Pregnancy as an Opportunity for Trauma-Intervention Among Women Who Are Addicted to Substances

Puurunen, Kristy; Vis, Jo-Ann

doi:10.1080/10926771.2017.1332703

Cited by 5 publications

(4 citation statements)

References 36 publications

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“…through single-sex or mixed-sex provision, see Neale et al, 2018) and substantial support for gender-responsive services (Covington, 2002;Grella, 2008;O'Neil & Lucas, 2015). Gender-responsive refers to services which are based on the following principles (Bloom et al, 2003): gender (recognition that gender makes a difference); environment (the importance of safety, respect and dignity); relationships (supporting individuals to establish healthy relationship); services (comprehensive, integrated and cultural relevant); socio-economic status (providing opportunities for enhancement); and community (comprehensive and collaborative community services) and increasing a seventh principle of being trauma-informed is added in recognition of the high levels of trauma experiences by substance-using women in childhood and/or adulthood (Covington, 2008;Puurunen & Vis, 2017;. The same debates have yet to take place in relation to recovery services.…”

Section: Discussionmentioning

confidence: 99%

Gender and recovery pathways in the UK

Andersson

Wincup

Best

et al. 2020

Drugs: Education, Prevention and Policy

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Section: Discussionmentioning

confidence: 99%

Gender and recovery pathways in the UK

Andersson

Wincup

Best

et al. 2020

Drugs: Education, Prevention and Policy

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“…Greater efforts are required to inform the public, to communicate evidence-based information during prenatal visits and to support shared decision making. Health care providers need to make a concerted effort to create a safe space to engage in respectful, trauma-informed discussion especially given that experiences of violence and abuse are more common among pregnant individuals who use substances [ 37 ]. Providers can refer to existing discussion guides to counsel patients [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

“…given that experiences of violence and abuse are more common among pregnant individuals who use substances [37]. Providers can refer to existing discussion guides to counsel patients [38].…”

Section: Plos Onementioning

confidence: 99%

Cannabis use in pregnancy and maternal and infant outcomes: A Canadian cross-jurisdictional population-based cohort study

Luke

Hobbs²,

Smith³

et al. 2022

PLoS ONE

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Background With the recent legalization of cannabis in Canada, there is an urgent need to understand the effect of cannabis use in pregnancy. Our population-based study investigated the effects of prenatal cannabis use on maternal and newborn outcomes, and modification by infant sex. Methods The cohort included 1,280,447 singleton births from the British Columbia Perinatal Data Registry, the Better Outcomes Registry & Network Ontario, and the Perinatal Program Newfoundland Labrador from April 1st, 2012 to March 31st, 2019. Logistic regression determined the associations between prenatal cannabis use and low birth weight, small-for-gestational age, large-for-gestational age, spontaneous and medically indicated preterm birth, very preterm birth, stillbirth, major congenital anomalies, caesarean section, gestational diabetes and gestational hypertension. Models were adjusted for other substance use, socio-demographic and-economic characteristics, co-morbidities. Interaction terms were included to investigate modification by infant sex. Results The prevalence of cannabis use in our cohort was approximately 2%. Prenatal cannabis use is associated with increased risks of spontaneous and medically indicated preterm birth (1.80[1.68–1.93] and 1.94[1.77–2.12], respectively), very preterm birth (1.73[1.48–2.02]), low birth weight (1.90[1.79–2.03]), small-for-gestational age (1.21[1.16–1.27]) and large-for-gestational age (1.06[1.01–1.12]), any major congenital anomaly (1.71[1.49–1.97]), caesarean section (1.13[1.09–1.17]), and gestational diabetes (1.32[1.23–1.42]). No association was found for stillbirth or gestational hypertension. Only small-for-gestational age (p = 0.03) and spontaneous preterm birth (p = 0.04) showed evidence of modification by infant sex. Conclusions Prenatal cannabis use increases the likelihood of preterm birth, low birth weight, small-for-gestational age and major congenital anomalies with prenatally exposed female infants showing evidence of increased susceptibility. Additional measures are needed to inform the public and providers of the inherent risks of cannabis exposure in pregnancy.

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“…Multidisciplinary staff need to learn how to detect trauma and avoid practices that may increase retraumatization (Johnson, 2019). Adapting trauma-informed practice is necessary not only to help women in their treatment, but also to prevent intergenerational trauma (Puurunen & Vis, 2019). This document is copyrighted by the American Psychological Association or one of its allied publishers.…”

Section: Psychology and Practice In Perinatal Oudmentioning

confidence: 99%

Contributions of psychology to research, treatment, and care of pregnant women with opioid use disorder.

Preis

Inman

Lobel

2020

American Psychologist

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The number of women with opioid use disorder (OUD) in the United States has risen precipitously. Pregnant women with OUD are a particularly vulnerable subset of addicted women with unique characteristics and needs. Many of them are impoverished, have strenuous life circumstances, are affected by past and current trauma, and have high rates of psychiatric comorbidities. Their addiction can compromise their and their infant's health, particularly without sufficient treatment including prenatal care, medication-assisted treatment (MAT), and social and behavioral care. Furthermore, these women's needs are often undetected and untreated: They may not seek appropriate prenatal and addiction care, or if they do, may face barriers to comprehensive, evidence-based treatment. Theories, methods, tools, and existing knowledge from the field of psychology are needed to improve research, prevention, and treatment for pregnant women with OUD. Although a number of psychologists have made critical contributions to research on pregnant women with OUD, we demonstrate by a scoping review of scientific literature and by examining American Psychological Association (APA) Annual Convention proceedings that much research on this population has been communicated in areas and journals outside psychology and among audiences other than psychologists. We identify relevant theoretical frameworks and methods to facilitate psychological investigation as well as evidence-based intervention and care for this population. Our field is well positioned to examine, identify, and alleviate the needs of pregnant women with OUD to improve their health and the health of their children. Public Significance StatementThis article suggests that research and care for pregnant women with opioid use disorder can be improved by greater involvement of the field of psychology. We present psychological theories, methods, tools, and existing knowledge that can be used to improve research about pregnant women with opioid use disorder and we discuss treatment approaches in which psychologists' expertise is valuable to provide and evaluate evidence-based, woman-centered, trauma-informed, integrated care.

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Pregnancy as an Opportunity for Trauma-Intervention Among Women Who Are Addicted to Substances

Cited by 5 publications

References 36 publications

Gender and recovery pathways in the UK

Gender and recovery pathways in the UK

Cannabis use in pregnancy and maternal and infant outcomes: A Canadian cross-jurisdictional population-based cohort study

Contributions of psychology to research, treatment, and care of pregnant women with opioid use disorder.

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