Alcohol, tobacco or cannabis use during pregnancy: the Academy alert women
,
Alcohol, tobacco
or cannabis has a negative impact on the course of pregnancy and the future of
the child, alert the Academy of Medicine, which makes a number of
recommendations to protect the mother and child at a time when the lobbies
returned to the charge against the Evin Law
Addictions high
risk
Alcohol readily
cross the placental barrier has a deleterious effect on fetal brain. Depending
on the time and intensity of prenatal exposure to alcohol, it can affect the
primitive brain structures and processes affect memory and learning.
This
embryo-fetal toxicity thus reflects the extreme by fetal alcohol syndrome with
a craniofacial dysmorphia, malformations, growth retardation, and major
behavioral and cognitive disorders.
Most often,
however, the abnormalities are less severe, but nevertheless result in
alterations in the development and disorders of character, attention, language
acquisition, reading and writing , so that the consumption of alcohol during
pregnancy is the leading cause of mental retardation and non-genetic as well as
social maladjustment of the child yet.
It should be
emphasized that prenatal alcohol exposure is a risk factor for embryo-fetal
development at all stages of pregnancy, especially in the beginning, a risk
that is common to all varieties of alcoholic beverages (wine, beer , cider,
spirits, etc..) and exists even when occasional consumption, said the Academy.
Smoking is
responsible for its part, abnormal course of the pregnancy, premature delivery
and intrauterine growth retardation.
Tobacco
consumption during pregnancy and after childbirth leads to a more increased
risk of sudden infant death risk and a greater susceptibility of children to
respiratory infections, asthma and ear infections.
The main active
ingredient of cannabis, 9-tetrahydrocannabinol delta, also crosses the placenta
easily. Regular consumption of cannabis and can cause growth retardation and
behavioral problems, especially since it is usually associated with that of
tobacco and / or alcohol. It can also determine at birth withdrawal syndrome
manifested by agitation, a characteristic of sleep cry. In the longer term, it
may be due to cognitive impairment. In addition, its possible involvement in
the development of acute lymphoblastic leukemia has been reported.
The
recommendations
Accordingly, the
National Academy of Medicine issued a number of recommendations. The first is
the dissemination of accurate information about the harmful effects of alcohol,
tobacco or cannabis on the course of pregnancy and the future of the child. An
action that must form part of the health education in schools, colleges and
high schools, learning centers, businesses and on the day call-up to the
defense.
In addition, all
pregnant or trying to become pregnant should be informed before or reproduction
from the first consultation of pregnancy dangers of such a consumption, even
moderate, which should be screened during this consultation.
Pregnancy
represents an ideal time to stop potentially harmful consumption, the applicant
should, if it is unable to suspend her own consumption, be directed to a
qualified service center or personnel specialized in obstetrics settings.
Specific help to stop tobacco use should be considered in case of smoking.
Finally, in case of maintaining an alcohol, tobacco or
cannabis, help the mother and family consumption should be provided after
delivery and return home in the maternal and child health, in early
medico-social action centers in collaboration with the general practitioner and
pediatricianAuthor: Mohammad
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