CRITICAL COMPONENTS OF OBSTETRIC MANAGEMENT OF CHEMICALLY DEPENDENT WOMEN

Providing prenatal care to chemically dependent women presents multiple dilemmas and challenges to clinicians. It is a complex task and one that is incongruent with the usual perceptions of the obstetric experience. However, it must be viewed as an opportunity to bring these alienated women into the health care system. Pregnancy represents a period in most women's lives when they recognize the need for and are receptive to caring and responsive intervention. By optimizing the prenatal experience of chemically dependent women, maternal-fetal outcomes will be improved and the groundwork laid for the ongoing therapeutic services that are needed to maintain the health and well-being of the mother and child.