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Substance Use in Pregnancy
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.
- 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.
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Substance Use in Pregnancy
Clinical Information to Collect During the First Visit
The first prenatal visit with Jackie requires a thorough assessment to ensure the health of both her and the fetus. Key clinical information to gather includes:
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Pregnancy History: As a second-time mother, it is important to understand her previous pregnancy, including complications, birth outcomes, and any prenatal care she received. Given her history with Robby, knowing the specifics will aid in identifying any potential risks.
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Substance Use History: Jackie’s self-reported substance use, including alcohol and methamphetamine, should be examined in greater detail. This includes the frequency, quantity, duration, and any previous attempts at treatment or cessation. It is important to understand how these substances may have affected her health and any risks to fetal development.
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Mental Health and Emotional Well-being: Given her history of substance use, assessing her mental health is crucial. Screening for anxiety, depression, and other mood disorders is necessary as these conditions are commonly linked to substance use.
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Physical Health and Medical History: Documenting her general health, any pre-existing conditions such as …