Drugs, Alcohol, Pregnancy and Parenting

1. Front Matter

   Pages i-x

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2. Introduction the Interfaces of Perinatal Addiction

   • Ira J. Chasnoff

   Pages 1-6

3. Psychosocial Characteristics of Pregnant Women Addicts in Treatment

   • Amin N. Daghestani

   Pages 7-16

4. Drug Abuse in Pregnancy

   • Louis G. Keith, Scott N. MacGregor, John J. Sciarra

   Pages 17-46

5. A Treatment Model of Nursing Care for Pregnant Chemical Abusers

   • Bonnie Michaels, Melinda Noonan, Sandy Hoffman, Rita Allen Brennan

   Pages 47-57

6. Drug Addiction and Pregnancy: The Newborn

   • Loretta P. Finnegan

   Pages 59-71

7. Marijuana and Cigarette Smoking during Pregnancy: Neonatal Effects

   • Barry Zuckerman

   Pages 73-89

8. Cocaine: The Drug of Choice

   • William T. Atkins

   Pages 91-96

9. Cocaine: Effects on Pregnancy and the Neonate

   • Ira J. Chasnoff

   Pages 97-103

10. The Effects of Perinatal Cocaine Exposure on Infant Neurobehavior and Early Maternal — Infant Interactions

    • Dan R. Griffith

    Pages 105-113

11. Motor Assessment and Parent Education Beyond the Newborn Period

    • Jane W. Schneider

    Pages 115-125

12. FAS: Clinical Perspectives and Prevention

    • Lyn Weiner, Barbara A. Morse

    Pages 127-148

13. Breastfeeding by the Chemically Dependent Woman

    • Jeanne M. Wilton

    Pages 149-157

14. Parenting Dysfunction in Chemically Dependent Women

    • William J. Burns, Kayreen A. Burns

    Pages 159-171

15. Viral Hepatitis in Pregnancy

    • Dietra Delaplane Millard

    Pages 173-189

16. AIDS in Pregnancy and the Newborn

    • Ellen Gould Chadwick

    Pages 191-196

17. Back Matter

    Pages 197-206

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The Interfaces of Perinatal Addiction Ira J ChasnofT In the last few years, problems associated with drug use in pregnancy have become endemic. As cocaine has become the drug of choice for millions of Americans, including pregnant women, as AIDS has become more commonly recognized in women and infants, and as legal cases have begun to raise the question of fetal abuse, no professional group has come forward to serve as advocate for this special population of substance abusers. Meanwhile, however, physicians, nurses, social service agencies and public health officials have all been faced with increasing numbers of infants showing the detrimental effects of their mothers' drug use. Although problems of substance abuse in pregnancy have received increasing attention in the medical literature since the early 1970s, there has recently been a very rapid increase in the number of articles published related to this field. The reasons for this new interest are easily understood when current statistics from the National Institute on Drug Abuse are reviewed 1. Although patterns of abuse of alcohol, marijuana, heroin and other substances by women of childbearing age have changed very little over the last ten years, the incidence of cocaine use in this special population has been rising rapidly, a reflection of cocaine's increasing popularity among the general population of the United States.

• Public Health
• assessment
• child
• health
• newborn
• nursing
• pregnancy
• prevention

• Northwestern University Medical School, Chicago, USA

  Ira J. Chasnoff

• Perinatal Center for Chemical Dependence, Northwestern Memorial Hospital, Chicago, USA

  Ira J. Chasnoff

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