Lectures

Substance Abuse in Pregnancy: Alcohol Abuse and Illicit Drugs

by Veronica Gillispie, MD, FACOG
(1)

Questions about the lecture
My Notes
  • Required.
Save Cancel
    Learning Material 2
    • PDF
      Slides SubstanceAbuseinPregnancy Obstetrics.pdf
    • PDF
      Download Lecture Overview
    Report mistake
    Transcript
    Okay, so alcohol abuse. So, there are some adverse outcomes and we’re going to talk about each of these in a little bit of detail: fetal alcohol syndrome, CNS abnormalities, and then fetal growth restriction. So, with fetal alcohol syndrome, there are craniofacial features that you need to make sure you’re very well aware of because you will see these on the exam. These are high yield. So, a short palpebral fissure, flat midfaces, long and flat philtrum and then also this very thin vermillion border of the upper lip. You can see all of these things demonstrated here in this picture. You can also see a small head circumference, small eye opening, small midfaces and again that thin upper lip. So, these are some other faces of fetal alcohol syndrome. In the first picture here, we can see the midfaces that’s really, really flat. In the second picture here, we can see the eye changes that we discussed and in the third picture, this is a really good example of that thin vermillion border of the lip. So, there are 2 other adverse outcomes that we see in pregnancy when women drink alcohol. One is CNS abnormalities and this is mostly manifest in the way of mental retardation and that’s seen throughout the life of the child and the other is fetal growth restriction. Now, it’s important to note that there has no safe lower limit that has been established for alcohol use in pregnancy. Therefore, our stance is that women should not drink alcohol in pregnancy; otherwise, they may experience any of these adverse outcomes that we’ve discussed. So, every patient that comes in should be screened for alcohol use in pregnancy. Not every patient is going to come in admitting that they have a problem nor will...

    About the Lecture

    The lecture Substance Abuse in Pregnancy: Alcohol Abuse and Illicit Drugs by Veronica Gillispie, MD, FACOG is from the course Preconception Care. It contains the following chapters:

    • Substance Abuse in Pregnancy Alcohol Abuse and Illicit Drugs in Pregnancy
    • Illicit Drugs in Pregnancy

    Included Quiz Questions

    1. Long and flat philtrum
    2. Large head circumference
    3. Wide set eyes
    4. Cleft palate
    5. Macroglossia
    1. Ataxia
    2. Intellectual disability
    3. Thin vermilion border of the upper lip
    4. Short palpebral fissure
    5. Microcephaly
    1. There is no safe lower limit. Patients should be advised not to drink alcohol during pregnancy.
    2. Patients should be advised to have no more than one drink a day during pregnancy.
    3. Patients should be advised to not exceed 4 drinks a week during pregnancy.
    4. Patients should be advised that although an occasional glass of wine with dinner is okay during pregnancy, they should not make regular drinking a habit.
    5. Patients should be advised that as long as they will not have any alcohol-related adverse outcomes as long as they are not getting "buzzed" or drunk while pregnant.
    1. Yes, she has a score 2 on the alcohol abuse screening test.
    2. Yes, she has a score of 1 on the alcohol abuse screening test
    3. No, she only has a scores of 1 on the alcohol abuse screening test
    4. No, she only scores a 2 on the alcohol abuse screening test
    5. No, she does not need to be screened for alcohol abuse because she has never felt the need to cut down on her intake of alcohol.
    1. Having a partner that uses illicit drugs
    2. Having no partner or parental support during pregnancy
    3. Smoking cigarettes during pregnancy
    4. Teenage pregnancy
    5. High socioeconomic status

    Author of lecture Substance Abuse in Pregnancy: Alcohol Abuse and Illicit Drugs

     Veronica Gillispie, MD, FACOG

    Veronica Gillispie, MD, FACOG


    Customer reviews

    (1)
    5,0 of 5 stars
    5 Stars
    5
    4 Stars
    0
    3 Stars
    0
    2 Stars
    0
    1  Star
    0