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Research ArticleProgram Description

Comprehensive treatment program for pregnant substance users in a family medicine clinic

Alice Ordean and Meldon Kahan
Canadian Family Physician November 2011; 57 (11) e430-e435;
Alice Ordean
MD CCFP MHSc
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  • For correspondence: ordeaa@stjoe.on.ca
Meldon Kahan
MD MHSc CCFP FRCPC
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Article Figures & Data

Tables

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    Table 1

    Patient demographic characteristics: N = 121.

    CHARACTERISTICPATIENTS
    Mean (SD) age, y29.4 (5.5)
    Age range, y18–41
    Mean (SD) no. of pregnancies3.7 (2.2)
    Range of no. of pregnancies1–11
    Race, n (%)
      • White95 (78.5)
      • Asian9 (7.4)
      • Other (eg, aboriginal)17 (14.0)
    Marital status, n (%)
      • Single60 (49.6)
      • Married or common law49 (40.5)
      • Divorced or separated12 (9.9)
    Education level, n (%)
      • Grade school14 (11.6)
      • High school65 (53.7)
      • Postsecondary education37 (30.6)
      • Unknown5 (4.1)
    • View popup
    Table 2

    Change in maternal drug use from baseline to delivery for 34 women presenting in the first trimester

    DRUGNO. OF WOMEN USING IN TRIMESTER 1NO. OF WOMEN USING IN TRIMESTER 3
    Heroin11
    Prescription opioids83*
    Cocaine104*
    Marijuana125*
    Benzodiazepines72*
    Alcohol163*
    Nicotine3025
    • ↵* Significant decrease; P < .05.

    • View popup
    Table 3

    Change in maternal drug use from baseline to delivery for 59 women presenting in the second trimester

    DRUGNO. OF WOMEN USING IN TRIMESTER 2NO. OF WOMEN USING IN TRIMESTER 3
    Heroin95
    Prescription opioids1112
    Cocaine3022*
    Marijuana2519
    Benzodiazepines1310
    Alcohol136*
    Nicotine4846
    • ↵* Significant decrease; P < .05.

    • View popup
    Table 4

    Change in maternal drug use from baseline to delivery for 28 women presenting in the third trimester

    DRUGNO. OF WOMEN USING IN TRIMESTER 3NO. OF WOMEN USING AT DELIVERY
    Heroin or prescription opioids125
    Cocaine113
    Marijuana102
    Benzodiazepines53
    Alcohol7NA
    Nicotine19NA
    • NA—data not available.

    • View popup
    Table 5

    Birth parameters: N = 121.

    CHARACTERISTICOUTCOME
    Mean gestational age, wk38.8
    Mean (SD) birth weight, g3063.3 (601.1)
    Mean (SD) birth length, cm49.6 (3.5)
    Mean (SD) birth head circumference, cm33.9 (1.9)
    Mean Apgar score at 1 min8.4
    Mean Apgar score at 5 min8.8
    Prematurity* rate, n (%)15 (12.4)
    Low birth weight rate,† n (%)20 (16.5)
    • ↵* Prematurity was defined as delivery at less than 37 weeks’ gestational age.

    • ↵† Low birth weight rate was defined as less than 2500 g.

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Canadian Family Physician: 57 (11)
Canadian Family Physician
Vol. 57, Issue 11
1 Nov 2011
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Comprehensive treatment program for pregnant substance users in a family medicine clinic
Alice Ordean, Meldon Kahan
Canadian Family Physician Nov 2011, 57 (11) e430-e435;

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