Substance Use in Pregnancy and Parenting
Explore the complex issue of substance use during pregnancy and parenting, including reasons why mothers may use drugs or alcohol, the challenges they face, societal factors, and statistics on substance use among pregnant women.
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Presentation Transcript
What thoughts. Come up for you when you think of pregnancy and parenting?
What thoughts Come up for you if we add substance use to pregnancy and parenting?
Substance abuse during pregnancy The agonizing problem of prenatal substance... (1) I want my doctor to know that I used cocaine and alcohol during my pregnancy. I want to know if my baby is okay. But, I m scared of what her reaction might be if I tell her. - Felicia (1) Dailard C, Nash E. State responses to substance abuse among pregnant women. The Guttmacher Report. December 2000.
Why might mothers use drugs and/or alcohol when they are pregnant? Not as easy as just choosing to quit Don t know they are pregnant Trauma Co-occurring Mental Health issues Lack of understanding There are not enough treatment options Partners who use / Family culture of use Societal acceptance of use, particularly alcohol
A pregnant woman using substances Is a woman with an addiction who got pregnant Desperately wants a healthy baby Consumed by guilt Fearful of what will happen if she is honest
But a pregnancy is An incentive to quit Added stress which is compounded when living in poverty A short time to change behavior, social life and relationships
Scope of the Problem -National Among pregnant women aged 15-44: 10.8% reported current alcohol use 3.7% reported binge drinking 1.0% reported heavy drinking About 1 in 6 pregnant women aged 15-44 had smoked cigarettes in the past month. * Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings
Scope of the Problem - National The rate of illicit drug use by pregnant women in the combined 2009-2010 years: 16.2% among women aged 15 to 17 7.4% among women aged 18-25 1.9% among pregnant women aged 26-44
50% of pregnancies are intended However this means that 50% are unintended This rises to 80% unintended pregnancies with opiod use
Scope of the Problem -Colorado 2006: 70,737 babies born to women aged 14-44 In Utero Exposure: Alcohol 11.6% 8,205 Tobacco 17.3% 12,237 Prescription Medication (non-medical use) Illicit Drugs 6% 4,244 4.3% 3,042
Impact of pre-natal substance abuse exposure Preterm delivery Low birth weight Fetal Alcohol Syndrome Fetal Alcohol Effects Fetal death Possible long-term neurobehavioral effects sometimes not seen until school age Sudden Infant Death Syndrome (SIDS) Increased risk for sexually-transmitted diseases
Theres a lack of understanding as far as drug addiction goes. A lot of doctors think that if you know you re pregnant, you can just stop. For drug addicts, it s not quite that simple. - Hallie
5 points of intervention Pre pregnancy Prenatal Birth Post Natal Throughout Childhood
Why intervene Most women don t realize they are pregnant until 6 8 weeks Most women continue to drink/use substances until they are aware of the pregnancy 7.6% continue to drink/use substances even after they are aware of the pregnancy Makes it easier to ask without judgment if a woman was not aware of pregnancy (and they cannot be prosecuted before the birth) We have a relationship and an opportunity to make a difference in the life of a child
How To Talk With Women Relationship building: Building trust through parent-centered strategies Women are relationship- oriented Mothers-to-be need to feel safe and respected Be sincere and empathic Be sensitive to the possibility of trauma
4 Ps Tool Do you consider one of your Parents to be an addict or alcoholic? Does your Partner have a problem with Drugs or alcohol? Have you had a problem with drugs or alcohol in the Past? Have you ever used drugs or alcohol during this pregnancy?
Routine screening Smoking Domestic Violence Child Abuse Depression
Why dont we ask? not a problem for my families women lie anyway Don t have time Don t know how Don t know where to refer for treatment Concern about legal action Concern about child welfare action May lose the family
Why Women Dont Seek Treatment Confusion Guilt Fear Lack of support Lack of treatment resources Transportation barriers
Child Protective Services Do you have to report? NO! Not for substance use in itself. Only when Children are impacted directly.
How To Talk With Women How and when to engage? What are the barriers?
Do we need additional practices, policies for PAT?
Resources Support Line at Families First 877-695-7996 or 800-CHILDREN Consejos Para Familias; 866-Las-Familias (527-3264 844-CO 4 KIDS (Colorado reporting line) SBIRT cards SmartChoicesSafeKids.org LinkingCare.org MothersConnection.com Colorado Crisis and Support Line 1-844-493-TALK
