The aim of this paper is to help myclient to abstinence from substance abuse during pregnancy, give information oncomplications and how she can manage it. Substance abuse in pregnancy has high-riskcomplications. It is a real challenge for health care providers (HCP’s) to givehealth education on so many aspects of prenatal care, nutrition, varioustreatment methods, and maternal and fetal risks.
In fact, substance abuse is more common among women in theirreproductive age (18-44) than other population due to their lower incomes orlower levels of education. Prognosis is easier on early detection of substanceabuse. Especially during pregnancyperiod, they need proper care, support, and adequate health care provision. Thecomplication of this substance abuse during pregnancy is more complicated thanin non-pregnant stage. Substance abuse during pregnancy causes maternalproblems as well as poor childhood development and health.
The incidence of thesubstance varies in each individual. She allowed her boyfriend to get involved in the treatmentplan. Our team has developed programs for her regarding maternal and fetal consequencesdue to drugs, how to maintain weight and nutritional status, periodic healthscreening and checkup, and importance of increasedknowledge of pregnancy and complications, attitudes andself-efficacy on healthy living practices. She is now aware of the consequences of substanceabuse in pregnancy and willing to abandon bad habits and desires to maintain agood health for her baby. Able to give proper information/health education onvarious aspects of substance abuse helps them to make a good decision.
Etiology Women’s substance abuse is positively correlated with their surroundingsand childhood experiences. Bad peer influences also help them to use thesubstance initially and gradually they become addict to drugs. For an instancepleasure, they are taking all these high-risk habits. Stress, easy availabilityof alcohol and other substance, identity/self-esteem problems, psychosocialproblems are other factors. On detailed discussion with her, she was the victimof child abuse and she is the member of the broken family.
She was living inhigh-risk environments characterized by insecurity, poverty, separated familyand other psychological issues.