-opioid-dependent-a-systematic-review
#15
REVIEW
Naana Afua Jumah
The nature, impact, and treatment of substance use during pregnancy are well described for women living in urban settings. Less is known about pregnant substance-using women living in rural communities. The objective of this review is to describe the existing evidence for the management of substance use in pregnant women living in rural areas. A systematic review of the literature was conducted using PubMed, Embase, and the Cochrane Database of Systematic Reviews, and the quality of the evidence was assessed using the GRADE system...
2016: Substance Abuse: Research and Treatment
https://www.readbyqxmd.com/read/27374323/hallucinations-in-adolescents-and-risk-for-mental-disorders-and-suicidal-behaviour-in-adulthood-prospective-evidence-from-the-musp-birth-cohort-study
#16
Melissa Connell, Kim Betts, John J McGrath, Rosa Alati, Jake Najman, Alexandra Clavarino, Abdullah Mamun, Gail Williams, James G Scott
BACKGROUND: Hallucinations, once equated with serious mental disorders, are common in adolescents. Given the high prevalence of hallucinations, it is important to determine if they are associated with adverse mental health outcomes in adulthood. This study compared the mental health outcomes of participants (aged 30-33years) in the Mater-University of Queensland Study of Pregnancy (MUSP) who reported hallucinations at (a) 14years only and (b) 14 and 21years versus cohort members without hallucinations...
October 2016: Schizophrenia Research
https://www.readbyqxmd.com/read/27333719/twenty-three-year-long-term-health-outcome-after-the-war-in-vukovar
#17
Dubravko Habek, Tatjana Dujaković, Jasna Cerkez Habek, Ivana Jurković
Results of the first research of this kind on the 23-year long-term outcome in children born during the war in Vukovar are presented. This retrospective clinical study surveyed the potential 23-year long-term consequences and morbidity of children born between May 1, 1991 and November 19, 1991, during the siege and occupation of Vukovar. Data were obtained from women having delivered their babies in that period and from delivery protocols of the Department of Gynecology and Obstetrics, Vukovar County Hospital...
March 2016: Acta Clinica Croatica
https://www.readbyqxmd.com/read/27289228/neonatal-adaptation-issues-after-maternal-exposure-to-prescription-drugs-withdrawal-syndromes-and-residual-pharmacological-effects
#18
REVIEW
Irma Convertino, Alice Capogrosso Sansone, Alessandra Marino, Maria T Galiulo, Stefania Mantarro, Luca Antonioli, Matteo Fornai, Corrado Blandizzi, Marco Tuccori
Exposure to drugs during pregnancy has the potential to harm offspring. Teratogenic effects are the most feared adverse outcomes in newborns; however, a wide spectrum of less known, usually reversible and often acute, neonatal adverse events can also occur due to drug intake by mothers during pregnancy, particularly in close proximity to delivery. This narrative review is aimed at the description of drugs and drug classes for which licit maternal use in the predelivery period has been associated with neonatal non-teratogenic disorders...
October 2016: Drug Safety: An International Journal of Medical Toxicology and Drug Experience
https://www.readbyqxmd.com/read/27283006/the-health-and-libraries-of-public-use-retrospective-study-helpurs
#19
Sam Zager, Amy Haskins, Katherine Maland, Christina Holt
BACKGROUND: Public libraries may promote health through literacy, education and social connections. OBJECTIVE: To conduct the first broad-based, quantitative exploration of health and public library patronage. METHODS: Retrospective cross-sectional study. All 2925 adult patients at a general practice clinic living in a small north-eastern U.S. city were invited by mail to participate; 243 consented. Clinical variables from the medical records were combined with library usage variables from the public library patron database...
September 2016: Health Information and Libraries Journal
https://www.readbyqxmd.com/read/27280964/developmental-trajectories-of-pregnant-and-postpartum-depression-in-an-epidemiologic-survey
#20
Sarah Tebeka, Yann Le Strat, Caroline Dubertret
OBJECTIVE: To estimate the prevalence and determinants for the peripartum depression. METHODS: Data were extracted from the 2 waves of the National Epidemiologic Study of Alcohol and Related Conditions (NESARC), a representative sample of the US population corresponding to 34,653 participants. All women pregnant during the year before the second assessment were included. Peripartum depression was evaluated according a semi-structured interview at Wave 2. Risk factors covering life from childhood through adulthood, and including sexual abuse, family history of depression and psychiatric disorder lifetime were evaluated at wave 1...
October 2016: Journal of Affective Disorders
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