Document Detail


Substance abuse and HIV pregnancy.
MedLine Citation:
PMID:  8733999     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Substance abuse is a significant risk factor for HIV in pregnancy. Most substances can have deleterious effects on perinatal outcome, and in pregnancies complicated by maternal HIV infection, substance abuse may contribute to the rate of vertical transmission and the progression of maternal disease. Therefore, pregnant substance-abusing women should be identified and targeted for HIV counseling and testing. In addition, drug rehabilitation should be strongly advocated. In populations with high prevalences of substance abuse and HIV infection, exceptional measures such as voluntary routine drug screening and needle exchange programs at the site of prenatal care may be considered. Future research is required to understand the relationship among the type, severity, and stage of drug addiction and the difference in risk-taking behavior as it relates to HIV transmission. Intervention studies must be designed, implemented, and evaluated to identify the most effective strategy for managing pregnant substance abusers who are exposed or at risk of exposure to HIV.
Authors:
M E Sprauve
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical obstetrics and gynecology     Volume:  39     ISSN:  0009-9201     ISO Abbreviation:  Clin Obstet Gynecol     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-10-18     Completed Date:  1996-10-18     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0070014     Medline TA:  Clin Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  316-32     Citation Subset:  IM; X    
Affiliation:
Emory University, School of Medicine, Atlanta, Georgia 30303, USA.
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MeSH Terms
Descriptor/Qualifier:
Case Management*
Cocaine / metabolism
Ethanol
Female
HIV Infections / epidemiology*
Humans
Narcotics / metabolism
Plants, Toxic
Pregnancy
Pregnancy Complications, Infectious / epidemiology*
Substance-Related Disorders / epidemiology*,  metabolism
Tobacco
Chemical
Reg. No./Substance:
0/Narcotics; 50-36-2/Cocaine; 64-17-5/Ethanol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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