Transcript Substance Abuse During Pregnancy

Substance Abuse
NUR 113
Debbie Hogan RN
Tobacco
• Effects of nicotine-constriction of blood
vessels
• Produces smaller placenta=SGA infant
• Cessation program
Alcohol
• Crosses the placenta as soon as in mom’s
blood
• Effects are noted with neuro functioning
• Fetal Alcohol Syndrome
• Advise mom-NO ETOH
Prescription Drugs
• Schedule II, III, and IV
• Other Rx
• Rx for health problems-is drug tetrogenic?
Illicit Drugs
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Marijuana
Cocaine
Methylamphetamine
Opiates
Other drugs
Effects of Illicit Drugs
• Mom’s often do not seek prenatal care if
abusing drugs
• Placenta-small
• Fetus-SGA, addiction at birth, long term
developmental delays
• Cessation/education/rehab/clinics
Nursing Care for Mom with
Substance Abuse
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Determine type and amount of substance
How long has fetus been exposed
When was last “encounter”
Mom’s weight/fundal height/FHR
Plans after delivery
Social Services involvement
Mom’s support
Nursing Care for Babe Exposed
to Substance Abuse
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Determine drug(s)
Fundal height/SGA
Resuscitative measures
NICU
Foster Care
Conclusion
• NO NICOTINE
• NO ETOH
• NO ILLICTS
Survival Tips for Nurses
• When dealing with substance abuse moms
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Establish trust-you need to help babe
Use therapeutic communication
Avoid being judgmental/biased
Make referrals if necessary