Abstract
The dramatic increase in the medical complications of cocaine abuse is an important health problem, and in pregnancy, maternal cocaine abuse is particularly serious. Cocaine affects both the mother's health and the developing fetus. Cocaine passes through the placenta and is metabolized slowly by the fetus. Obstetric 1,2 and fetal 1–3 complications have been reported. In addition to these documented adverse effects of cocaine abuse during pregnancy, there may be cocaine-related maternal cardiovascular complications. We report on 3 mothers who abused cocaine during pregnancy and presented postpartum in congestive heart failure due to dilated cardiomyopathy.
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