Substance Misuse in Pregnancy - NHS Lothian

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The Administrator, Lothian Health Primary Care Services Stevenson House 555 Gorgie Road Edinburgh, EH11 3LG Date: Dear Sir/Madam, I am having difficulty in registering with a doctor. Could you please allocate me a GP as soon as possible. I have detailed my particulars below. Name: …………………………………………………………………………………………………………………………. Address: ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… Date of Birth:………………………………………………………………………… Place of Birth:………………………………………………………………………… Last GP: …………………………………………………………………………… Address: …………………………………………………………………………………………………………………………… Thank you. Yours sincerely,
Introduction Key points Setting the scene Appendix 7: Framework T-ACE alcohol for care screening questionnaire Guidelines 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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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
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Introduction Key Risk points assess
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for the women and can make attendan
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These documents contain important i
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Intrapartum care (labour and childb
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There may be placental insufficienc
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states she is taking the baby home
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Women who are Hepatitis B positive
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Postnatal care The care of a pregna
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Relapse prevention support work can
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Introduction Assessing and managing
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A number of childcare problems have
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� Report your concerns to the Chi
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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 and 140: NICE (National Institute for Clinic
Page 141 and 142: Introduction Key points Setting the
Page 143 and 144: Drug/Alcohol related problem: refer
Page 145 and 146: Substance Misuse in Pregnancy 124
Page 147 and 148: INDEX Alcohol, 37-38, 52-56, 84 scr
Page 149 and 150: Introduction Key Appendices points
Page 151 and 152: Substance Misuse in Pregnancy 128
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: 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
Page 191 and 192: Helpful Helpful numbers numbers My
Page 193 and 194: Produced by NHS Lothian © 2003
Page 195 and 196: This leaflet provides you with info
Page 197 and 198: Parents are encouraged to keep a cl
Page 199: Breastfeeding Breastfeeding and and
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Substance Misuse in Pregnancy - NHS Lothian

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