اعتیاد در زنان باردار

نویسندگانمریم بهنام مرادی
همایشدهمین کنگره بین المللی دانش اعتیاد
تاریخ برگزاری همایش۱۳۹۵/۶/۲۴
محل برگزاری همایشتهران
ارائه به نام دانشگاهآزاد اسلامی ورامین
نوع ارائهپوستر
سطح همایشبین المللی
چکیده مقاله<p>&nbsp;</p> <p dir="ltr">Abstract: this is a descriptive research for monitoring&nbsp; addiction in pregnant women. Opioid use in pregnancy is not uncommon, and the use of illicit opioids during pregnancy is associated with an increased risk of adverse outcomes.Opioid abuse includes the use of heroin and the misuse of prescription opioid analgesic medications.Using any amount of alcohol or drugs while pregnant can harm the unborn baby.Risks include premature delivery, low birth weight, neurological and congenital problems, increased chance of SIDS (sudden infant death syndrome),developmental delays, higher likelihood for neglect or abuse, as well as mental health and substance abuse problems as the children age.</p> <p dir="ltr">Methods:While data dating back to 2010 shows that among admitted pregnant women,cocaine, alcohol, and opiates were the most popular drugs; more recent data from the 2014 Treatment&nbsp; found that among pregnant admissions, alcohol abuse decreased from 46.6% in 2000 to 34.8% in 2014, and drug abuse increased from 51.1% in 2000 to 63.8% in 2014.</p> <p dir="ltr">Results: During pregnancy, chronic untreated heroin use is associated with an increased risk of fetal growth restriction,abruption placenta, fetal death, preterm labor, and intrauterine passage of meconium.pregnant women with substance abuse are likely to have co-occurring mental health disorders, experienced trauma as a child and/or adult, be on Medicaid or lack health coverage, be impoverished and/or lack stable housing, experienced partner and/or community violence, and have legal problems .Pregnant women with opioid addiction often seek prenatal care late in pregnancy; exhibit poor adherence to their appointments; experience poor weight gain; or exhibit sedation, intoxication, withdrawal, or erratic behavior. Positive results of serologic tests for HIV, hepatitis B, or hepatitis C also may indicate substance abuse.</p> <p dir="ltr">Conclusion:The prevalence of opioid abuse during pregnancy&nbsp; requires that practicing obstetrician&ndash;gynecologists and psychologists be aware of the implications of opioid abuse by pregnant women and of appropriate management strategies.the process of treatment is review the whole person, looking at physical factors, psychological factors, readiness for treatment, social factors, level of intoxication or withdrawal stage,&nbsp; a nd access to recovery support. Early identification of opioid-dependent pregnant women improves maternal and infant outcomes. Contraceptive counseling should be a routine part of substance use treatment among women of reproductive age to minimize the risk of unplann ed pregnancy. Methadone maintenance, as prescribed and dispensed on a daily basis by a registered substance abuse treatment program, is part of a comprehensive package of prenatal care, chemical dependency counseling, family therapy, nutritional education,and other medical and psychosocial services as indicated for pregnant women with opioid dependence.</p>

کلید واژه ها: اعتیاد ، بارداری