What aspects should be included when assessing substance use history?

When assessing substance use history, it is essential to include substance use during and before pregnancy because this information directly impacts both maternal and fetal health. Understanding the timeline and patterns of substance use can help identify potential risks related to prenatal care and provide insight into the likelihood of complications during pregnancy.

Substance use before pregnancy may indicate pre-existing addiction issues or environmental factors that could influence the mother's ability to maintain sobriety during pregnancy. Similarly, substance use during pregnancy is critical to assess due to its known associations with adverse outcomes, including developmental delays, low birth weight, and other health issues for the infant. A thorough understanding of both prenatal and pre-pregnancy substance use aids healthcare providers in creating effective treatment plans and support systems for the mother and baby.