Substance use and use disorders during pregnancy and the postpartum period

被引：4

作者：

Habersham, Leah L. ^{[1
,2
]}

Townsel, Courtney ^{[3
]}

Terplan, Mishka ^{[4
]}

Hurd, Yasmin L. ^{[2
]}

机构：

[1] Icahn Sch Med Mt Sinai, Dept Obstet Gynecol & Reprod Sci, New York, NY 10029 USA

[2] Icahn Sch Med Mt Sinai, Dept Psychiat, New York, NY 10029 USA

[3] Univ Maryland, Sch Med, Dept Obstet & Gynecol, Baltimore, MD USA

[4] Friends Res Inst Inc, Baltimore, MD USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2025年 / 232卷 / 04期

基金：

美国国家卫生研究院;

关键词：

alcohol; benzodiazepines; cannabis; comprehensive overview of substance use; epidemiology; ethics; intervention; maternal and fetal adverse effects; nicotine; obstetric complications; opioids; postpartum substance disorders; substance use; NEONATAL ABSTINENCE SYNDROME; SMOKING; WOMEN; BENZODIAZEPINES; GYNECOLOGISTS; MEDICINE; EXPOSURE; STATES;

D O I：

10.1016/j.ajog.2025.01.007

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Substance use and substance use disorders among pregnant and postpartum individuals have risen dramatically, necessitating enhanced clinician education and intervention strategies. This expert review offers obstetricians and gynecologists a comprehensive overview of substance use during the prenatal and postpartum periods. We discuss the epidemiology, maternal and fetal adverse effects, as well as treatment approaches for major substances: nicotine, cannabis, alcohol, benzodiazepines, stimulants, and opioids. Additionally, we address the ethical and legal implications of substance use during pregnancy and emphasize the importance of equitable and nonstigmatizing care. By integrating evidence-based practices, we aim to support obstetricians and gynecologists in providing optimal care for pregnant and postpartum individuals affected by substance use disorders.

引用

页码：337 / 353.e1

页数：18

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