PT  - JOURNAL ARTICLE
AU  - Kelly, Len
AU  - Guilfoyle, John
AU  - Dooley, Joe
AU  - Antone, Irwin
AU  - Gerber-Finn, Lianne
AU  - Dooley, Roisin
AU  - Brunton, Nicole
AU  - Kakegamuck, Kara
AU  - Muileboom, Jill
AU  - Hopman, Wilma
AU  - Cromarty, Helen
AU  - Linkewich, Barb
AU  - Maki, Jennifer
TI  - Incidence of narcotic abuse during pregnancy in northwestern Ontario
DP  - 2014 Oct 01
TA  - Canadian Family Physician
PG  - e493--e498
VI  - 60
IP  - 10
4099  - http://www.cfp.ca/content/60/10/e493.short
4100  - http://www.cfp.ca/content/60/10/e493.full
SO  - Can Fam Physician2014 Oct 01; 60
AB  - Objective To document the incidence and outcomes of narcotic use during pregnancy in northwestern Ontario.Design Three-year prospective cohort study.Setting Sioux Lookout and surrounding communities in northwestern Ontario.Participants A total of 1206 consecutive births in a catchment area of 28 000 First Nations patients.Main outcome measures Incidence of narcotic use, and maternal and neonatal outcomes.Results Incidence of narcotic use in pregnancy has risen to 28.6% (P < .001) and incidence of neonatal abstinence syndrome has fallen to 18.0% of narcotic-exposed births (P = .003). Daily intravenous drug use is now a common pattern of abuse.Conclusion Narcotic abuse in pregnancy has dramatically increased in northwestern Ontario. Neonatal outcomes have improved as a result of a family medicine–based prenatal and obstetric program that includes a narcotic replacement and tapering program.