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Substance Misuse in Pregnancy - NHS Lothian

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It is well established that many obstetric problems associated with<br />

substance misuse are also associated with social deprivation, poor<br />

antenatal care, poor maternal health and nutrition (Mounteney 1999). A<br />

number of case controlled studies have found comparable outcomes <strong>in</strong><br />

women (who are matched by age, parity, social deprivation category etc)<br />

who do not have substance misuse problems (S<strong>in</strong>ey 1999). Social factors,<br />

as well as the quality of health and social care provision, significantly<br />

<strong>in</strong>fluence the health and well-be<strong>in</strong>g of both mother and baby.<br />

Because of such complications, substance misuse <strong>in</strong> pregnancy has become<br />

one of the lead<strong>in</strong>g conditions requir<strong>in</strong>g specific guidel<strong>in</strong>es and strategies.<br />

The next section outl<strong>in</strong>es the pr<strong>in</strong>ciple guidel<strong>in</strong>es that form a ‘framework<br />

for care’.<br />

<strong>Substance</strong> <strong>Misuse</strong> <strong>in</strong> <strong>Pregnancy</strong><br />

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