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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
BMJ Case Rep. 2010; 2010: bcr09.2009.2246.
Published online Feb 11, 2010. doi:  10.1136/bcr.09.2009.2246
PMCID: PMC3029977
Reminder of important clinical lesson
Pregnant heroin addict: what about the baby?
Vasudevan Namboodiri, Sanju George, Sylvie Boulay, and Mandy Fair
Birmingham and Solihull Mental Health NHS Trust, Addiction Psychiatry, The Bridge, 15 Larch Croft, Birmingham B37 7UR, UK
Correspondence to Sanju George,
Heroin misuse in pregnancy is a significant health and social problem, and it can have an adverse effect on the mother and the baby. Although heroin and methadone have no specific teratogenic potential, 48–94% of children exposed in utero will have neonatal abstinence syndrome (NAS). The primary aim of this case report is to raise awareness of NAS among clinicians and to remind them that although very common, it is not inevitable. The risk of NAS can be further minimised by offering comprehensive and co-ordinated antenatal care that addresses the various biopsychosocial needs of the pregnant woman. Further, a brief description of NAS and a review of evidence in the field of management of opioid misuse in pregnancy, as relevant to this case, are provided. We have also included the patient’s own reflections on her pregnancy and treatment.
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