Division of Alcohol and Drug Abuse, McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
Massachusetts General Hospital/McLean Hospital Adult Psychiatry Residency Program, 15 Parkman Street, Wang 812, Boston, MA 02114, USA.
Obstet Gynecol Clin North Am. 2014 Jun;41(2):191-203. doi: 10.1016/j.ogc.2014.02.011. Epub 2014 Apr 6.
Substance use among adolescents increases the risk of unplanned pregnancies, which then increases the risk of fetal exposure to addictive, teratogenic substances. Specific interventions are necessary to target pregnancy planning and contraception among reproductive-age substance users. Screening for substance use using the CRAFFT is recommended in all health care settings treating adolescent patients. Screening for tobacco and nicotine use is also recommended along with the provision of smoking cessation interventions. Using motivational interviewing style and strategies is recommended to engage adolescents in discussions related to reducing substance use, risky sexual behavior, and probability of unplanned pregnancy or late-detection pregnancy.
青少年的物质使用会增加意外怀孕的风险，而这又会增加胎儿接触成瘾性、致畸性物质的风险。需要采取具体干预措施，针对生殖年龄物质使用者进行妊娠计划和避孕措施。建议在所有治疗青少年患者的医疗保健环境中，使用 CRAFFT 进行物质使用筛查。还建议筛查烟草和尼古丁使用情况，并提供戒烟干预措施。建议采用动机性访谈的方式和策略，使青少年参与有关减少物质使用、风险性行为以及意外怀孕或延迟发现怀孕的概率的讨论。
