A Substance Abuse Intervention for Pregnant Women

Social History (Vignette) Simone Harrison is a 25-year-old African-American woman who has been unemployed for six months and went to a female hospital in Oakland, California for prenatal care. Harrison recently felt uncomfortable and I made this schedule. During the hospitalization process, she revealed to the nurse that she was the second time she went to see a doctor as she found herself pregnant. Mr. Harrison's record also contains information on her mental condition, especially the diagnosis of schizophrenia in 2009.

Title: Screening barriers against drug abuse in pregnant women Introduction: Abuse of drugs and alcohol during pregnancy poses a threat to newborn development, obstetricians are obliged to screen drug use. Substances used during pregnancy may expose a developing fetus to risks of intrauterine opioid dependence, fetal alcohol syndrome, preterm labor, and other outcomes of maternal alcohol, tobacco, and illegal drug use. (6) Over the past three years the use of heroin in Lacrosse County has increased markedly. (7) American Obstetrics and Gynecologists (ACOG) clearly document the obstetricians' instrumentality in patient screening.

SBIRT is a recommended method for suppliers to use for pregnant women (Substance Abuse Treatment Center, 2009; Wisner, Sit et al., 2017), but is used in pregnant women and other populations There is no evidence to support. For example, in 2013, the US Preventive Service Task Force (USPSTF) found sufficient evidence that short action counseling interventions can effectively reduce serious drinking of adults who are dangerous or dangerous drinking . Limited and insufficient evidence to advise on short-term interventions for young people (Moyer, 2013). However, the systematic review and meta-analysis of temporary alcohol interventions in the medical environment have found that there is a lack of evidence that they increase the use of alcohol-related services (Glass et al., 2015).

Obstetricians should be based on evidence related to substance use disorders and promote agreed interventions wherever possible. Putting pregnant women in jail may make more substances available, but treatment is not so, threatening the health of pregnant women and their existing and future children (33 , 36, 37). Under federal regulation, women in pregnancy undergo a priority plan (38) and are required to work at the state level to make pregnant women more susceptible to treatment of substance use disorders.

Alcohol abuse and other substance use disorders: Ethical problems in obstetrics and gynecologic care