http://www.fpnotebook.com/

Substance Abuse in PregnancyAka: Chemical Dependency in Pregnancy

See Also
Child Abuse Associations
1. Substantial increase in risk of maltreatment
2. Risk of change in primary caregiver before age 2 years
3. Breast Feeding exposure to illicit substance
4. Deliberate poisoning with illicit substance
5. Passive inhalation of illicit substance
6. Accidental ingestion of illicit substance
7. Physical or Sexual abuse
8. Household or neighborhood Violence
Preterm Recommendations: Obstetric Visits
1. Every 2 weeks until 30 weeks
2. Every week until delivery after 30 weeks
Labs: Sexually Transmitted Disease screening
1. First Prenatal Visit
2. Gestational age 36 weeks
3. Testing
  1. Syphilis Serology
  2. Condyloma
  3. Gonorrhea Culture
  4. Chlamydia screen
  5. Herpes Genitalis
  6. Hepatitis B Serology
  7. HIV Testing
Radiology: Obstetric Ultrasound
1. Baseline: late first or early second trimester
2. Serial Ultrasound for Intrauterine Growth Retardation
Monitoring
1. Random Urine Drug Screening (obtain permit)
2. Obstetric Ultrasound as above
3. Nonstress Test
  1. Every two weeks from 30 to 35 weeks
  2. Weekly after 35 weeks
4. Meconium Drug Screen from fetus after delivery
Management
1. Child Protective Services reporting is required

Navigation Tree

Please see the Terms and Conditions. Please also see the privacy statement regarding advertising on this page. Although access to this page is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians.

This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.