Prenatal Substance Use

Prenatal Substance Use

Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with the father of Robby, her firstborn. She indicates “pretty serious partying” with the likely father of the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per week, plus intermittent methamphetamine use.

APA

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Prenatal Substance Use

• Which clinical information would be most critical for you to collect in the first visit?
• What are the greatest risk factors for substance use disorder for this patient?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support positive health outcomes for this patient.   (These agencies must not have been used in past discussion posts). What was your rationale for choosing these three agencies?
• Your initial post should be at least 500 words, formatted and cited in current APA style.
• Provide support for your work from at least 2 academic sources less than 5 years old.

Clinical Priorities and Risk Factors

Jackie presents several critical clinical concerns at her prenatal visit. First, confirming pregnancy through a test is essential. Additionally, assessing gestational age via ultrasound can guide further care. Screening for substance use, including alcohol and methamphetamine, is crucial. This includes a full substance use history, frequency, and last use. Evaluating for withdrawal risks and mental health disorders is equally important. Screening for intimate partner violence and social support is also critical…………..

Harm Reduction and Community Referrals

Harm reduction strategies include immediate referral to a prenatal care provider and a medication-assisted treatment (MAT) program. She should also receive education on the risks of continued use during pregnancy. A non-judgmental, trauma-informed care approach may improve trust and engagement.

In Phoenix, Arizona, three suitable agencies include:

1. Community Medical Services – Phoenix: Offers MAT and prenatal addiction support.

2. Valle del Sol: Provides integrated behavioral health and family support services.

3. Southwest Human Development: Focuses on early childhood development and parenting support………..