Knowledge Drops
This most common illegal substance (of substance use disorder) in pregnancy
What are opioids (no credit for tobacco or caffeine)
This class of laws may serve as barriers to pregnant patients self-reporting use
Tobacco use during pregnancy is associated with the following pregnancy outcomes
Cocaine use during pregnancy is associated with the following pregnancy outcomes
The most common drug implicated in overdose deaths in parturients
What is fentanyl
The state with highest rate of substance use disorder in pregnancy
The method of substance use screening recommended by ACOG
Universal screening by patient report (not drug testing)
Smoking (of any kind) should prompt monitoring for these types of complication following general anesthesia
What is respiratory complications
The most common hemodynamic effect of general anesthesia in a patient intoxicated with cocaine or MDMA
What is hypotension
What consideration should be given to a neonate delivered to a mother with opioid use disorder
What is admission to a facility for monitoring for NOWS
The largest cause of pregnancy associated mortality in the state of Ohio
What is overdose
The decade when tobacco was identified to cause problems in pregnancy
What is 1950
What is to quit smoking
Ketamine is relatively contraindicated in patients who use this substance
What is cocaine
This treatment is preferred to supervised withdrawal in pregnant women with opioid use disorder
What is medication assisted therapy (MAT)
These two drugs of abuse may be associated with thrombocytopenia when used chronically
What are cocaine and alcohol
The demographics of women most often reported for criminal charges associated with substance use during pregnancy
What are poor or racial minorities (either gets credit)
Chronic marijuana use may increase the requirement of this class of medications during anesthesia
These two drugs have the most evidence for the treatment of alcohol withdrawal delirium in pregnancy
What are chlordiazepoxide and clonazepam
Methadone or buprenorphine should be discontinued in labor in this case
What is never
Use of this common drug on L&D may precipitate withdrawal in a patient with opioid use disorder
What is nalbuphine
Race as a risk factor for substance use disorder is an example of this
Confounding or bias
The most active component of marijuana
9-tetrahydrocannabinol (THC)
[THC abbreviation gets 50%]
Concomitant use of alcohol and cocaine has this effect
What is increase in toxic metabolites of cocaine by inducing P450
This is the preferred method of delivery for parturients with opioid use disorder
What is vaginal delivery