Substance use in pregnancy

Question 1

How common and RF for Substance use in pregnancy

Answer 1

33% of adults that use drugs are women of reprodcutive age
Tobacco>alcohol>cannabus> other
polysubstance use is common

social - housing, crime, children in care
Malnurtition
Co-existent addication
risk of viral

Question 2

Alcohol in pregnancy

Answer 2

causes cognitive and behavioural abnormalities-
misscarriage, stillbirth, ifnant death, congenital, LBW, preterm, LGA
Foetal alcohol disorder=later development abnormalities

Prenatal drinking with long term cognitive/behavioural changes

Question 3

Smoking if pregnancy

Answer 3

Distinct outcomes
Damage to umbilical structure
Increase risk of ectopic
placental abruption
Misscarriage
LBW

Question 4

Cannabis in pregnancy

Answer 4

PReterm labour, LBW, SGA, NICU admission

prenatal cannabs linked- adverse consequences of growth of foetal/adolescent brains
Reduced attention
poorer acaedemic

Question 5

Cocaine in pregnancy

Answer 5

PROM, placental abruption, preterm
LBW, SGA

memphamphetamine linked with similar shorter gestation, LBW, development issues, HTN/eclampsia

Question 6

Opioids in pregnancy

Answer 6

LBW, Resp issues, 3rd trim bleed, toxaemia, microcephaly, SIDS

neonatal abstinence syndrome- if opioids during preg when baby comes out can have withdrawall
45-94% of the kids are exposed (methadonee etc)

present irritable, feeding issue, tremors, hypertonia, emesis, seizures, resp distress