Substance misuse in pregnancy

Substance misuse in pregnancy is associated with a higher risk of maternal mortality and morbidity, as well as an increased risk of poor obstetric outcomes. It is strongly linked with social deprivation and is best managed by a supportive multi-disciplinary, multi-agency team involving obstetricians, specialist midwives, specialist addiction services and social care professionals. In this article the following issues will be discussed and highlighted through two case reports: (a) the definition of addiction; (b) screening for substance misuse; (c) effects of specific substances; (d) management of substance misuse in pregnancy; (e) importance of multi-agency holistic care.