Jansson L M, Svikis D, Lee J, Paluzzi P, Rutigliano P, Hackerman F
Johns Hopkins University, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, USA.
J Subst Abuse Treat. 1996 Jul-Aug;13(4):321-9. doi: 10.1016/s0740-5472(96)00070-0.
The problem of substance abuse in pregnancy is a major public health dilemma. Effective comprehensive care of drug addicted women has been shown to improve maternal and neonatal outcomes. The Center for Addiction and Pregnancy (CAP) combines the disciplines of pediatrics, substance abuse treatment, obstetrics/gynecology, and family planning in an effort to reduce the barriers to care often presenting in this subpopulation. For the first 100 CAP births, 82% were delivered vaginally, with a mean gestational age of 38 weeks. The Neonatal Intensive Care Unit admission rate was 10%, and the Bayley Scales of Infant Development performed at 6 and 12 months revealed mean developmental indices within the normal range. In a comparison study, a group of CAP participants had nearly $5,000 savings in costs when compared to a matched cohort. The CAP model of care appears to be an effective mode of treatment for substance abusing pregnant women.
孕期药物滥用问题是一个重大的公共卫生难题。事实证明，对吸毒成瘾女性进行有效的综合护理可改善母婴结局。成瘾与妊娠中心（CAP）整合了儿科学、药物滥用治疗、妇产科和计划生育等学科，以努力减少这一亚人群中常常出现的护理障碍。在CAP接生的头100例分娩中，82%为阴道分娩，平均孕周为38周。新生儿重症监护病房收治率为10%，在6个月和12个月时进行的贝利婴儿发育量表测试显示平均发育指数在正常范围内。在一项对比研究中，与匹配队列相比，一组CAP参与者节省了近5000美元的费用。CAP护理模式似乎是治疗滥用药物孕妇的一种有效方式。
