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Master Thesis

Consommation de substances psychoactives chez la femme enceinte à Saint-Martin : étude descriptive

Abstract : INTRODUCTION : Prevention and management of psychoavtive substance use are a major public health issue becausetheyincrease the occurrence of bothobstetric and neonatal complications, and maydetermine the future health of the child. The main objective of ourstudywas to determine the prevalence of at least one psychoactive substance use (tobacco, alcohol, cannabis, and otherdrugs) duringpregnancy in Saint-Martin. METHOD : We performed a continuous series of descriptive, prospective, epidemiological study of prevalence, between December 18, 2014 and March 23, 2015 at the maternity ward of the Louis Constant Fleming Hospital in Saint-Martin. 217 patients completed a questionnaire (available in English, French and Spanish) on the third day after delivery regarding their consumption of substances before and during pregnancy. The refusal rate for the questionnaire was 1.36 %. RESULTS : The prevalence of one psychoactive product use duringpregnancywas 41.5 % (95% CI [34.8-48.5]). Smoking prevalenceduringpregnancywas 12.9 % (95% CI [8.7-18.1]). The alcoholconsumption rate duringpregnancywas 33.8 % (95% CI [27.5-40.5]). The prevalence of cannabis use duringpregnancywas 6.5 % (95% CI [3.6-10.6]). The prevalence of exposure of two or more substances duringpregnancywas 10.4 % (95% CI [6.6-15.3]). DISCUSSION : We have demonstrated that substance consumption behavior during the pregnancy is different from national data. Alcohol consumption is higher in our sample, particularly among foreign patients. Improved tracking strategies for at risk patients, health professionals training, the development of appropriate prevention campaigns, and the improvement of social care for patients are the major means to decrease psychoactive substance use during pregnancy in Saint-Martin.
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https://dumas.ccsd.cnrs.fr/dumas-01264213
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Submitted on : Thursday, January 28, 2016 - 8:37:30 PM
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Alice Monthieux. Consommation de substances psychoactives chez la femme enceinte à Saint-Martin : étude descriptive. Sciences de l'Homme et Société. 2015. ⟨dumas-01264213⟩

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