Prevention and Treatment Issues for Pregnant Cocaine-Dependent Women and Their Infants

Annals of the New York Academy of Sciences
Karol A. Kaltenbach, L P Finnegan

Abstract

The increase in cocaine use among pregnant women has created significant challenges for treatment providers. Drug-dependent women tend to neglect general health and prenatal care. Perinatal management is often difficult due to medical, obstetrical, and psychiatric complications. Research has demonstrated that comprehensive care, including high risk obstetrical care, psychosocial services, and addiction treatment can reduce complications associated with perinatal substance abuse. Research investigating the effectiveness of residential and outpatient treatment for pregnant cocaine-dependent women also suggests that many biopsychosocial characteristics and issues influence treatment outcomes. Homelessness and psychiatric illness require a more intensive level of care, and abstinence is difficult to maintain for many women in outpatient treatment as they continue to live in drug-using environments. To optimize the benefit of comprehensive services, services should be provided within a multilevel model of substance abuse treatment including long- and short-term residential, intensive outpatient, and outpatient settings.

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Citations

Jun 15, 2001·The Journal of Comparative Neurology·B E Kosofsky, S E Hyman
Jan 24, 2002·Therapeutic Drug Monitoring·Gideon KorenTatiana Karaskov
Dec 12, 2012·Addictive Disorders & Their Treatment·Melissa L HutchinsonHendrée E Jones
Feb 4, 2003·Journal of Psychoactive Drugs·Donna R MilesDeborah L Haller
Sep 10, 2016·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Brownsyne Tucker EdmondsEric M Meslin
Dec 21, 2000·Current Psychiatry Reports·K Kaltenbach
May 7, 2003·The American Journal of Drug and Alcohol Abuse·Olivia Silber AshleyThomas M Brady

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