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Substance Use Disorders

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Perinatal Psychopharmacology

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Abstract

Epidemiological data revealed an increasing consume of both ‘legal’ (i.e. tobacco, alcohol) and illegal substances amongst women of childbearing age, during the last decades, with a subsequent increasing risk of teratogenesis and perinatal complications for foetus of pregnant women exposed to substances of abuse/misuse. The early identification and management of women at risk of substance use disorders (SUDs) in pregnancy may help clinicians in promptly applying specifically targeted harm reduction interventions. The present chapter aims at providing a comprehensive overview on birth defects, foetal malformations, teratogenic risk and perinatal complications related to the consumption of cannabinoids, opioids and psychostimulant drugs during pregnancy. Practical recommendations on how to manage a pregnant woman with a SUD (with and/or without a comorbid psychiatric disorder) have been as well here provided, from a pharmacological and nonpharmacological point of view.

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Authors and Affiliations

  1. KOS Care S.r.L., Neomesia Mental Health, Villa Jolanda Hospital, Scisciano, Italy

    Laura Orsolini

  2. Psychopharmacological, Drug Misuse and Novel Psychoactive Substances Research Unit, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, Herts, UK

    Laura Orsolini, Gabriele Duccio Papanti & Fabrizio Schifano

  3. Polyedra Research, Teramo, Italy

    Laura Orsolini & Domenico De Berardis

  4. DeGra Clinic for Perinatal Mental Disorders, Verona, Italy

    Cesario Bellantuono

  5. NHS, Department of Mental Health, Psychiatric Service of Diagnosis and Treatment, Hospital “G. Mazzini”, Teramo, Italy

    Domenico De Berardis

  6. Department of Neurosciences and Imaging, University “G. D’Annunzio”, Chieti, Italy

    Domenico De Berardis

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  1. Laura Orsolini
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  3. Cesario Bellantuono
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Editors and Affiliations

  1. Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey

    Faruk Uguz

  2. Psychopharmacological, Drug Misuse and Novel Psychoactive Substances Research Unit, University of Hertfordshire, Hatfield, UK

    Laura Orsolini

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Orsolini, L., Papanti, G.D., Bellantuono, C., De Berardis, D., Schifano, F. (2019). Substance Use Disorders. In: Uguz, F., Orsolini, L. (eds) Perinatal Psychopharmacology. Springer, Cham. https://doi.org/10.1007/978-3-319-92919-4_20

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