A 21-year old woman presents for prenatal visit, her 1st even though she is well into her third trimester and her EDC is predicted to be within a month or so. He boyfriend, the father of the child, has not been supportive to date of the pregnancy and is also not on good terms with her own parents. At first, she denies alcohol or drug use but after a while, she opens up and talks about an ongoing opioid addictions. Most of the time, she takes Percocet bought on the street but due to cost, she has recently begun using heroin. It becomes clear that she will not be “clean” prior to her deliver and that her child will be born also addicted to narcotics. And as she has almost no external support, you know that after she delivers, she will be the primary caregiver of the infant and also hopefully working a detox program.
What is the accepted name of the condition with which the child will be born?
What are the peri-natal risks to the infant?
What are the post-natal risks to the infant?
What are the post-natal risks to the mother?
Is there an evidence on the long-term risk to the child?
A 37-year-old woman G2P2 presents with a lump in her left breast. Her husband noticed it recently and she is concerned, especially as she had an aunt that had breast cancer and thinks that a great-grandmother or some other ancestor may have died of breast cancer as well. Both of her children (9 and 7) were delivered without complication and she breastfed “for well over a year” with each. She has no other significant PMH or allergies. She is 5’ 6” tall, weighs 144 lb and has a BMI of 22 and works as an office manager. She is a non-smoker, considers herself to be an “almost” vegetarian and has a glass of wine many evenings with dinner. She has regular physicals and is up-to-date on pap smears which have always been normal. Meds include a daily multi-vitamin and occasional acetaminophen for tension headache or ibuprofen during her period. Upon examination, the lump is discovered. It is firm and near the surface and no other masses are discovered. The lump is aspirated and an opaque liquid is removed. Following this procedure, the lump has vanished.