TY - JOUR T1 - Incidence of narcotic abuse during pregnancy in northwestern Ontario JF - Canadian Family Physician JO - Can Fam Physician SP - e493 LP - e498 VL - 60 IS - 10 AU - Len Kelly AU - John Guilfoyle AU - Joe Dooley AU - Irwin Antone AU - Lianne Gerber-Finn AU - Roisin Dooley AU - Nicole Brunton AU - Kara Kakegamuck AU - Jill Muileboom AU - Wilma Hopman AU - Helen Cromarty AU - Barb Linkewich AU - Jennifer Maki Y1 - 2014/10/01 UR - http://www.cfp.ca/content/60/10/e493.abstract N2 - 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. ER -