Substance Misuse in Pregnancy - NHS Lothian

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Shaw B, (1999) ‘Maternal Drug Use: Consequences for the Child’ in Siney. C (Ed) ‘Pregnancy and Drug Misuse’, Books for Midwives Press, Cheshire. Shaw NJ, & McIvor L, (1994) ‘Neonatal abstinence syndrome after maternal methadone treatment’, Arch Dis Child, Vol.71, ppF203-F205. SIGN (Scottish Intercollegiate Guidelines Network) Guideline 2003 ‘The Management of Harmful Drinking and Alcohol Dependence in Primary Care: A National Clinical Guideline’, Scottish Intercollegiate Guidelines Network. www.sign.ac.uk SIGN (Scottish Intercollegiate Guidelines Network) Guideline 2003 ‘Postnatal Depression and Puerperal Psychosis’, Scottish Intercollegiate Guidelines Network. www.sign.ac.uk Siney C, (Ed) 1999 ‘Pregnancy and Drug Misuse’, Books for Midwives Press, Cheshire. Sparey C, & Wilkinshaw S, (1999) in Siney C, (Ed) ‘Pregnancy and Drug Misuse’, Books for Midwives Press, Cheshire. Taylor DJ, (2003) ‘Alcohol Consumption in Pregnancy’, Guidelines and Audit Sub- Committee of the Royal College of Obstetricians and Gynaecologists. www.rcog.org.uk accessed on 1st June 2003. Ward J, Mattick RP, & Hall W, (1998) ‘Methadone Maintenance Therapy and Other Opioid Replacement Therapies’, Harwood Academic Publishers, New Jersey. Whittaker A, & McLeod J, 1998, in Robertson R, (Ed) ‘Management of Drug Users in the Community: A Practical Handbook’, Arnold, London. WHO (World Health Organisation), 2001 (28-30 March) ‘The Optimal Duration of Exclusive Breastfeeding. Report of an expert consultation’, Geneva, Switzerland. www.who.int/en/ World Health Organisation, 1997 cited in Mounteney. J, 1999, ‘Drugs Pregnancy and Childcare: A Guide for Professionals’, ISDD, London. Wright A, & Walker J, (2001) ‘Drugs of Abuse in Pregnancy’, Best Practice and Research Clinical Obstetrics and Gynaecology, Vol. 15, No. 6, pp. 987-998 Substance Misuse in Pregnancy 120
Introduction Key points Setting the scene Framework for care Guidelines Glossary on good practice
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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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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
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Amenorrhoea does not necessarily me
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Pre-conceptual advice on drug use c
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Antenatal care Receiving good quali
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the antenatal ward, labour ward, an
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usually possible to be quite reassu
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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 101 and 102: Introduction Key points Setting the
Page 103 and 104: Women who are Hepatitis B positive
Page 105 and 106: Substance Misuse in Pregnancy 90
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 and 126: Local drug services � Locality Cl
Page 127 and 128: Alcohol services in Lothian Most sp
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: 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
Page 177 and 178: Alcohol use (tick average weekly co
Page 179 and 180: Community Baby developed NAS sympto
Page 181 and 182: Neonatal Abstinence Syndrome Assess
Page 183 and 184: Drug Drug use use in in pregnancy p
Page 185 and 186: aby. If you want to come off, it is
Page 187 and 188: Labour Labour and and childbirth ch
Page 189 and 190: 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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