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Multidisciplinary antenatal care for opiate‐using women: Child‐care issues
Author(s) -
ADENIJI ADERONKE A.,
PURCELL ALISON,
PEARSON LORRAINE,
ANTCLIFFE JAN M.,
TUTTY SUSAN,
SINHA CHITRA,
PAIRAUDEAU PETER W.,
LINDOW STEPHEN W.
Publication year - 2010
Publication title -
drug and alcohol review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.018
H-Index - 74
eISSN - 1465-3362
pISSN - 0959-5236
DOI - 10.1111/j.1465-3362.2009.00131.x
Subject(s) - medicine , methadone , heroin , multidisciplinary approach , family medicine , pregnancy , prenatal care , foster care , psychiatry , nursing , population , drug , environmental health , social science , sociology , biology , genetics
and Aims. The fact that particular parents suffer afflictions limiting their ability to care does not mean that they should automatically be deemed unsuitable parents. Prompted by neonatal team concerns about child‐care issues, a local multidisciplinary group was set up to care for substance‐abusing pregnant women in our region. Design and Methods. This project was conducted in order to review the records of all the women who had been discussed at our management planning meetings over the past 5 years. Our assessment tool records were reviewed and analysed using spss . Results. A total of 233 women were assessed. The majority of patients booked before 20 weeks (62%) and 96 women (41%) attended over 80% of their antenatal appointments. There was little change in substance use during the course of pregnancy. Overall, at delivery, 196 of the 233 women (84%) used methadone and 89(38%) used heroin. There was no correlation between usage and foster care of the baby (methadone: χ 2 = 0.5, P = 0.8 NS) (heroin: χ 2 = 3.1, P = 0.08 NS). There was an absolute correlation between social services involvement and foster care (χ 2 = 2.33, P < 0.0001). Adherence with planned antenatal appointments significantly increased the likelihood of a child being discharged with his mother (χ 2 = 6.7, P = 0.009). Discussion and Conclusions. The majority of newborns were discharged home with their mothers directly with the most significant factor in placing a child in foster care being prior involvement of social services. However, many of these families will continue to need support during the children's early years. [Adeniji AA, Purcell A, Pearson L, Antcliffe JM, Tutty S, Sinha C, Pairaudeau PW, Lindow SW. Multidisciplinary antenatal care for opiate‐using women: Child‐care issues. Drug Alcohol Rev 2009]