Prenatal Care, Drug Use, and Adverse Perinatal Outcomes

"Many economic, psychosocial, behavioral, biological, and health services factors have been implicated in these adverse perinatal outcomes.14,15 Among them are two that seem to be inextricably associated, namely low levels of PNC [Prenatal Care] utilization and exposure to IDU [Illicit Drug Use] in pregnancy.16–21 The overlap between these factors is evident in the population we studied, with a prevalence of 4.2% IDU in mothers with adequate PNC, 26.2% in women with inadequate PNC, and 55.2% in mothers with no PNC."


El-Mohandes, MD, MPH, Ayman; Herman, MD, PhD, Allen A.; El-Khorazaty, PhD, M. Nabil; Katta, MPH, Pragathi S.; White, RN, NNP, Davene; Grylack, MD, Lawrence, Journal of Perinatology (Nature Publishing Group, 2003) 23, p. 358.