Healthcare: Substance Use and Pregnancy
- Substance use and women: current research on the impact of alcohol and drug use on maternal and fetal health: The reasons for substance abuse, consequences, and motivation for change are different for men than for women. Current research on the impact of alcohol, tobacco and other drug use on maternal, fetal and neonatal health is placed in the context of women's lives and relationships. The co-incidence of substance use, mental illness, and trauma is briefly reviewed.
- Screening for substance use: The 5 P'S-Universal and routine screening can identify women at risk. Screening can be self-administered or accomplished in an interview format. Skills learned in this training may contribute to decreased maternal morbidity and healthier birth outcomes.
- Brief interventions: By discussing the risks associated with substance use in a non-judgmental, non-confrontational manner, prenatal care staff can normalize conversations about alcohol, tobacco and other drugs during routine office visits. Strategies for talking about substance use with pregnant women include the Stages of Change model and Motivational Interviewing.
- Legal Issues: Pregnant and parenting women who use alcohol and other drugs may be at legal risk; current issues will be discussed.
- Resources: Developing linkages to treatment and community resources can better serve pregnant women and busy prenatal staff. Patient educational materials are also discussed.
- Site-Specific Protocol Development: Assistance in developing procedures and protocols for your practice/project is available, as well as addressing barriers.
