{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:47:03Z","timestamp":1786978023349,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,9,30]],"date-time":"2019-09-30T00:00:00Z","timestamp":1569801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate drug use among mothers during the postpartum period after a severe pregnancy\u2010related complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective cohort study of maternal morbidity including maternal near\u2010miss and control groups conducted in a tertiary hospital in Campinas, Brazil, between July 2008 and June 2012. The Alcohol, Smoking, and Substance Involvement Screening Test (\n                      <jats:styled-content style=\"fixed-case\">ASSIST<\/jats:styled-content>\n                      ) was used to assess drug use during lifetime, pregnancy, and in the previous 3\u00a0months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 638 women evaluated, drug use was reported by 165 (25.8%). Alcohol was the most common substance used (n=133, 20.6%), followed by tobacco (n=85, 13.2%), and cocaine (n=15, 2.3%). The highest risk for postpartum drug use was among those using drugs during pregnancy. There were no differences between the morbidity and control groups, but there was a significant difference in the need for intervention to reduce alcohol consumption in the severe maternal morbidity group. Risk for substance abuse intervention increased three\u2010fold in women with\n                      <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                      criteria, and all aspects of quality of life were worse among drug users.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Drug use during pregnancy and maternal complications are linked to postpartum drug abuse. These women should be managed during pregnancy; postpartum follow\u2010up requires updated guidance and must go beyond family planning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.12967","type":"journal-article","created":{"date-parts":[[2019,9,10]],"date-time":"2019-09-10T06:55:08Z","timestamp":1568098508000},"page":"368-374","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Postpartum psychoactive substance abuse after severe maternal morbidity"],"prefix":"10.1002","volume":"147","author":[{"given":"Cynara M.","family":"Pereira","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas School of Medicine  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodolfo C.","family":"Pacagnella","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas School of Medicine  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary A.","family":"Parpinelli","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas School of Medicine  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla B.","family":"Andreucci","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas School of Medicine  Campinas Brazil"},{"name":"Department of Medicine Federal University of S\u00e3o Carlos School of Medicine  S\u00e3o Carlos Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dulce M.","family":"Zanardi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas School of Medicine  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renato T.","family":"Souza","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas School of Medicine  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carina R.","family":"Angelini","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas School of Medicine  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Silveira","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas School of Medicine  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 G.","family":"Cecatti","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas School of Medicine  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,9,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2013.09.001"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2015.10.027"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-133"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0789-4"},{"key":"e_1_2_8_6_1","volume-title":"United Nations Office on Drugs and Crime, World Drug Report 2015","author":"UNODOC","year":"2015"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2015.02.027"},{"key":"e_1_2_8_8_1","unstructured":"Substance Abuse and Mental Health Services Administration.2015 National Survey on Drug Use and Health.2016.https:\/\/www.samhsa.gov\/data\/report\/results-2015-national-survey-drug-use\u2010 and\u2010health\u2010detailed\u2010tables. 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