Salam, S.S. orcid.org/0000-0001-9517-7041 and Mitchell, C. orcid.org/0000-0002-4790-0095 (2022) Evaluating alcohol, tobacco, and other substance use in pregnant women. In: Anumba, D.O.C. and Jayasooriya, S.M., (eds.) Evidence Based Global Health Manual for Preterm Birth Risk Assessment. Springer International Publishing , pp. 53-62. ISBN 9783031044618
Abstract
Use of tobacco, alcohol, and psychoactive substances during pregnancy is associated with increased risks of preterm birth. Concurrent use of these substances is also quite common and further increases the risk of adverse outcomes. Health-care providers should ask pregnant women about their exposure to tobacco, second-hand smoke, alcohol, and illicit substances (past and present) at every antenatal visit using validated screening instruments and offer brief interventions.
Pregnant women with alcohol or substance dependence should be assessed individually and offered psychosocial interventions (e.g. motivational interviewing, cognitive behavioural therapy, contingency management). Pregnant women should be advised to quit and referred to detoxification services or opioid substitution treatment (for opioid users). Pharmacological treatment for maintenance and relapse prevention is not recommended for amphetamine, cannabis, and cocaine dependence and requires individual risk-benefit analysis for alcohol dependence. Opioid maintenance therapy with methadone or buprenorphine is recommended for opiate dependence. Pregnant women who are current tobacco users or have recently quit should be offered psychosocial interventions (e.g. counselling, incentives, social support). Evidence on impact of pharmacological interventions for cessation of tobacco use is limited. Interventions to make public places and homes smoke-free are recommended. Evidence of impact of these interventions in reducing PTB especially in LMIC settings is low and further research recommended.
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Item Type: | Book Section |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2022 The Author(s). This chapter is licensed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made. The images or other third party material in this chapter are included in the chapter's Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the chapter's Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. |
Keywords: | Alcohol; Tobacco; Second-hand smoke; Substance use; Preterm birth |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 07 Sep 2022 09:14 |
Last Modified: | 08 Sep 2022 08:37 |
Status: | Published |
Publisher: | Springer International Publishing |
Refereed: | Yes |
Identification Number: | 10.1007/978-3-031-04462-5_7 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:190223 |
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