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Complex Calculations: How Drug Use During Pregnancy Becomes a Barrier to Prenatal Care

Pregnant women who use drugs are more likely to receive little or no prenatal care. This study sought to understand how drug use and factors associated with drug use influence women’s prenatal care use. A total of 20 semi-structured interviews and 2 focus groups were conducted with a racially/ethnic...

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Detalles Bibliográficos
Autores principales: Roberts, Sarah C. M., Pies, Cheri
Formato: Texto
Lenguaje:English
Publicado: Springer US 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2904854/
https://www.ncbi.nlm.nih.gov/pubmed/20232126
http://dx.doi.org/10.1007/s10995-010-0594-7
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author Roberts, Sarah C. M.
Pies, Cheri
author_facet Roberts, Sarah C. M.
Pies, Cheri
author_sort Roberts, Sarah C. M.
collection PubMed
description Pregnant women who use drugs are more likely to receive little or no prenatal care. This study sought to understand how drug use and factors associated with drug use influence women’s prenatal care use. A total of 20 semi-structured interviews and 2 focus groups were conducted with a racially/ethnically diverse sample of low-income women using alcohol and drugs in a California county. Women using drugs attend and avoid prenatal care for reasons not connected to their drug use: concern for the health of their baby, social support, and extrinsic barriers such as health insurance and transportation. Drug use itself is a barrier for a few women. In addition to drug use, women experience multiple simultaneous risk factors. Both the drug use and the multiple simultaneous risk factors make resolving extrinsic barriers more difficult. Women also fear the effects of drug use on their baby’s health and fear being reported to Child Protective Services, each of which influence women’s prenatal care use. Increasing the number of pregnant women who use drugs who receive prenatal care requires systems-level rather than only individual-level changes. These changes require a paradigm shift to viewing drug use in context of the person and society and acceptance of responsibility for unintended consequences of public health bureaucratic procedures and messages about effects of drug use during pregnancy.
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spelling pubmed-29048542011-04-05 Complex Calculations: How Drug Use During Pregnancy Becomes a Barrier to Prenatal Care Roberts, Sarah C. M. Pies, Cheri Matern Child Health J Article Pregnant women who use drugs are more likely to receive little or no prenatal care. This study sought to understand how drug use and factors associated with drug use influence women’s prenatal care use. A total of 20 semi-structured interviews and 2 focus groups were conducted with a racially/ethnically diverse sample of low-income women using alcohol and drugs in a California county. Women using drugs attend and avoid prenatal care for reasons not connected to their drug use: concern for the health of their baby, social support, and extrinsic barriers such as health insurance and transportation. Drug use itself is a barrier for a few women. In addition to drug use, women experience multiple simultaneous risk factors. Both the drug use and the multiple simultaneous risk factors make resolving extrinsic barriers more difficult. Women also fear the effects of drug use on their baby’s health and fear being reported to Child Protective Services, each of which influence women’s prenatal care use. Increasing the number of pregnant women who use drugs who receive prenatal care requires systems-level rather than only individual-level changes. These changes require a paradigm shift to viewing drug use in context of the person and society and acceptance of responsibility for unintended consequences of public health bureaucratic procedures and messages about effects of drug use during pregnancy. Springer US 2010-03-16 2011 /pmc/articles/PMC2904854/ /pubmed/20232126 http://dx.doi.org/10.1007/s10995-010-0594-7 Text en © The Author(s) 2010 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Article
Roberts, Sarah C. M.
Pies, Cheri
Complex Calculations: How Drug Use During Pregnancy Becomes a Barrier to Prenatal Care
title Complex Calculations: How Drug Use During Pregnancy Becomes a Barrier to Prenatal Care
title_full Complex Calculations: How Drug Use During Pregnancy Becomes a Barrier to Prenatal Care
title_fullStr Complex Calculations: How Drug Use During Pregnancy Becomes a Barrier to Prenatal Care
title_full_unstemmed Complex Calculations: How Drug Use During Pregnancy Becomes a Barrier to Prenatal Care
title_short Complex Calculations: How Drug Use During Pregnancy Becomes a Barrier to Prenatal Care
title_sort complex calculations: how drug use during pregnancy becomes a barrier to prenatal care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2904854/
https://www.ncbi.nlm.nih.gov/pubmed/20232126
http://dx.doi.org/10.1007/s10995-010-0594-7
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