1. Maternal and Neonatal Issues Carol L. Archie, MD Geffen School of Medicine at UCLA

2. Goal: To provide participants with didactic knowledge and insights which will allow them to improve the outcome for women who abuse alcohol and other drugs and their babies.

3. Non-pregnant clients with childbearing potential Address contraceptive issues early in treatment process. –Many women mistakenly believe they are infertile –Becoming clean and sober often reverses physiologic changes which previously prevented pregnancy –Unplanned/undesired pregnancy may threaten recovery

4. Contraceptive Options Effective reversible options should be offered. Estrogen containing oral contraceptives should be avoided in most substance abusing patients. Methods which do not require daily attention are often preferred.

5. Examples of Contraceptives to be considered IUDs Depo-Provera Patch Vaginal ring

6. Pregnant Clients, Actively Using These women represent an extremely challenging population who must be given above all- HOPE