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Universal drug screening via questioning pregnant women is recommended, but identification of drug use is incomplete with this method. This article provides resources for the identification and management of drug use during pregnancy for midwives who provide care not only during the prenatal period but also during the intrapartum and postpartum periods. The impact of drug use on newborns can be significant and may require pharmacologic assistance with the transition to extrauterine life. Challenges involved in caring for the woman who is using drugs during pregnancy include ordering toxicology screens on the newborn, alerting social services, and educating the woman about her newborn's progress. Several measures to comfort a newborn with NAS may help to enable a mother to provide the best care for her newborn.<\/jats:p>","DOI":"10.1111\/jmwh.12087","type":"journal-article","created":{"date-parts":[[2013,9,9]],"date-time":"2013-09-09T17:37:22Z","timestamp":1378748242000},"page":"697-701","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Identification of the Pregnant Woman Who Is Using Drugs: Implications for Perinatal and Neonatal Care"],"prefix":"10.1111","volume":"58","author":[{"given":"Tammy","family":"Casper","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan W.","family":"Arbour","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,9,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3212"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.nainr.2008.12.009"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.3951"},{"key":"e_1_2_8_5_1","first-page":"259.e1","article-title":"Current trends in narcotic use in pregnancy and neonatal outcomes","volume":"204","author":"Kellogg A","year":"2011","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_6_1","unstructured":"Substance Abuse and Mental Health Services Administration .Results from the 2010 National Survey on Drug Use and Health: summary of national findings NSDUH Series H\u201041 HHS Publication No.(SMA) 11\u20134658.http:\/\/www.oas.samhsa.gov\/NSDUH\/2k10NSDUH\/2k10Results.pdf.Rockville MD:Substance Abuse and Mental Health Services Administration;2011."},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182723b5a"},{"key":"e_1_2_8_8_1","first-page":"16","article-title":"Characterization of babies discharged from Cabell Huntington Hospital during the calendar year 2005 with the diagnoses of neonatal abstinence syndrome","volume":"105","author":"Baxter FR","year":"2009","journal-title":"W V Med J"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2010.66"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1005359"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1586\/eog.10.54"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-2888"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2007.01.013"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2008.152769"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/10550881003684723"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2008.06.010"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2011.08.003"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318192499b"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318256496e"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7211266"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1891\/0730-0832.29.5.307"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0b013e318282738b"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2010.02.003"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2012.03982.x"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2012.04094.x"},{"key":"e_1_2_8_26_1","unstructured":"Guttmacher Institute.State Policies in Brief: Substance Abuse During Pregnancy.http:\/\/www.guttmacher.org\/statecenter\/spibs\/spib_SADP.pdf. 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