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Introduction The use of drugs of abuse during pregnancy is a public health problem, with deleterious consequences for the mother, her son, family and society effects. The seriousness of the problem and the lack of data concerning the use of drugs by pregnant women in our maternity motivated us to design this study. Objectives To identify among pregnant women admitted to the maternity HEAC users of licit and illicit drugs through selfdeclaration. Method A descriptive, cross-sectional study period August 1, 2013 a January 3, 2014. Questionnaire was applied during the hospital postpartum women, after signing an informed consent. Results 1055 women were studied, of these 266 (25.21%) were users of drugs of abuse. Among the women who reported using any drugs, were identified: tobacco (36.46%), alcohol (27.81%), cocaine (5.6%) and marijuana (2.2%). The average age of the group of drug users was 25.49 years, while the non-users was 24.81 years. The prevalence of drug use among adolescents was 18.04%. The children of drug users 7.5% had required neonatal intensive care. There was no statistical difference in relation to perinatal asphyxia among a group of users and non-drug users. Conclusion Considering that the identification of these women was only through self declaration of the use of licit and illicit drugs, it becomes even more concerning the current situation with regard to drug use by pregnant women, since this is probably just the tip of a large iceberg, we need to know so we can meet. Background Multiple pregnancies are an increasing entity worldwide. This is associated with an increase in the number of pregnancies complicated by preterm birth and intrauterine growth restriction, which in turn results in higher infant mortality and morbidity rates. An increased risk of cerebral palsy in multiples has been reported, being higher the higher the number of foetuses. Aims and methods The primary aim of our retrospective study was to determine two year outcomes of triplets and quadruplets born in the Coombe Women and Infants University hospital (CWIUH) over a ten year period and in particular the need for early intervention services. A retrospective chart review of all triplets and quadruplets born between January 2002 and December 2011 was performed. Results 125 infants from triplet pregnancies and eight infants from quadruplet pregnancies were live born in CWIUH during this period. One chart was unavailable for analysis. Therefore 132 infants were included in the study. Median gestational age was 33+2 (26+2 to 36+2) weeks. Median birth weight was 1800 (620 to 2960) g. The median length of stay in our neonatal unit was 23 (0 to 91) days. Two babies died at two months of age. Four (3%) were referred to early intervention services, one with spastic quadriplegia and three with mild left hemiplegia. Eleven (8%) were followed up by a community paediatrician following discharge from the neonatal clinic at two years of age. Conclusion To our knowledge this is the first study to look at the outcomes of triplets and quadrup...