This systematic review examines the impact of maternal health and prenatal care on childhood disabilities, with a particular focus on the effects of opioid, alcohol, and drug use during pregnancy. Maternal health during pregnancy plays a crucial role in fetal development, and poor prenatal care or substance use can lead to a range of childhood disabilities. The review explores how maternal opioid use during pregnancy, including prescription painkillers and illicit opioids, leads to Neonatal Abstinence Syndrome (NAS) and long-term developmental delays in children, such as cognitive impairments, attention deficits, and motor development issues. It also delves into the harmful effects of alcohol consumption, particularly in the form of Fetal Alcohol Spectrum Disorders (FASD), which cause a spectrum of disabilities, including physical malformations, intellectual disabilities, and behavioral challenges. In addition, the review discusses the impact of illicit drug use, such as marijuana, cocaine, and methamphetamines, on child development, highlighting an increased risk of low birth weight, congenital defects, and long-term neurological and behavioral issues, including learning disabilities and attention disorders. The review emphasizes the critical role of early and consistent prenatal care in mitigating these risks. Prenatal care can help identify maternal health issues and substance use early, allowing for appropriate interventions and the prevention of adverse outcomes. The review also discusses the need for comprehensive healthcare strategies to support mothers who struggle with substance use, including medication-assisted treatments for opioid use and behavioral therapies for alcohol and drug dependencies. Ultimately, this review underscores the necessity for better public health policies, more accessible prenatal care, and targeted interventions to reduce the incidence of childhood disabilities linked to maternal health factors, particularly substance use during pregnancy. Keywords: Maternal Health, Prenatal Care, Childhood Disabilities, Systematic Review.
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