Department of Obstetrics, Gynecology, and Women's Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI.
Hawaii J Health Soc Welf. 2020 May 1;79(5 Suppl 1):40-43.
Methamphetamine use is widespread among pregnant and reproductive-aged women in Hawai'i. Women who use methamphetamine require comprehensive care that is gender specific and tailored to their needs. In Hawai'i, more services are needed to solve this serious public health problem. The authors present three cases of methamphetamine use with negative maternal and fetal outcomes. The first case describes a pregnant woman with daily methamphetamine use who experienced cardiac arrest with subsequent preterm delivery and maternal death due to global anoxic brain injury. The second case describes a pregnant woman with daily methamphetamine use which exacerbated her chronic hypertension and led to intrauterine fetal demise. The third case describes a pregnant woman with current methamphetamine use who experienced preeclampsia and a cerebrovascular accident necessitating preterm delivery. Methamphetamine remains a serious public health concern for the United States and especially in the state of Hawai'i.
在夏威夷,怀孕和育龄妇女中冰毒的使用非常普遍。使用冰毒的女性需要接受专门针对其性别和需求的全面护理。在夏威夷,需要更多的服务来解决这一严重的公共卫生问题。作者介绍了三例冰毒使用导致母婴不良结局的病例。第一个病例描述了一位每日使用冰毒的孕妇,她经历了心脏骤停,随后早产,因全身缺氧性脑损伤而死亡。第二个病例描述了一位每日使用冰毒的孕妇,她的慢性高血压病情加重,导致宫内胎儿死亡。第三个病例描述了一位目前正在使用冰毒的孕妇,她患有子痫前期并发生了脑血管意外,需要早产。冰毒仍然是美国,特别是夏威夷州的一个严重的公共卫生问题。