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Substance-using Women and Drug-exposed Infants: 
Module Two - Other Drugs
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Teaching Concepts
cyan_bul.gif (1138 bytes) For teaching purposes, each of the following drugs and their effects have been dealt with separately. Substance users, however, may combine drugs and/or use drugs and alcohol together. They may also dose themselves with their drug(s) of choice before coming to the hospital, especially if they expect an extended stay.
cyan_bul.gif (1138 bytes) There is a continuum of effects that needs to be addressed. This module presents the possible effects of drug use in utero. It is necessary to stress to participants that individuals will vary in their presentation of effects and that some effects do not present until the developmental stage that is impacted has been reached.
cyan_bul.gif (1138 bytes) The study of perinatal substance exposure other than alcohol is relatively "young" and does not provide adequate information regarding the long term effects on adolescents and adults. Longitudinal studies are now being done, primarily on the long term effects of cocaine. More are needed addressing not only cocaine but other commonly ingested substances as well as polydrug use.
cyan_bul.gif (1138 bytes) All substance use when pregnant potentially affects the mother, the developing fetus, the course of the pregnancy, labor and delivery, and has postpartum effects for both mother and neonate. However, different substances have different effects within those categories.
cyan_bul.gif (1138 bytes) There is no safe time to use a substance when pregnant and there is no safe amount of substance that can be used when pregnant. Likewise, it is never too late to stop use of a substance when pregnant. However, rapid cessation of addicting agents can lead to withdrawal and possible fetal demise.

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Page last updated May 05, 2001