We altered antenatal care and modified neonatal management, subsequently infants spent less time in hospital and NMU admissions were reduced with less NAS treatment. Congenital abnormalities and microcephaly were not common and as regular child health checks were possible, the impact of the DLM service in shared management merits further investigation, for mother-infant bonding and developmental outcome.

This paper will focus on the identified need for a specialised maternity service for drug-using women in the inner-city area of Manchester and argue that a collaborative initiative was vital if a comprehensive specialist service was to be provided for the increasing number of pregnant drug-using women. The importance of an ongoing harm-reduction education programme for service providers is also emphasised.

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