RT Journal Article
SR Electronic
T1 Incidence of narcotic abuse during pregnancy in northwestern Ontario
JF Canadian Family Physician
JO Can Fam Physician
FD The College of Family Physicians of Canada
SP e493
OP e498
VO 60
IS 10
A1 Kelly, Len
A1 Guilfoyle, John
A1 Dooley, Joe
A1 Antone, Irwin
A1 Gerber-Finn, Lianne
A1 Dooley, Roisin
A1 Brunton, Nicole
A1 Kakegamuck, Kara
A1 Muileboom, Jill
A1 Hopman, Wilma
A1 Cromarty, Helen
A1 Linkewich, Barb
A1 Maki, Jennifer
YR 2014
UL http://www.cfp.ca/content/60/10/e493.abstract
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.