Addressing substance use disorder in a hospital prenatal setting

Soc Work Health Care. 2024;63(4-5):230-236. doi: 10.1080/00981389.2024.2316695. Epub 2024 Feb 19.

Abstract

Pregnancy can be a time of joy and hope but, for birthing parents struggling with a substance use disorder (SUD), it can be challenging. Social stigma, shame, and the potential legal ramifications present barriers to individuals seeking the care they need. Marginalized groups, in particular, face challenges that put them at even greater risk for substance misuse. Substance use during pregnancy can further impair the individual's level of functioning, and it has also been associated with problems in the social, emotional, and cognitive development of their children. Pregnancy and addiction each require guidance and good medical care. By integrating substance misuse treatment services under the umbrella of their medical care, clinics facilitate timely access to care, as well as help break the stigma associated with substance misuse. Our program offers a comprehensive and multidisciplinary approach to support pregnant individuals with SUDs. Interventions include support, education, case management, and mental health counseling. By providing optimal prenatal care early on, individuals can receive the treatment that they need so that they can achieve physical and emotional stability once the baby arrives, which ultimately has better outcomes for the parent and child's health and wellbeing.

Keywords: Pregnancy; addiction; medication assisted treatment; opioid use disorder; prenatal care; substance misuse; substance use disorder; trauma.

Publication types

  • Review

MeSH terms

  • Child
  • Female
  • Hospitals
  • Humans
  • Parents
  • Pregnancy
  • Prenatal Care
  • Substance-Related Disorders* / psychology
  • Substance-Related Disorders* / therapy