Medication
Some drugs or not ment for use durign pregnancy or lactation period, please check your medication at farmacotherapeutisch kompas or Lareb or ask us or your general practitioner.

Smoking
There’s a lot of advertisement to inform people about the consequenses of smoking during pregnancy. So that’s generally known. But… how to deal with your plan to diminish or stop when you’re used to it?  Are there people around you that do smoke themselves? Of people who stimulate you to stop smoking? Are you afraid for possible consequenses like gaining weight or stress? These are all things you can discuss with us. We have advice for you to quit smoking. But you can only manage that when you are motivated. Try to talk about this with other people. And check the websites below. And look for motivation to stop smoking.

What are the consequences from smoking during pregnancy?
Proven effects:

* 3x greater chance to miscarriage
* greater chance to premature birth (before 37th week)
* greater chance to solutio placenta during pregnancy
* greater chance to mortality in birth
* greater chance to complications during birth
* nicotine is even more harmful than cocaine!
* greater chance to (severe) infections

Proven effects for the baby:

* reduction in birth weight (feeding by blood and oxygen is decreased)
* reduction in length and head circumference
* reduction and disturbance of intra-utarine lungdevelopement
* contributes to behavioral and developmental problems
* greater chance to develop depression
* greater chance to ADHD (9 x when you have genetic predisposition), aggressive behaviour (by intra-uterine stress) and problems with speech/attention
* much more sensitive to allergies
* greater chance to harelip, cleft palate or clunfoot
* greater chance to Sudden Infant Death Syndrome (SIDS) (2 times as likely)
* greater chance to acute respiratory infections (0-3 year)
* greater chance to obesity
* more asthmatic symptoms (5-16 jr)
* reduction of lung functions
* Disorder in braindevelopment, under-achievement at school, decreased IQ, decreased concentration.

more info: Trimbos, rokendebaas, rokeninfo, tactus.

Alcohol
Alcohol is reasonably established in our society. An alcohol beverage from time to time is accepted, for example drinking after work. This is why quit drinking may be difficult during pregnancy.  Research tells us that a lot pregnant women drink alcohol, so don’t be ashamed to tell us.  It is important that your are being honest about your drinking behaviour, because it may have consuquences for the baby. We may help you when you tell us.  We understand it can be difficult to decrease of stop the use of alcohol, especially when it is a custom.

The organs of the baby are constantly in development during pregnancy. The alcohol that you use will end up at the baby by your blood and placenta. The promillage in mother and baby is the same, but because the baby is smaller than you he/she will ingest proportionally more alcohol. Moreover the alcohol cannot (enough) be dispatched through the placenta to the mother. The baby needs to process the alcohol by itself with his upripe liver whereby it may take a long time before the alcohol is out of the babies blood.

What can be the effect of alcohol during pregnancy?
* Alcohol has effect to mitosis, organ development and to the activity of neurotransmitters.
* Alcohol abuse in the first three months may lead to deviations on the hart, arms, eyes, legs, teeth, palate, external genitals and ears. You’ll have an increased risk to miscarriage.
* Alcohol abuse in the second and third trimester may lead to fetal growrestriction (the baby will not grow as well as he should, witch is a disadvantage to it’s health) and neurological defects.
* Alcohol abuse during any period of pregnancy may influence the development of the central nervous system.  There is an increased risk to premature labour and  Fetal-alcohol-syndrome (the baby will have lifetime healthproblems or even be mentally retarded).
You can join the e-health program of ‘Negen maanden niet’ (nine months nothing), published in the ‘Journal of Medical Internet Research’.

more info: alcoholdebaas, alcohol, minder drinken, FAS en STAP instituut voor alcoholbeleid, tactus.

Drugs
Naturally drugs are also not healthy for you and your developing baby. You may be physically and mentally addicted to drugs. Sometimes it is not wise to quit all of a sudden. Het kan zijn dat het daarom ongezond is om ineens te stoppen met het gebruik ervan. Please consult us when you consider stop using drugs. We will never accuse or reject you. We do want to achieve that the baby will grow and be born as healthy as possible. The risks of drugs to the development of the baby depend on which kind of drug you use.

Caffeine (coffee, energydrinks)
Serveral test show that high dosis of caffeine have comparable risks as other stimulants.

Benzodiazepines (sleep medication)
* Increased risk to congenital malformations
* Withdrawal symptoms at the newborn baby and sometimes breathingproblems by drowsiness
* A fraction of benzodiazepines will end up in breast milk
More info benzodebaas, tactus.

Amphetamine (Speed, pep, ice)
* Fetal growth retardation een decresed development by vasoconstriction
* placenta abruption
* hypertension
* Neurological problems at the baby (hyperventilation, hyperactivity, conculsions)
* Sudden Infant Death Syndrome
More info tactus.

Hennep (Hash, marijuana, weed, stuff, shit)
* Increased risk to miscarriage by vasocontriction in the uterus
* Fetal growth retardation
* premature birth
* decreased result on cognitive tests and concentration problems, impulsivity
More info cannabisdebaas, tactus.

Cocaine (white lady, snow, coke, nose candy)
* reduces quality of sperm and ovum
* hypertension to the pregnant ladie and the unborn baby (risk to cerebral hemorrhage)
* premature borth
* Fetal growth retardation
* Sudden Infant Death Syndrome
More info tactus.

Heroïne (bruin, smack, horse, dope)
* 4-5 times more likely Sudden Infant Death Syndrome
* placenta abruption
* Fetal growth retardation
* miscarriage, stillbirth, premature birth
* Withdrawal symptoms at the newborn baby
* congenital malformations
* breathingproblems to the baby
* abnormal neurologal development (baby with sleeping disorders)

More info tactus.