Addressing Substance Abuse in Pregnancy: Opportunity for Change. Jeanne Mahoney Director, Provider’s Partnership American College of Obstetricians and Gynecologists 2005. Overview. Why group tobacco and substance use together? Epidemiology / costs Interventions that work
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Director, Provider’s Partnership
American College of Obstetricians and Gynecologists
Smoking is the single most important modifiable cause of poor pregnancy outcomes in the United States(Orleans , 2000)
AMCHP, PPFA and ACOG state partnership teams – 10
Example – Nevada Smoke Free Babies
Who - Public health and ACOG previous collaboration
Why – High rate of perinatal smoking
Catalyst - New Quit-line – Pending legislation
Result – Statewide diverse team, passed tax legislation, received grant funding for perinatal demonstration project
Fetal alcohol syndrome (FAS) is the most common preventable cause of mental retardation. It is 100% preventable.
Women rarely abuse single substances, those who abuse illicit substances frequently use alcohol and or tobacco.