Substance Misuse in Pregnancy - NHS Lothian

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East and Mid Lothian � Mid and East Lothian Drugs (MELD), 6a Newmills Road, Dalkeith, Mid Lothian EH22 1DU Tele 0131 660 3566 � AXIS, Tynepark, Poldrate, Haddington, East Lothian EH41 4DA Tele 01368 865351 West Lothian � West Lothian Drug and Alcohol Service (WLDAS), 43 Adelaide Street, Craigshill, Livingston, West Lothian EH54 5HQ Tele 01506 430 225 � Drug Team (Social Work), Strathbrock Partnership Centre, 189a West Main Street, Broxburn, West Lothian EH52 5LH Tele 01506 775666 Residential drug services � Links Project, Turning Point – Scotland, 5 Links Place, Leith, Edinburgh EH6 7EZ. Tele 0131 553 2222 (Referrals) Residential unit for men and women who wish to detox, stabilise or reduce their drug use. Stay of up to 6 weeks. Self referrals only. Clients from Mid, East and West Lothian require a community care assessment prior to admission. � Brenda House, 7 Hay Drive, Edinburgh EH16 4QA. Tele 0131 669 6676 Detoxification and rehabilitation unit for pregnant women and women with young children (under 12 years) who are drug or alcohol dependent. Community care funding required. Self or written referrals accepted. � Midpoint Supported Accommodation (Turning Point), 9 Forrest Road, Edinburgh EH1 2QH. Tele 0131 226 5453 Offers support for independent living, home visiting, practical and emotional support to women drug users who have their own tenancy. Substance Misuse in Pregnancy 108
Alcohol services in Lothian Most specialist alcohol services in Lothian prioritise pregnant women and will normally offer appointments within a few weeks from date of referral. Most also prioritise work with any pregnant woman’s partner who is affected by alcohol related problems too, so please make this clear when you refer. Hospital � Alcohol Problems Service (APS), 35 Morningside Park, Edinburgh EH10 5HD. Tele 0131 537 6557 Offers specialist assessment, alcohol detoxification (in-patient and out-patient), psychiatric assessment and advice about management of alcohol use in pregnancy. Written referral required. � Department of Psychological Medicine, Royal Infirmary of Edinburgh. Tele 0131 242 1396/1398 Alcohol Liaison Nurses: Helene Leslie & Louise Learmonth Offers specialist assessment, advice and treatment regarding alcohol related problems to hospital in-patients. � Liaison Psychiatry Service, St John’s Hospital, Livingston, West Lothian. Tele 01506 419 666 Liaison Psychiatry Nurse, Pauline McManus Offers specialist assessment, advice and treatment regarding alcohol related problems to hospital in-patients. Community � Alcohol Problems Service, Community Psychiatric Nursing Service, Royal Edinburgh Hospital. Specialist Community Psychiatric Nurses (CPN’s) for people with alcohol related problems are located in each LHCC area. Contact APS or GP surgery for further information. � Edinburgh and Lothian Council on Alcohol (ELCA), 2 nd Floor, 40 Shandwick Place, Edinburgh EH2 4RT. Tele 0131 225 8888 Lothian-wide service offering one-to-one alcohol counselling. Substance Misuse in Pregnancy 109
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Substance Substance misuse misuse i
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This pack has been approved by Loth
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Page Drugs and their effects on the
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Appendices ........................
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Introduction Welcome to the ‘Subs
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Please note: 1. The terminology use
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Introduction Key points Setting the
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Pre-conceptual care � Agencies in
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Substance Misuse in Pregnancy 14
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Setting the scene The extent of the
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Organisational difficulties Profess
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• Financial problems (including d
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Introduction Key points Setting the
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The important role of partners need
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ecognises that a woman’s needs ar
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Guidelines on good practice This se
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An assessment of the partner’s dr
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Care management Some women with sub
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Introduction Information and guidel
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anxiety related problems and can in
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Substance Misuse in Pregnancy 34
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Drugs and their effects on the deve
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Effects of tobacco The significant
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Effects of drugs (illicit and presc
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• fetal death in-utero (miscarria
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Introduction Key points Setting Neo
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• poor feeding ability (hungry bu
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monitored. Any drug treatment admin
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� Swaddling of the baby will help
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Babies with severe symptoms usually
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Management of substance use in preg
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Scottish Executive advice recommend
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If a ‘hazardous’ drinking score
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Assessing drug related problems It
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Substitute prescribing Lothian has
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drug use should be the first goal t
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A final word: Over the years, much
Page 75 and 76: Introduction Key points Setting the
Page 77 and 78: Amenorrhoea does not necessarily me
Page 79 and 80: Pre-conceptual advice on drug use c
Page 81 and 82: Antenatal care Receiving good quali
Page 83 and 84: the antenatal ward, labour ward, an
Page 85 and 86: usually possible to be quite reassu
Page 87 and 88: can be more serious in women with s
Page 89 and 90: Introduction Key Risk points assess
Page 91 and 92: for the women and can make attendan
Page 93 and 94: These documents contain important i
Page 95 and 96: Intrapartum care (labour and childb
Page 97 and 98: There may be placental insufficienc
Page 99 and 100: states she is taking the baby home
Page 103 and 104: Women who are Hepatitis B positive
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Page 107 and 108: Postnatal care The care of a pregna
Page 109 and 110: Relapse prevention support work can
Page 111 and 112: Introduction Assessing and managing
Page 113 and 114: A number of childcare problems have
Page 115 and 116: � Report your concerns to the Chi
Page 117 and 118: Finally, it is important to remembe
Page 119 and 120: Services List Services providing ma
Page 121 and 122: with a drug dependency who are on s
Page 123 and 124: Drug services in Lothian Most speci
Page 125: Local drug services � Locality Cl
Page 129 and 130: Other services in Lothian A variety
Page 131 and 132: Introduction Key points Setting Fur
Page 133 and 134: � Royal College of Obstetricians
Page 135 and 136: General � Scottish Executive webs
Page 137 and 138: References Abel EL, (1998) ‘Fetal
Page 139 and 140: NICE (National Institute for Clinic
Page 143 and 144: Drug/Alcohol related problem: refer
Page 147 and 148: INDEX Alcohol, 37-38, 52-56, 84 scr
Page 149 and 150: Introduction Key Appendices points
Page 153 and 154: Blood Borne Viruses and Pregnancy H
Page 155 and 156: Management of HIV positive pregnant
Page 157 and 158: east fed after these are given. The
Page 159 and 160: It is good practice therefore to of
Page 165 and 166: Introduction Appendix 4: Model Care
Page 167 and 168: Introduction Appendix 5: Key Consen
Page 169 and 170: Introduction Key points Setting App
Page 175 and 176: Appendix 9: Introduction Midwifery
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Alcohol use (tick average weekly co
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Community Baby developed NAS sympto
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Neonatal Abstinence Syndrome Assess
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Drug Drug use use in in pregnancy p
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aby. If you want to come off, it is
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Labour Labour and and childbirth ch
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Midwifery Midwifery care care staff
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Helpful Helpful numbers numbers My
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Produced by NHS Lothian © 2003
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This leaflet provides you with info
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Parents are encouraged to keep a cl
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Breastfeeding Breastfeeding and and
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