孕期物质使用。
Substance use during pregnancy.
作者信息
Forray Ariadna
机构信息
Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
出版信息
F1000Res. 2016 May 13;5. doi: 10.12688/f1000research.7645.1. eCollection 2016.
Abstract
Prenatal substance use is a critical public health concern that is linked with several harmful maternal and fetal consequences. The most frequently used substance in pregnancy is tobacco, followed by alcohol, cannabis and other illicit substances. Unfortunately, polysubstance use in pregnancy is common, as well as psychiatric comorbidity, environmental stressors, and limited and disrupted parental care, all of which can compound deleterious maternal and fetal outcomes. There are few existing treatments for prenatal substance use and these mainly comprise behavioral and psychosocial interventions. Contingency management has been shown to be the most efficacious of these. The purpose of this review is to examine the recent literature on the prenatal use of tobacco, alcohol, cannabis, stimulants, and opioids, including the effects of these on maternal and fetal health and the current therapeutic options.
摘要
孕期物质使用是一个关键的公共卫生问题，与多种有害的母体和胎儿后果相关。孕期最常使用的物质是烟草，其次是酒精、大麻和其他非法物质。不幸的是，孕期使用多种物质的情况很常见，同时还存在精神疾病共病、环境应激源以及有限且中断的父母照料，所有这些都会使有害的母体和胎儿结局更加复杂。目前针对孕期物质使用的治疗方法很少，主要包括行为和心理社会干预。其中，应急管理已被证明是最有效的。本综述的目的是研究近期关于孕期使用烟草、酒精、大麻、兴奋剂和阿片类药物的文献，包括这些物质对母体和胎儿健康的影响以及当前的治疗选择。
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