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首页> 外文期刊>American Journal of Obstetrics and Gynecology >Prevalence of illicit drug use in pregnant women in a Wisconsin private practice setting
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Prevalence of illicit drug use in pregnant women in a Wisconsin private practice setting

机译：威斯康星州私人诊所环境下孕妇的非法药物使用率

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摘要

Objective We sought to measure the prevalence of illicit drug use in our obstetric population, to identify the drugs being used, and to determine whether a modified version of the 4Ps Plus screening tool could serve as an initial screen. Study Design In this prospective study, urine samples of 200 unselected patients presenting for initiation of prenatal care in a Wisconsin private practice were analyzed for evidence of the use of illicit drugs. Results Of 200 patients, 26 (13%) had evidence of drugs of abuse in their urine samples. Marijuana (7%) and opioids (6.5%) were the most commonly identified drugs. Adding 5 questions about drug or alcohol use to the obstetric intake questionnaire proved sensitive in identifying patients with high risks of having a positive drug screen. Conclusion The rate of drug use in our low-risk population was higher than expected and may reflect increasing rates of drug use across the United States. Enhanced screening should be performed to identify patients using illicit drugs in pregnancy to improve their care. Medical centers and communities may benefit from periodic testing of their community prevalence rates to aid in appropriate care planning.
机译：目的我们试图测量产科人群中非法药物的使用率，确定正在使用的药物，并确定4Ps Plus筛查工具的修改版是否可以用作初始筛查。研究设计在这项前瞻性研究中，分析了200名未选择的在威斯康星州私人执业中准备开始产前保健的患者的尿液样本，以证明使用了非法药物。结果200名患者中，有26名（13％）的尿液样本中有滥用药物的迹象。大麻（7％）和阿片类药物（6.5％）是最常用的药物。在产科摄入量调查表中增加了5个关于药物或酒精使用的问题，对于识别筛查呈阳性的高风险患者非常敏感。结论在我们的低风险人群中，吸毒率高于预期，并且可能反映了整个美国的吸毒率上升。应加强筛查以鉴定怀孕期间使用非法药物的患者，以改善他们的护理。医疗中心和社区可通过对其社区患病率进行定期测试而受益，以帮助制定适当的护理计划。

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