Toronto Centre for Substance Use in Pregnancy, St Joseph's Health Centre, Toronto, ON.
Can Fam Physician. 2011 Nov;57(11):e430-5.
Substance use during pregnancy is a substantial public health problem and a risk factor for poor neonatal outcomes. Prenatal care is often provided in high-risk pregnancy units, separate from addiction treatment.
To provide comprehensive prenatal care and addiction treatment in a family medicine setting.
The Toronto Centre for Substance Use in Pregnancy (T-CUP) is a family medicine-based program in a large urban city in Ontario. The T-CUP program comprises an interdisciplinary team using a one-stop access model to provide comprehensive services for pregnant women with a history of alcohol or drug abuse, including prenatal and postnatal medical care, addiction counseling, and assistance with complex psychosocial needs.
A retrospective chart review was performed, including charts for 121 women who received care at T-CUP from August 2000 to January 2006. Women demonstrated a high compliance rate with prenatal care attendance. Most women reported reduction in a variety of drug use categories. Significant differences were found especially among women who presented earlier in their pregnancies (P < .05). As a result, neonatal outcomes were satisfactory and approximately 75% of newborns were discharged home in the care of their mothers.
Pregnant substance-using women have positive maternal and infant health outcomes when they receive comprehensive care in a family medicine setting.
怀孕期间的物质使用是一个严重的公共卫生问题，也是新生儿不良结局的风险因素。产前护理通常在高危妊娠单位提供，与成瘾治疗分开。
在家庭医学环境中提供全面的产前护理和成瘾治疗。
多伦多孕期物质使用中心（T-CUP）是安大略省一个大城市中基于家庭医学的项目。T-CUP 项目由一个跨学科团队组成，采用一站式访问模式，为有酒精或药物滥用史的孕妇提供全面的服务，包括产前和产后医疗保健、成瘾咨询以及复杂的社会心理需求援助。
进行了回顾性图表审查，其中包括 2000 年 8 月至 2006 年 1 月在 T-CUP 接受治疗的 121 名妇女的图表。这些妇女的产前护理出勤率很高。大多数妇女报告减少了各种药物使用类别。尤其是在怀孕早期就诊的妇女中，发现了显著差异（P<.05）。因此，新生儿结局令人满意，约 75%的新生儿在母亲的照顾下出院回家。
当怀孕的物质滥用妇女在家庭医学环境中接受全面护理时，她们会有积极的母婴健康结局。
