CESSATION OF COCAINE USE DURING PREGNANCY - EFFECTS OF CONTINGENCY MANAGEMENT INTERVENTIONS ON MAINTAINING ABSTINENCE AND COMPLYING WITH PRENATAL-CARE

Previous studies have reported cessation of cocaine use in pregnant wo men prior to treatment entry. This study examined the relative effecti veness of adjunctive contingency management interventions in maintaini ng abstinence and enhancing compliance with prenatal care in this uniq ue population. Pregnant cocaine-dependent women who had used the drug during this pregnancy but had ceased use prior to study entry (N = 12) were randomly assigned to one of two treatment groups. All patients r eceived a multifaceted treatment including behaviorally based drug cou nseling and weekly prenatal visits. Patients in the experimental condi tion also received contingent reinforcement for cocaine abstinence and attendance at prenatal visits. There was a high rate of retention and abstinence from cocaine in both groups. However, patients in the expe rimental group had a higher rate of attendance at prenatal visits, and none of the patients in this group experienced adverse perinatal outc ome(s), compared to 80% of patients in the control group. This finding has important implications for cost-effective treatments and preventi on of illness. (C) 1998 Elsevier Science Ltd.