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MA users reported an average of 4.6 total pregnancies and 2.1 fetal losses, whereas women in a general population survey reported 3.2 and 1.2, respectively. Higher numbers of pregnancies and fetal losses were correlated with specific substance abuse and mental health problems including early sexual abuse and cognitive problems. The combination of MA users\u2019 especially high numbers of pregnancies, fetal losses, and rates of risk behaviors suggest high social and health care costs for this population. Prenatal care may provide a vector through which women can be connected to risk reduction interventions and gender-responsive treatment services addressing substance use and mental health needs.<\/jats:p>","DOI":"10.4137\/sart.s14125","type":"journal-article","created":{"date-parts":[[2014,4,28]],"date-time":"2014-04-28T16:18:17Z","timestamp":1398701897000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Pregnancy and Fetal Loss Reported by Methamphetamine-Using Women"],"prefix":"10.4137","volume":"8","author":[{"given":"Mary-Lynn","family":"Brecht","sequence":"first","affiliation":[{"name":"Integrated Substance Abuse Programs, Department of Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, California, USA."},{"name":"School of Nursing, University of California, Los Angeles, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diane M.","family":"Herbeck","sequence":"additional","affiliation":[{"name":"Integrated Substance Abuse Programs, Department of Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,4,28]]},"reference":[{"key":"bibr1-SART.S14125","doi-asserted-by":"publisher","DOI":"10.1080\/02791072.2007.10399896"},{"key":"bibr2-SART.S14125","doi-asserted-by":"publisher","DOI":"10.3109\/10826084.2013.841244"},{"key":"bibr3-SART.S14125","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318214784e"},{"key":"bibr4-SART.S14125","doi-asserted-by":"publisher","DOI":"10.1016\/j.yfrne.2007.07.003"},{"key":"bibr5-SART.S14125","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2005.04.001"},{"key":"bibr6-SART.S14125","doi-asserted-by":"publisher","DOI":"10.1037\/a0030157"},{"key":"bibr7-SART.S14125","doi-asserted-by":"publisher","DOI":"10.1016\/j.ntt.2007.09.005"},{"key":"bibr8-SART.S14125","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.300779"},{"key":"bibr9-SART.S14125","volume-title":"The Current Status of the Methamphetamine Epidemic (Policy Brief).","author":"Carnevale J.","year":"2013"},{"key":"bibr10-SART.S14125","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2011.07.017"},{"key":"bibr11-SART.S14125","first-page":"139","volume":"3","author":"Boeri M.W.","year":"2009","journal-title":"J Ethnogr Qual Res."},{"key":"bibr12-SART.S14125","volume-title":"Methamphetamine: Abuse and Addiction.","author":"National Institute on Drug Abuse (NIDA) X.","year":"2006"},{"key":"bibr13-SART.S14125","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181a5ec6f"},{"key":"bibr14-SART.S14125","unstructured":"United Nations Office on Drugs and Crime. 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