This issue of Pediatrie Annals updates the pediatrician on the many facets of substance abuse during pregnancy, a continuing and increasing problem for both physicians and for society. The articles highlight obstetric, neonatal, and pediatrie challenges and outcomes of maternal drug abuse, and also provide factual data and current treatment recommendations.
Both legal and illegal drugs of abuse and how they relate to maternal physiology placenta! anatomy and dysfunction, and teratogenic effects and organogénesis are outlined and analyzed to enable the reader to increase knowledge and insight about this menacing multidisciplinary major public health problem of our decade.
HOW TO OBTAIN CME CREDITS BY READING THIS ISSUE
Pediatricians can receive Category I credits for the Physician's Recognition Award of the American Medical Association by reading the following articles and successfully completing the quiz at the end of the issue. Complete instructions are given on the quiz pages.
The Pre-Test below has been prepared to assist you in studying the following material. It indicates some of the areas to be covered and will make it possible for you to challenge your present knowledge of the material before reading further.
1. Illicit drug use is thought to occur in as many as:
A. 5% of all pregnancies. ·
B. 15% of all pregnancies.
C. 25% of all pregnancies.
D. 35% of all pregnancies.
2. The psychoactive agent that produces the highest incidence of birth defects is:
3. Comprehensive multidisciplinary treatment programs for substance-abusing pregnant women have been shown to be effective in improving birth outcomes.
4. The number of babies born each year in this country to mothers who abuse drugs is approximately: A. 75 000.
D. 375 000.
Answers to the Pre-test:
1.C 2.C 3.A 4.D