Characteristics of women who deliver with no prenatal care

Maupin, Robert; Lyman, R. R.; Fatsis, J; Prystowiski, E; Nguyen, An; Wright, Christian; Kissinger, Patricia; Miller, Joseph M.

doi:10.1080/14767050412331283913

Cited by 56 publications

(34 citation statements)

References 7 publications

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“…Compared to women without addiction problems, pregnant drug or alcohol-using women tend to either delay their fi rst contact with health services (Marcenko et al, 1994) or to deliberately avoid the treatment system and health services (Maupin et al, 2004). As described above, women with drug and alcohol problems are generally negatively perceived by their surroundings.…”

Section: Pregnancy and Substance Abusementioning

confidence: 97%

Women and substance use disorders

Hecksher

Hesse

2009

Mens Sana Monogr

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Substance use disorders belong to the class of externalizing behaviours that are generally more common among men than women. Those women who do have substance disorders therefore deviate more from the norms of society compared with men, tend to live in an environment characterized by high risk of violence and other forms of abuse, and tend to be survivors of childhood trauma. In terms of seeking treatment, women often have difficulty acknowledging their problems with substance use disorders, and professionals are reluctant to ask women about drug or alcohol use. Even when they do seek treatment, women in many countries face practical and financial barriers to access treatment. For women who do enter treatment, outcomes are generally comparable to outcomes for men, suggesting that facilitating entry into treatment can yield substantial benefits for women with addictions.

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Section: Pregnancy and Substance Abusementioning

confidence: 97%

Women and substance use disorders

Hecksher

Hesse

2009

Mens Sana Monogr

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“…23, 64 -66 In addition, surveys of pregnant women found that punitive laws targeted at pregnant women who use drugs are a significant deterrent to obtaining regular prenatal care and agreeing to drug testing, 67 and women who deliver without receiving any prenatal care are more likely have a history of substance use. 68 For these reasons, the AAP supports an approach toward substance use in pregnancy that focuses on a public health approach of primary prevention, improving access to treatment, and promoting the provider-patient relationship rather than punitive measures through the criminal justice system.…”

Section: Criminal Justice Approaches To Substance Use In Pregnancymentioning

confidence: 99%

A Public Health Response to Opioid Use in Pregnancy

Patrick¹,

2017

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The use of opioids during pregnancy has grown rapidly in the past decade. As opioid use during pregnancy increased, so did complications from their use, including neonatal abstinence syndrome. Several state governments responded to this increase by prosecuting and incarcerating pregnant women with substance use disorders; however, this approach has no proven benefi ts for maternal or infant health and may lead to avoidance of prenatal care and a decreased willingness to engage in substance use disorder treatment programs. A public health response, rather than a punitive approach to the opioid epidemic and substance use during pregnancy, is critical, including the following: a focus on preventing unintended pregnancies and improving access to contraception; universal screening for alcohol and other drug use in women of childbearing age; knowledge and informed consent of maternal drug testing and reporting practices; improved access to comprehensive obstetric care, including opioidreplacement therapy; gender-specifi c substance use treatment programs; and improved funding for social services and child welfare systems. The American College of Obstetricians and Gynecologists supports the value of this clinical document as an educational tool (December 2016).

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“…Some studies have found a relation between socioeconomicrelated factors and the incidence of stillbirth [14][15][16] but often these tend to have limited predictive value [17,18] or do not show an association with stillbirth [19]. Prenatal care is typically suggested as a preventative measure and this often correlates with socioeconomic status [20] as is the case here. Biological models tend to reflect age of mother, smoking, and other variables that may be socioeconomic related in occurrence, but typically maternal and pregnancy characteristics are of limited value in identifying overall causes [15].…”

Section: Discussionmentioning

confidence: 89%

Comparison of Fetal Demise Case Series Drawn From Socioeconomically Distinct Counties in New Jersey

Brimacombe

Heller

Zamudio

2007

Fetal and Pediatric Pathology

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The causes of stillbirth were investigated in two case series drawn from distinct communities within the same geographic region in New Jersey, one characterized by affluence (Hackensack Medical Center, Bergen County) and one by poverty (University Hospital, Essex County). The data was obtained over 4 years (1998-2001) from a stillbirth autopsy service available to all obstetrics-gynecology clinicians in the northern New Jersey area. A total of 52 stillbirths from University Hospital in Newark (Essex County) and 55 from Hackensack Medical Center (Bergen County) were examined by this same autopsy service. Cause(s) were identified for 70% of stillbirth cases. Whereas population-based data revealed that the rate of stillbirths was higher in Essex and mothers of stillbirths in Essex were of younger age, greater parity, and gravidity and had higher rates of smoking, single marital status, and very low birth weight infants, the only significant difference between the two case series was infection, detected in 35% of stillbirths from University Hospital versus 14% from Hackensack. Also no difference in the incidence of stillbirth due to unknown cause was found between the case series.

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Characteristics of women who deliver with no prenatal care

Abstract: Intensive interventions are needed for women who fail to receive prenatal care so as to link these high-risk women to needed services.

Cited by 56 publications

References 7 publications

Women and substance use disorders

Women and substance use disorders

A Public Health Response to Opioid Use in Pregnancy

Comparison of Fetal Demise Case Series Drawn From Socioeconomically Distinct Counties in New Jersey

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