Reasons for substance use continuation and discontinuation during pregnancy: A qualitative study

Latuskie, Kiri A.; Andrews, Naomi C. Z.; Motz, Mary; Leibson, Tom; Austin, Zubin; Itô, Shinya; Pepler, Debra

doi:10.1016/j.wombi.2018.04.001

Cited by 104 publications

(63 citation statements)

References 36 publications

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“…First, health professionals should be aware that all women, including those who subscribe to the recommendation of abstinence and choose to abstain, can face difficulties that are not necessarily disclosed to them. As argued by prior research , the practitioner′s ability to initiate an open and non‐judgmental discussion with women about their alcohol consumption habits is essential to provide adequate support, especially to those with substance use issues . Second, our findings encourage health professionals to view pregnancy as a complex transition.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy as a transition: First‐time expectant couples′ experience with alcohol consumption

Gouilhers

Meyer

Inglin³

et al. 2019

Drug and Alcohol Review

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Introduction and AimsMost official healthcare guidelines apply the precautionary principle by recommending that pregnant women abstain from any alcohol consumption. However, a number of women continue drinking alcohol while pregnant. The aim of this study was to investigate couples′ experiences of the issue of alcohol consumption during pregnancy as a transitional process.Design and MethodsThirty semi‐directive joint interviews were conducted with couples expecting their first child in Switzerland. Interviews were analysed thematically with the help of ATLAS.ti.ResultsCouples endorsed the imperative of changing drinking habits and all the women reduced their alcohol consumption, although some reported difficulties. First, we identified three themes describing how couples experienced the woman′s change of drinking habits as a smooth transition: Internalisation of risk discourses, abstinence as a social norm and embodiment of alcohol aversion. Second, we emphasised four kinds of difficulties that couples encountered in their everyday lives: burden of risk discourses, conflicting advice, social occasions and desire for alcohol.Discussion and ConclusionsThis paper makes a significant contribution by examining prenatal drinking change as a transition. In this conceptualisation, the change of alcohol consumption is a relational process that is shaped by multiple changes and social norms. Our findings have important implications for practice. First, health professionals should be aware of the difficulties women experience when they abstain from alcohol during pregnancy. Second, our findings suggest the importance of a patient‐centred approach that considers the role of the partner in supporting a pregnant woman′s change of alcohol consumption.

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Section: Discussionmentioning

confidence: 99%

Pregnancy as a transition: First‐time expectant couples′ experience with alcohol consumption

Gouilhers

Meyer

Inglin³

et al. 2019

Drug and Alcohol Review

View full text Add to dashboard Cite

show abstract

“…Pregnant women living in poverty might endorse more positive attitudes towards regular cannabis use and use cannabis more regularly due to multiple interconnected psychosocial and systemic reasons. 19 For instance, growing in neighborhoods with high levels of social disadvantage and instability has been linked to problematic cannabis use in adulthood. 43 Women living and growing in the context of poverty may perceive cannabis use as less risky because cannabis use might be more prevalent, and its use might be normalized.…”

Section: Discussionmentioning

confidence: 99%

“…The cycle of poverty and stress might also influence cannabis onset and regular use among pregnant women, as cannabis use could be perceived as a coping strategy to deal with daily stressors. 19 Added to the regular financial stressors and the pregnancyrelated social and financial stressors, physiological and hormonal pregnancy-related changes, 44 might increase the levels of stress and contribute to perpetuate the above-mentioned cycle. Finally, poverty can influence…”

Section: Discussionmentioning

confidence: 99%

“…17 In addition, use of cannabis during pregnancy has been associated with past history of depression, anxiety, and trauma and recent studies suggest that some women use cannabis as a copping strategy to deal with daily stressors and mental health problems. 18,19 Other correlates that have shown to influence past 30-day cannabis use among pregnant women include income, marital status, and previous tobacco, alcohol, or illicit drug use. 3,17,[20][21][22] Existing studies on the effects of prenatal exposure to cannabis remain controversial.…”

Section: Introductionmentioning

confidence: 99%

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<p>Perceived Risk of Weekly Cannabis Use, Past 30-Day Cannabis Use, and Frequency of Cannabis Use Among Pregnant Women in the United States</p>

Odom¹,

Cottler²,

Striley³

et al. 2020

IJWH

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“…11 Failing to acknowledge the use of CO has the potential of putting children at risk 23 ; denying its use or failing to ask families about the use of nonprescription medicines can result in issues of polypharmacy, including interactions, 4 contraindications, 24 and side effects. Approaches taken to similar, socially taboo subjects, such as smoking in pregnancy, 25 suggest that practitioners who build supportive relationships with service users and adopt a positive, judgment-free position benefit from truthful interactions with families. 26 This leads to opportunities for practitioners to provide health promotion messages to families, a better understanding of 1188 TATTERTON AND WALKER symptoms and the approaches taken to manage them, and to provide families with support on how to use CO safely.…”

Section: Discussionmentioning

confidence: 99%

The Prevalence of Nonprescription Cannabinoid-Based Medicines in British Children's Hospices: Results of a National Survey

Tatterton

Walker

2019

Journal of Palliative Medicine

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Background: Almost 50,000 children and young people are affected by life-limiting conditions in the United Kingdom, around a third of which use children's hospices. Anecdotal evidence suggests that cannabinoid-based medicines (CBMs), specifically cannabis oil (CO), are being used by families with increasing frequency to manage distressing symptoms. The use of most nonprescription CBMs in the United Kingdom remains illegal. Objective: The objective of the study was to identify the prevalence of CO use by families who use children's hospices in the United Kingdom, and the approaches taken by those services to manage it. Design: An electronic survey was sent to each of the 54 children's hospices in the United Kingdom between May and July 2018, comprising 10 questions. Results: Forty children's hospices from across the four countries of the United Kingdom responded to the survey, representing 74% of British children's hospices. About 87.5% of hospices knew of children who use CO therapeutically. Sixty-nine percent of those hospices have received requests to administer CO during an episode of care. Approaches by organizations around CO management varied across the sectors, including arrangements for storage, administration, and recording of its use. Hospices highlighted how the lack of available guidance made decision making more challenging. Only a third of responding organizations routinely questioned families about the use of cannabis when prescribing medicines. Conclusion: CO is used extensively by children who use children's hospices. Despite recognizing the use of CO, many hospices are unable to support it. There is a need for clear guidelines on how hospices should approach the care needs of children, allowing hospices to meet the needs of children who use CO, and families in a safe, consistent, and relevant way, safeguarding all children, families, and professionals within the organization.

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Reasons for substance use continuation and discontinuation during pregnancy: A qualitative study

Cited by 104 publications

References 36 publications

Pregnancy as a transition: First‐time expectant couples′ experience with alcohol consumption

Pregnancy as a transition: First‐time expectant couples′ experience with alcohol consumption

<p>Perceived Risk of Weekly Cannabis Use, Past 30-Day Cannabis Use, and Frequency of Cannabis Use Among Pregnant Women in the United States</p>

The Prevalence of Nonprescription Cannabinoid-Based Medicines in British Children's Hospices: Results of a National Survey

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