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Titolo:
Pregnancy and substance dependency
Autore:
Kraigher, D; Schindler, S; Ortner, R; Fischer, G;
Indirizzi:
Univ Vienna, Klin Abt Allgemeine Psychiat, Psychiat Klin, AKH Wien, A-1090Vienna, Austria Univ Vienna Vienna Austria A-1090 Klin, AKH Wien, A-1090Vienna, Austria
Titolo Testata:
GESUNDHEITSWESEN
, volume: 63, anno: 2001, supplemento:, 2
pagine: S101 - S105
SICI:
0941-3790(200108)63:<S101:PASD>2.0.ZU;2-O
Fonte:
ISI
Lingua:
GER
Soggetto:
NEONATAL WITHDRAWAL SYNDROME; METHADONE; BUPRENORPHINE; WOMEN; PHARMACOLOGY; MAINTENANCE; MANAGEMENT; ADDICTION; SMOKING; COCAINE;
Keywords:
pregnancy; substance abuse; maintenance therapy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Fischer, G Univ Vienna, Klin Abt Allgemeine Psychiat, Psychiat Klin, AKH Wien, Wahringerstr 18-20, A-1090 Vienna, Austria Univ Vienna Wahringerstr 18-20 Vienna Austria A-1090 , Austria
Citazione:
D. Kraigher et al., "Pregnancy and substance dependency", GESUNDHEITS, 63, 2001, pp. S101-S105

Abstract

Substance dependency in pregnancy leads to severe health risks for the expecting mother and for the foetus and the new-born. The problem of substancedependent pregnant women lies not only in the use of illegal substances but also to a high degree in the use of legal substances such as alcohol and nicotine. in contrast to most other substances of abuse, opioids do not show cytotoxic or teratogenic characteristics. The primary goal should be the stabilisation of the patient and a reduction of additional illicit consumption. The ideal goal of abstinence is difficult to reach and often puts the women under enhanced risks. Detoxification after week 32 should not be undertaken in order to avoid preterm delivery. It should be standardised that a multiprofessional and interdisciplinary therapeutical care leads to a stabilisation in opioid dependent pregnant addicts and therefore improves the outcome for neonates. Special awareness needs to be addressed towards the diversification of opioid maintenance therapy. Based on the positive results in opioid maintenance therapy in pregnant opioid dependent women, it will be required to establish standards. Furthermore there is a need to establish consistent guidelines for the treatment of the neonatal abstinence syndrome.

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Documento generato il 19/01/20 alle ore 00:31:03