Drug abuse is an increasing problem and approximately 80% of female dr
ug abusers are of childbearing age. This retrospective case note study
reviews 10 years' experience of the management of pregnant drug abuse
rs (n=57) in the obstetric hospital of a London teaching hospital, Sur
prisingly, in view of other reports of high morbidity, no significantl
y increased rates of obstetric and neonatal problems were found when t
his group was compared with case-matched controls. Thirty-nine per cen
t of drug abusers managed to reduce and stop their drug use, However,
56% of the infants of drug abusers had withdrawal symptoms, Concern fo
r her unborn child can motivate the pregnant drug abuser to comply wit
h treatment and thus improve the outcome of pregnancy.