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Screening and Management of Substance Use in Pregnancy: A Review

      Abstract

      Substance use during pregnancy has important implications for health care providers, policy makers, and can negatively impact a woman's health and the health of her children. Understanding trends, patterns of use and outcomes are critical to prevention campaigns, building awareness, and providing effective care. This review will discuss the current therapeutic approaches and recommendations for screening and patient management for substance use in pregnancy and during the postpartum period, and it is geared towards any care providers who care for patients or those who may care for patients who may be at risk for substance use during pregnancy.

      Résumé

      La consommation de substances psychoactives pendant la grossesse est un facteur important dont doivent tenir compte les fournisseurs de soins de santé et les décideurs, car elle peut affecter la santé de la mère et de ses enfants. Il est essentiel de comprendre les tendances ainsi que les habitudes de consommation et leurs conséquences pour mettre sur pied des campagnes de prévention, sensibiliser la population et offrir des soins efficaces. Cette revue, qui aborde les approches thérapeutiques et les recommandations actuelles en matière de dépistage et de prise en charge de la consommation pendant et après la grossesse, s'adresse à tous les fournisseurs qui suivent ou pourraient suivre des patientes qui risquent de consommer pendant leur grossesse.

      Key Words

      Abbreviations:

      BI (brief interventions), FASD (fetal alcohol spectrum disorder), NAS (neonatal abstinence syndrome), NRD (nicotine replacement therapy), OAT (opioid agonist treatment)
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