EPIDEMIOLOGY OF SUBSTANCE-EXPOSED PREGNANCIES AT ONE GREAT LAKES HOSPITAL THAT SERVES A LARGE NUMBER OF AMERICAN INDIANS.

EPIDEMIOLOGY; INDIGENOUS peoples of the Americas; SUBSTANCE abuse; PREGNANCY; DISEASE prevalence; MENTAL health; TOBACCO use

Objective: The purpose of this research was to determine the prevalence of substance-exposed pregnancies at a hospital in the Great Lakes region of the U.S. Method: Data were collected via retrospective chart abstractions of patients who were seen for delivery at one Great Lakes region hospital during a 1-year period who were given at least one of the International Classification of Diseases codes related to substance use. Results: A total of 342 medical records were included in the analysis, and, while much race/ethnicity data were missing, a large percentage of those in our analysis identified as American Indian. The prevalence of substance-exposed pregnancies at this hospital during a 1-year period was 34.5%. The majority (84.8%) were tobacco users, and many were found to have multiple substance exposures. Also, 48.5% were found to have a mental health diagnosis in addition to substance use. Conclusions: Data from this project can be used in prevention efforts, including preconception care for women at risk for substance use and mental health issues. [ABSTRACT FROM AUTHOR]

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