Maternal Substance Use: Consequences, Identification, and Interventions

effects of drugs and alcohol during pregnancy

Women who use narcotics during pregnancy are at increased risk for preterm labor and delivery. They are also more likely to deliver a stillborn baby or a baby with growth problems. Babies exposed to narcotics in utero are at increased risk for neonatal death. If you smoke while pregnant, it raises the risk of your baby being born too small, too early, or with birth defects. During the first year of life, there is a higher risk of your baby dying from sudden infant death syndrome (SIDS). And later in life, your child may be more likely to have health problems, such as asthma and obesity.

Alcohol consumption during pregnancy

  • Preventing these risks starts with seeking early intervention and addiction treatment during pregnancy.
  • Ethanol exposure disrupts the proliferation of glia and neuronal precursors in the developing central nervous system (Luo and Miller, 1998; Miller, 2007; Miller and Hu, 2009; Powrozek and Miller, 2009) and can dramatically alter behavior (Hellemans et al, 2010; Valenzuela et al, 2012).
  • Drinking alcohol during pregnancy increases the risk of miscarriage, premature birth and your baby having a low birthweight.

If you are concerned about using a prescription or over-the-counter medication during pregnancy, talk with your doctor and get more information about the drug’s safety. Babies can experience withdrawal symptoms at birth but these can be treated very safely with medication. These symptoms can include fever, excessive sneezing, jittery, diarrhoea and vomiting, excessive sucking and feeding,high temperature, irritability and be difficult to comfort, and rarely seizures. These drugs can also increase the mother’s blood pressure, which causes blood vessels to the placenta to narrow. This pressure can cause the placenta to separate from the womb, which is called a placental abruption and can be fatal for both mother and baby.

Premature Labor and Birth​

effects of drugs and alcohol during pregnancy

An estimated 2.6 million babies suffer in utero exposure to alcohol each year. If your pregnancy is unplanned, there are are a number of free crisis pregnancy counselling services that can provide you with non-judgemental support and information. Getting the right help at the right time can prevent lifelong complications for the baby and set the mother on a path to lasting recovery. Outpatient rehab programs offer a pregnant woman the flexibility of living at home while she receives care.

effects of drugs and alcohol during pregnancy

Tests and treatments

  • Newborns also demonstrate an attenuated response to auditory stimuli, an effect that can contribute to language and learning impairments later in life (Kable et al, 2009; Mansi et al, 2007).
  • However, some may interfere with the normal development of a fetus (these medicines are described as ‘teratogenic’).
  • Even one episode of drug use during this period can affect the development of your child.
  • However, pregnant women who use substances often feel stigmatized, and barriers to evidence-based treatments exist.
  • Clinicians should respect and support her decision to nourish her baby with formula.

Specifically, cannabis use disorder was the most common substance disorder diagnosed (8%). Over the past decade, there has been a significant increase in prenatal marijuana use from 4.2 percent to over 7 percent. Interestingly, the jump is even more substantial in women under 18, increasing from 12.5 percent to marijuana addiction nearly 22 percent.

For Treatment Providers

effects of drugs and alcohol during pregnancy

The optimal management strategy for pregnant women with substance use or SUD begins with comprehensive prenatal care. The next step is counseling and educating them about the consequences of tobacco, alcohol, and drug use related to themself and their unborn child and encouraging them to discontinue or reduce usage. Motivational interviewing and brief intervention rather than a judgmental or punitive approach are more likely to produce positive behavioral change. All women with SUD should be referred to the appropriate provider without delay for comprehensive behavioral and medical treatment. 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.

Prescription Drugs During Pregnancy

  • Smoking during and after pregnancy also increases the risk of sudden infant death syndrome (SIDS).
  • American-Indians and Alaskan Natives have the highest incidence of tobacco abuse at almost 17 percent.
  • Quitting before you get pregnant is ideal, but stopping drug or alcohol use at any point during pregnancy will benefit your baby.
  • The metabolism of Fe can also be impaired by a substance if combined with undernutrition status.

That’s why we have a comprehensive set of treatment providers and don’t charge for inclusion. We do not and have never accepted fees for referring someone to a particular center. Providers who advertise with us must be verified by our Research Team and we clearly mark their status as advertisers. For more information on the effects of smoking during pregnancy and help on quitting smoking, visit Tobacco Free Florida. When you are pregnant, everything that goes into your body has the potential to have an effect on your unborn baby.

effects of drugs and alcohol during pregnancy

Author & Researcher services

Proper maternal nutritional status is crucial to maintain the optimal environment for fetal development. All gestational periods are critical and need perfect balance for the interchange of nutrients across the placenta and consequent correct fetal growth. Nutrients available to the fetus are dependent on the mother’s metabolism, her partitioning of nutrients and the placental transport mechanism. If maternal nutritional status is compromised, essential nutrients are not available to the fetus. Lighter (lower BMI) women population who binge drink are less able to eliminate alcohol allowing more alcohol to cross the placenta.

If maternal dietary calcium intake is low, fetal bone development and mineralization may be compromised if the same occurs for low intake of omega-3’s that may directly and adversely affect fetal neurological structures and cognitive function. Folate is a major requirement for brain and spinal cord development and riboflavin also plays a role in brain development. Vitamin B12 is critical to the process of DNA methylation and is it safe to drink alcohol while pregnant deficiencies in vitamin B12 can cause abnormalities in DNA methylation and neurodevelopmental deficits.

effects of drugs and alcohol during pregnancy

Further, she notes that women who use substances during pregnancy often have other risk factors including low socioeconomic status, poor living conditions, poor prenatal care, and their own cognitive, emotional or behavioral problems. These all contribute to neurocognitive and psychological outcomes in their children. Although your friends and family will likely all have an opinion about what it means to be healthy during pregnancy, avoiding substances like alcohol, nicotine, marijuana, and illicit drugs from the beginning can make the biggest impact on your baby’s future. The Mainstreaming Addiction Treatment (MAT) Act provision updates federal guidelines to expand the availability of evidence-based treatment to address the opioid epidemic.

You will need to speak to your GP as soon as know you are pregnant if you are taking any of these medications. If you have taken drugs as a one off before knowing you were pregnant, this is unlikely to cause any harm so try not to worry. You shouldn’t drink any amount of alcohol during any stage of your pregnancy, according to the CDC. By clicking “Submit,” you certify that you have provided your legal name and phone number, agree to the terms and conditions and privacy https://ecosoberhouse.com/ policy, and authorise Paid Advertiser to contact you. You consent to receive SMS notifications and promotions from Paid Advertiser.

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