Maternal and Neonatal Issues Carol L. Archie, MD Geffen School of Medicine at UCLA.
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Transcript of Maternal and Neonatal Issues Carol L. Archie, MD Geffen School of Medicine at UCLA.
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Maternal and Neonatal Issues
Carol L. Archie, MDGeffen School of Medicine at UCLA
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Goal:
• To provide participants with didactic knowledge and insights which will allow them to improve the outcome for women who abuse alcohol and other drugs and their babies.
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Non-pregnant clients with childbearing potential
• Address contraceptive issues early in treatment process.– Many women mistakenly believe they are
infertile– Becoming clean and sober often reverses
physiologic changes which previously prevented pregnancy
– Unplanned/undesired pregnancy may threaten recovery
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Contraceptive Options
• Effective reversible options should be offered.
• Estrogen containing oral contraceptives should be avoided in most substance abusing patients.
• Methods which do not require daily attention are often preferred.
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Examples of Contraceptives to be considered
• IUDs• Depo-Provera• Patch• Vaginal ring
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Pregnant Clients, Actively Using
These women represent an extremely challenging population who must be given above all-
HOPE
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