James M E, Coles C D
Department of Psychiatry, Emory University School of Medicine, Atlanta, Georgia.
Gen Hosp Psychiatry. 1991 Nov;13(6):399-409. doi: 10.1016/0163-8343(91)90108-9.
Cocaine abuse is an increasing problem in the obstetric population. It not only poses a health risk to the pregnant woman, but can precipitate premature labor and abruptio placentae, and has been associated with a number of physical and behavioral problems in the newborn. Evaluation and management of the pregnant cocaine abuser is similar in most respects to that of nonpregnant adults, but diagnosis, psychotherapy, and pharmacotherapy is strongly influenced by the pregnancy. This article describes the risks of cocaine use during pregnancy and outlines the evaluation and management of the pregnant cocaine abuser.
可卡因滥用在产科人群中是一个日益严重的问题。它不仅对孕妇构成健康风险，还可能引发早产和胎盘早剥，并且与新生儿的一系列身体和行为问题有关。对滥用可卡因的孕妇的评估和管理在大多数方面与非孕妇成年人相似，但诊断、心理治疗和药物治疗会受到怀孕的强烈影响。本文描述了孕期使用可卡因的风险，并概述了对滥用可卡因的孕妇的评估和管理。
