{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T17:20:22Z","timestamp":1759339222440,"version":"3.40.4"},"reference-count":68,"publisher":"Springer Publishing Company","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neonatal Network"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p>Nurses have demonstrated concern for years about their interactions with pregnant women who abuse drugs. Reports of nurses\u2019 concern with substance abuse have been reported in the literature since the 1980s. As with any chronic disease, drug addiction causes physiologic changes, and the pathology that occurs in the brain drives characteristic behaviors. Research suggests that choices that addicts make are driven by pathology rather than by failure of a moral compass. This article reviews the theoretical explanations for addictive behaviors, describes the pathophysiology of drug addiction that is responsible for the predictable symptoms and behaviors exhibited by women who abuse prescription drugs and other opioids, and identifies nursing interventions to impact positive outcomes. Nurses who have a working knowledge of this disease will provide more effective nursing care to the women they encounter and are better prepared to make a difference in the lives of both women and their children.<\/jats:p>","DOI":"10.1891\/0730-0832.33.1.11","type":"journal-article","created":{"date-parts":[[2014,1,10]],"date-time":"2014-01-10T21:06:50Z","timestamp":1389388010000},"page":"11-18","source":"Crossref","is-referenced-by-count":9,"title":["Drug Addiction in Pregnancy: Disease Not Moral Failure"],"prefix":"10.1891","volume":"33","author":[{"given":"Denise","family":"Maguire","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"793","published-online":{"date-parts":[[2013,1,1]]},"reference":[{"issue":"5","key":"2019091813551288000_33.1.11.1","doi-asserted-by":"crossref","first-page":"469","DOI":"10.3109\/10826088809039212","article-title":"Attitudes and perceptions of health professionals toward substance use disorders and substance-dependent individuals","volume":"23","year":"1988","journal-title":"Int J Addict"},{"issue":"5","key":"2019091813551288000_33.1.11.2","doi-asserted-by":"crossref","first-page":"456","DOI":"10.15288\/jsa.1987.48.456","article-title":"Nurses\u2019 beliefs about the etiology and treatment of alcohol abuse: a national study","volume":"48","year":"1987","journal-title":"J Stud Alcohol"},{"key":"2019091813551288000_33.1.11.3","doi-asserted-by":"publisher","DOI":"10.1016\/0740-5472(94)00073-5"},{"issue":"3","key":"2019091813551288000_33.1.11.4","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1111\/j.1552-6909.1998.tb02648.x","article-title":"Improving interactions between substance abusing mothers and their substance-exposed newborns","volume":"27","year":"1998","journal-title":"J Obstet Gynecol Neonatal Nurs"},{"key":"2019091813551288000_33.1.11.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-9417(95)80048-4"},{"issue":"1","key":"2019091813551288000_33.1.11.6","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1111\/j.1552-6909.1998.tb02593.x","article-title":"Knowledge and attitudes of registered nurses toward perinatal substance abuse","volume":"27","year":"1998","journal-title":"J Obstet Gynecol Neonatal Nurs"},{"key":"2019091813551288000_33.1.11.7","doi-asserted-by":"publisher","DOI":"10.1111\/1467-8624.00051"},{"key":"2019091813551288000_33.1.11.8","doi-asserted-by":"publisher","DOI":"10.1097\/00005237-200203000-00008"},{"key":"2019091813551288000_33.1.11.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2006.06.004"},{"key":"2019091813551288000_33.1.11.10","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0b013e3182677bc1"},{"key":"2019091813551288000_33.1.11.11","doi-asserted-by":"publisher","DOI":"10.1891\/0730-0832.29.5.307"},{"key":"2019091813551288000_33.1.11.12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-8624.2004.00710.x"},{"key":"2019091813551288000_33.1.11.13","unstructured":"Center for Substance Abuse Treatment, ed. 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