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Maternal and Neonatal Issues

Maternal and Neonatal Issues. Carol L. Archie, MD Geffen School of Medicine at UCLA. 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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Maternal and Neonatal Issues

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  1. Maternal and Neonatal Issues Carol L. Archie, MD Geffen School of Medicine at UCLA

  2. 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.

  3. 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

  4. 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.

  5. Examples of Contraceptives to be considered • IUDs • Depo-Provera • Patch • Vaginal ring

  6. Pregnant Clients, Actively Using These women represent an extremely challenging population who must be given above all- HOPE

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