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Correspondence
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Volume 329:667 August 26, 1993 Number 9
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Use of Cocaine during Pregnancy

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To the Editor: Exposure of the fetus to cocaine may lead to serious destructive lesions in the brain1,2,3. Results of brain imaging studies in newborns have revealed that ischemic cerebral lesions may occur, leading to clinical manifestations when large. Fetal death in women using cocaine during pregnancy has been most frequently related to abruptio placentae. We report a case of fetal death with generalized cerebral ischemia and necrosis that was probably related to maternal abuse of cocaine in late pregnancy.

A 28-year-old woman with a history of cocaine abuse became pregnant in February 1992 and was followed at our . . . [Full Text of this Article]

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