The substance-abusing parturient: Implications for analgesia and anaesthesia management

D. J. Birnbach, D. J. Stein

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


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 (US)
Pages (from-to)443-460
Number of pages18
JournalBailliere's Clinical Obstetrics and Gynaecology
Issue number3
StatePublished - 1998
Externally publishedYes


  • Amphetamines
  • Cocaine
  • Substance abuse
  • Urine toxicology

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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