Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Jun 30;40(2):06.
doi: 10.35946/arcr.v40.2.06. eCollection 2020.

Maternal Substance Use: Consequences, Identification, and Interventions

Affiliations
Review

Maternal Substance Use: Consequences, Identification, and Interventions

Grace Chang. Alcohol Res. .

Abstract

Alcohol, tobacco, and cannabis are the substances most frequently used during pregnancy, and opioid-exposed pregnancies have increased fourfold. The purpose of this review is to describe the prevalence and consequences of prenatal exposure to alcohol, tobacco, cannabis, and opioids. Currently available screening questionnaires for prenatal substance use are summarized and contrasted with the measures available for prenatal alcohol use. Because screening for prenatal alcohol and substance use is but the prelude to efforts to mitigate the potential adverse consequences, attempts for the modification of these consequences are briefly reviewed. In addition, areas of future research related to the criminalization of prenatal substance use, which may inhibit both inquiry and disclosure, are discussed. Indeed, the full potential of effective interventions has yet to be realized.

Keywords: prenatal alcohol substance use; screening and intervention.

PubMed Disclaimer

Conflict of interest statement

Financial disclosure The author receives royalty payments from UpToDate.

References

    1. Haight SC, Ko JY, Tong VT, et al. Opioid use disorder documented at delivery hospitalization—United States, 1999–2014. MMWR Morb Mortal Wkly Rep. 2018;67(31):845–849. doi: 10.15585/mmwr.mm6731a1. - DOI - PMC - PubMed
    1. Denny CH, Acero CS, Naimi TS, et al. Consumption of alcohol beverages and binge drinking among pregnant women aged 18–44 years—United States, 2015–2017. MMWR Morb Mortal Wkly Rep. 2019;68(16):365–368. doi: 10.15585/mmwr.mm6816a1. - DOI - PMC - PubMed
    1. Terplan M, Cheng D, Chisholm MS. The relationship between pregnancy intention and alcohol use behavior: An analysis of PRAMS data. J Subst Abuse Treat. 2014;46(4):506–510. doi: 10.1016/j.jsat.2013.11.001. - DOI - PubMed
    1. Warren KR. A review of the history of attitudes toward drinking in pregnancy. Alcohol Clin Exp Res. 2015;39(7):1110–1117. doi: 10.1111/acer.12757. - DOI - PubMed
    1. Feldman HS, Jones KL, Lindsay S, et al. Prenatal alcohol exposure patterns and alcohol-related birth defects and growth deficiencies: A prospective study. Alcohol Clin Exp Res. 2012;36(4):670–676. doi: 10.1111/j.1530-0277.2011.01664.x. - DOI - PubMed

MeSH terms