The substance-abusing parturient

Implications for analgesia and anaesthesia management

David Birnbach, D. J. Stein

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Substance abuse remains a major problem in society, while substance abuse in pregnancy has emerged as a major health problem in the 1990s. Due to this trend, obstetricians, neonatologists and anaesthesiologists are encountering an increasing number of pregnant patients who use licit and illicit substances. The use of these substances presents a multitude of problems for the patient, her unborn child, and the physicians involved in their care. The following article reviews the various substances of abuse used by pregnant women and the implications of their use for analgesia and anaesthesia during labour and delivery. In conclusion, it is essential for physicians to identify the substance abusing parturient to optimize care of these patients and be prepared for the crises that may arise.

Original languageEnglish
Pages (from-to)443-460
Number of pages18
JournalBailliere's Clinical Obstetrics and Gynaecology
Volume12
Issue number3
DOIs
StatePublished - Nov 7 1998
Externally publishedYes

Fingerprint

Anesthesia and Analgesia
Substance-Related Disorders
Parturition
Physicians
Pregnant Women
Patient Care
Pregnancy
Health

Keywords

  • Amphetamines
  • Cocaine
  • Substance abuse
  • Urine toxicology

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

The substance-abusing parturient : Implications for analgesia and anaesthesia management. / Birnbach, David; Stein, D. J.

In: Bailliere's Clinical Obstetrics and Gynaecology, Vol. 12, No. 3, 07.11.1998, p. 443-460.

Research output: Contribution to journalArticle

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