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October 24, 1990

Drug Use in Pregnancy: Mother and Child

Author Affiliations

Highland General Hospital Oakland, Calif

Highland General Hospital Oakland, Calif

JAMA. 1990;264(16):2145. doi:10.1001/jama.1990.03450160115044

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The "crack cocaine" crisis has greatly increased the need for the health care practitioner to have an understanding of the identification and management of the substance-abusing mother and the approach to the follow-up of the drugexposed infant.

The management of the substanceabusing mother includes evaluation of many factors: the complex interaction of drugs, including cigarettes and alcohol; often the lack of prenatal care; inadequate nutrition; mood disorders; and the possible involvement of sexually transmitted diseases. Care of a drugexposed infant requires diagnosis of the physical injury and sensitive follow-up techniques to monitor potential developmental delay. Drug Use in Pregnancy: Mother and Child introduces a comprehensive treatment model used at Northwestern University.

Editor Ira Chasnoff, MD, has organized the 13 chapters around the Perinatal Services Project, a comprehensive treatment model for drug abuse during pregnancy. The 18 contributing authors describe the individual areas of risk, such as pharmacology, recognition, management, mother-infant