CONTROVERSIES IN OBSTETRIC ANESTHESIA AND ANALGESIA
CONTROVERSIES IN OBSTETRIC ANESTHESIA AND ANALGESIA The last three decades have seen a substantial rise in recreational drug use in the Western world.
- * In a survey carried out in the US, 90 % of the women who abused drugs were of child- bearing age .
- * Between 2007 and 2008 an estimated 5.1% of pregnant women used illicit drugs, a conservative estimate as most parturients deny drug use on direct questioning.
- * The most commonly abused drugs include opioids, amphetamines, marijuana, ketamine and other hallucinogens, caffeine, solvents, tobacco, alcohol, and cocaine . Abuse of multiple drugs concurrently is common.
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- * Maternal drug use can lead to significant morbidity and potential mortality in both mother and fetus.
- * Maternal drug abuse also can have significant economic implications and also implications for being involved in criminal activities.
- * Mothers who abuse drugs are 80% more likely to require the involvement of the anesthesiologist for analgesia and anesthesia in labor .