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...Without Proper Attribution to as a Source , Cocaine Use, Pregnancy and Nursing Written for by May Hall 02/2000 INTRODUCTION For centuries, women have sought assistance, medical care and support during their pregnancy, labor and birth. From the moment women become pregnant, tremendous physical and psychological changes take place that require attention to factors that range from drug and alcohol consumption and basic nutrition to complex medical problems. Even for women who begin their pregnancy in optimal health, the process of gestation requires support in order to ensure the health of mother and fetus. For women, however, who suffer from chemical dependency, the progression of a pregnancy can be problematic on a number of levels, both for the mother and the unborn child. While physicians commonly play a role in providing support during high risk pregnancy, more often than not nurses, midwives and nurse practitioners are the primary medical care providers for women during a large portion of their pregnancy, even when at-risk conditions like drug use are present. Even...