Substance Use in Pregnant Women Using the Emergency Department: Undertested And Overlooked?

The Western Journal of Emergency Medicine
C Leigh MoyerLarry Burd

Abstract

The objective was to determine if pregnant women visiting the emergency department (ED) are tested for substance use as frequently as non-pregnant women. We captured all ED visits over a six-year period (2010-2016) from a single community hospital and identified women of childbearing age, defined for our study as 11-50 years old. We collected demographic data including age in years, ethnicity, body mass index, marital status, disposition, last encounter department, method of arrival, and day of week. An independent binary variable was created based on whether the woman was tested for alcohol or drugs (amphetamines, barbiturates, benzodiazepines, cannabis, cocaine, opioids) during her visit. We then compared rates of testing for substance use by pregnancy status. We identified 61,222 ED visits by women of childbearing age (range 11-50, mean 30.5, standard deviation 9.6) over a six-year period from 2010-2016. Of the 57,360 non-pregnant women, 4.14% were tested compared to 1.04% of the 3,862 pregnant women tested with a relative risk of 0.25 (p<0.001, 95% confidence interval [CI] [0.183-0.341]). The most highly tested chief complaints for all women - psychiatric or substance use concerns - showed pregnant women were still 37% and ...Continue Reading

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Citations

Jan 30, 2019·Current Opinion in Pediatrics·Eike BlohmMark Neavyn
Nov 24, 2018·Nature Reviews. Disease Primers·Mara G CoyleHendrée E Jones

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