Incidence of narcotic abuse during pregnancy in northwestern Ontario: three-year prospective cohort study

To document the incidence and outcomes of narcotic use during pregnancy in northwestern Ontario. Three-year prospective cohort study. Sioux Lookout and surrounding communities in northwestern Ontario. A total of 1206 consecutive births in a catchment area of 28 000 First Nations patients. Incidence...

Full description

Saved in:
Bibliographic Details
Published in:Canadian family physician 2014-10, Vol.60 (10), p.e493-e498
Main Authors: Kelly, Len, Guilfoyle, John, Dooley, Joe, Antone, Irwin, Gerber-Finn, Lianne, Dooley, Roisin, Brunton, Nicole, Kakegamuck, Kara, Muileboom, Jill, Hopman, Wilma, Cromarty, Helen, Linkewich, Barb, Maki, Jennifer
Format: Article
Language:English
Subjects:
Adult
Drug use
Female
Humans
Incidence
Indians, North American - ethnology
Narcotics
Narcotics - toxicity
Neonatal Abstinence Syndrome - epidemiology
Obstetrics
Ontario - epidemiology
Opioid-Related Disorders - epidemiology
Pregnancy
Pregnancy Complications - epidemiology
Prospective Studies
Substance-Related Disorders - epidemiology
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To document the incidence and outcomes of narcotic use during pregnancy in northwestern Ontario. Three-year prospective cohort study. Sioux Lookout and surrounding communities in northwestern Ontario. A total of 1206 consecutive births in a catchment area of 28 000 First Nations patients. Incidence of narcotic use, and maternal and neonatal outcomes. Incidence of narcotic use in pregnancy has risen to 28.6% (P < .001) and incidence of neonatal abstinence syndrome has fallen to 18.0% of narcotic-exposed births (P = .003). Daily intravenous drug use is now a common pattern of abuse. Narcotic abuse in pregnancy has dramatically increased in northwestern Ontario. Neonatal outcomes have improved as a result of a family medicine-based prenatal and obstetric program that includes a narcotic replacement and tapering program.
ISSN:0008-350X
1715-5258