Cocaine and Opioid Use During Pregnancy: Prevalence and Management

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Have you ever wondered which of your patients may be using cocaineor opioids during pregnancy and concealing this use for fear of stigma? Have you deliberated about how to best educate the substance-usingwoman who presents to your practice without prenatal care? Have you beenconcerned about the risk of human immunodeficiency virus (HIV), hepatitis,endocarditis, or other complications from intravenous (IV) drug use in pregnancy?