Sutter Mary Beth, Gopman Sarah, Leeman Lawrence
Department of Family and Community Medicine, University of New Mexico, MSC 09 5040, 1 University of New Mexico, Albuquerque, NM 87131, USA.
Department of Family and Community Medicine, University of New Mexico, MSC 09 5040, 1 University of New Mexico, Albuquerque, NM 87131, USA.
Obstet Gynecol Clin North Am. 2017 Mar;44(1):95-107. doi: 10.1016/j.ogc.2016.11.004.
Pregnant women affected by substance use often encounter barriers to treatment, including housing insecurity, poverty, mental health issues, social stigma, and access to health care. Providers may lack the resources needed to provide quality care. Clinicians offering prenatal care to women with substance use disorder are encouraged to support family-centered, multidisciplinary care to women and their infants, focusing on harm reduction. Collaboration between providers of maternity care, substance abuse treatment, case management, family primary care, and pediatric developmental care can improve outcomes during pregnancy and through the early years of parenting.
受物质使用影响的孕妇在治疗过程中常常遇到障碍，包括住房无保障、贫困、心理健康问题、社会污名以及获得医疗保健的机会。医疗服务提供者可能缺乏提供优质护理所需的资源。鼓励为有物质使用障碍的妇女提供产前护理的临床医生为妇女及其婴儿提供以家庭为中心的多学科护理，重点是减少伤害。产科护理、药物滥用治疗、病例管理、家庭初级护理和儿科发育护理的提供者之间的合作可以改善孕期及育儿早期的结果。
