Health Professional Attitudes towards Drug Use for Pregnant Women
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Abstract
Drug use is one of the factors related to high-risk pregnancy. The health professional beliefs and attitudes regarding this issue constitute possible difficulties in the health care. The present study sought to verify the health professional attitudes towards pregnant women who use drugs. A literature review for studies published between 2000 and June 2022 was carried out in the SciELO, LILACS, MEDLINE/PubMed, Scopus, and PsycInfo databases. In the end, 27 articles were analyzed, all of them written in English. Negative attitudes were identified in 33.3% of the articles, and positive attitudes in 44.5%; ambivalent attitudes were also found in 22.2% of the studies. Additionally, some studies pointed out barriers to interventions. The negative and moralizing attitudes denote an individualizing nature. Concerning the positive attitudes, they can play a fundamental role on professional performance and, consequently, on the maternal and fetal health.
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References
Abel, E. L., & Kruger, M. (2002). Physician attitudes concerning legal coercion of pregnant alcohol and drug abusers. American Journal of Obstetrics and Gynecology, 186(4), 768–772. https://doi.org/10.1067/mob.2002.122142
Acosta, L. M., Gonçalves, T. R., & Barcellos, N. T. (2016). Coinfecção HIV/sífilis na gestação e transmissão vertical do HIV: Um estudo a partir de dados da vigilância epidemiológica. Revista Panamericana de Salud Pública, 40(6), 435–442. https://www.scielosp.org/pdf/rpsp/2016.v40n6/435-442
Antunes, M. B., Demitto, M. O., Padovani, C, Elias, K. C. M., Miranda, A. C. M., & Pelloso, S. M. (2018). Desfecho perinatal em gestantes usuárias de drogas atendidas em um centro especializado. SMAD, Revista Electrónica em Salud Mental, Alcohol y Drogas, 14(4), 211–218. https://doi.org/10.11606/issn.1806-6976.smad.2018.000371
Bastos, F., Vasconcellos, M., De Boni, M., Reis, R., Coutinho, N., & Souza, C. (2017). III levantamento nacional sobre o uso de drogas pela população brasileira. Fiocruz. https://www.arca.fiocruz.br/handle/icict/34614
Benoit, C., Stengel, C., Marcellus, L., Hallgrimsdottir, H., Anderson, J., MacKinnon, K., Phillips, R., Zazueta, P., & Charbonneau, S. (2014). Providers’ constructions of pregnant and early parenting women who use substances. Sociology of Health & Illness, 36(2), 252–263. https://doi.org/10.1111/1467-9566.12106
Brown, S. D., Donelan, K., Martins, Y., Burmeister, K., Buchmiller, T., Sayeed, S., Mitchell, C., & Ecker, J. (2012). Differing attitudes toward fetal care by pediatric and maternal-fetal medicine specialists. Pediatrics, 130(6), 1534–1540. https://doi.org/10.1542/peds.2012-1352
Cavazza, N. (2008). Psicologia das atitudes e das opiniões. Loyola.
Chisolm, M. S., Brigham, E. P., Lookatch, S. J., Tuten, M., Strain, E. C., & Jones, H. E. (2010). Cigarette smoking knowledge, attitudes, and practices of patients and staff at a perinatal substance abuse treatment center. Journal of Substance Abuse Treatment, 39(3), 298–305. https://doi.org/10.1016 / j.jsat.2010.06.008
Condliffe, L., McEwen, A., & West, R. (2005). The attitude of maternity staff to, and smoking cessation interventions with, childbearing women in London. Midwifery, 21(3), 233–240. https://doi.org/10.1016/j.midw.2004.12.011
Courchesne, E. N. S., & Meyers, S. A. (2020). Women and pregnancy. In C. Marienfeld (Ed.), Absolute addiction psychiatric review (pp. 259–276). Springer.
Doi, L., Cheyne, H., & Jepson, R. (2014). Alcohol brief interventions in Scottish antenatal care: A qualitative study of midwives’ attitudes and practices. BMC Pregnancy and Childbirth, 14(170), 1–10. https://doi.org/10.1186/1471-2393-14-170
Fonti, S., Davis, D., & Ferguson, S. (2016). The attitudes of healthcare professionals towards women using illicit substances in pregnancy: A cross-sectional study. Women and Birth, 29(4), 330–335. https://doi.org/10.1016/j.wombi.2016.01.001
Geraghty, S., Doleman, G., & De Leo, A. (2019). Midwives’ attitudes towards pregnant women using substances: Informing a care pathway. Women and Birth, 32(4), e477-e482. https://doi.org/10.1016/j.wombi.2018.09.007
Gérardin, M., Victorri-Vigneau, C., Louvigné, C., Rivoal, M., & Jolliet, P. (2011). Management of cannabis use during pregnancy: An assessment of healthcare professionals’ practices. Pharmacoepidemiology and Drug Safety, 20(5), 464–473. https://doi.org/10.1002/pds.2095
Göransson, M., Faxelid, E., & Heilig, M. (2004). Beliefs and reality: detection and prevention of high alcohol consumption in Swedish antenatal clinics. Acta Obstetricia et Gynecologica Scandinavica, 83(9), 796–800. https://doi.org/10.1080/j.0001-6349.2004.00461.x
Guimarães, V. A., Fernandes, K. S., Lucchese, R., Vera, I., Martins, B. C. T., Amorim, T. A. D., & Guimarães, R. A. (2018). Prevalência e fatores associados ao uso de álcool durante a gestação em uma maternidade de Goiás, Brasil Central. Ciência & Saúde Coletiva, 23, 3413–3420. https://doi.org/10.1590/1413-812320182310.24582016
Herzig, K., Danley, D., Jackson, R., Petersen, R., Chamberlain, L., & Barbara G. (2006). Seizing the 9-month moment: Addressing behavioral risks in prenatal patients. Patient Education and Counseling, 61(2), 228–235. https://doi.org/10.1016/j.pec.2005.04.001
Holland, C., Nkumsah, M., Morrison, P., Tarr, J., Rubio, D., Rodriguez, K., Kraemer, K., Day, N., Arnold, R., & Chang, J. (2016). “Anything above marijuana takes priority”: Obstetric providers’ attitudes and counseling strategies regarding perinatal marijuana use. Patient Education and Counseling, 99(9), 1446–1451. https://doi.org/10.1016/j.pec.2016.06.003
Holland, C. L., Rubio, D., Rodriguez, K. L., Kraemer, K. L, Day, N., Arnold, R. M, & Chang, J. C. (2016). Obstetric health care providers’ counseling responses to pregnant patient disclosures of marijuana use. Obstetrics and Gynecology, 127(4), 681–687. https://doi.org/10.1097/AOG.0000000000001343
Hooks, C. (2015). Paranoid or persecuted? The stigmatisation of pregnant drug users: A literature review. Practising Midwife, 18(1), 14–18. https://pubmed.ncbi.nlm.nih.gov/26310087/
Kerker, B. D., Horwitz, S. M., & Leventhal, J. M. (2004). Patients’ characteristics and providers’ attitudes: Predictors of screening pregnant women for illicit substance use. Child Abuse & Neglect, 28(2), 209–223. https://doi.org/10.1016/j.chiabu.2003.07.004
Ketteres, F., Symons, L., Lambrechts, M., Mairiaux, P., Godderis, L., Peremans, L., Remmen, R., & Vanmeerbeek, M. (2014). What factors determine Belgian general practitioners’ approaches to detecting and managing substance abuse? A qualitative study based on the I-Change Model. BMC Family, 15(1), 1–19. https://doi.org/10.1186/1471-2296-15-119
Ko, J. Y., Tong, V. T., Haight, S. C., Terplan, M., Stark, L., Snead, C., & Schulkin, J. (2020) Obstetriciangynecologists’ practices and attitudes on substance use screening during pregnancy. Journal of Perinatology, 40(3), 422–432. https://doi.org/10.1038/s41372-019-0542-3
Maldonado, M. T. (2017). Psicologia da gravidez: Gestando pessoas para uma sociedade melhor (3a ed.). Ideias & Letras.
Malvezzi, C., & Nascimento, J. (2018). Cuidado aos usuários de álcool na atenção primária: Moralismo, criminalização e teorias da abstinência. Trabalho, Educação e Saúde, 16(3), 1095–1112. https://doi.org/10.1590/1981-7746-sol00153
Marcolino, T. Q., Joaquim, R. H. V. T., Wernet, M., Giovanetti, G., Kishi, R. G. B., Marchi, M., Fejes, M. A. N., Rodrigues, S. F., Passianatto, T. Y. S., & Caneira, É. G. (2018). Gestação e uso de substâncias psicoativas: Qual é o cuidado em saúde desejado pelas mulheres? Cadernos Saúde Coletiva, 26, 255–260. https://doi.org/10.1590/1414-462X201800030374
Mendez, D., Jacobson, P. D., Hassmiller, K. M., & Zellman, G. L. (2003). The effect of legal and hospital policies on physician response to prenatal substance exposure. Maternal and Child Health Journal, 7(3), 187–196. https://doi.org/10.1023/a:1025188405300
Miles, M., Chapman, Y., Francis, K., & Taylor, B. (2014). Midwives experiences of establishing partnerships: Working with pregnant women who use illicit drugs. Midwifery, 30(10), 1082–1087. https://doi.org/10.1016/j.midw.2013.06.020
Miles, M., Francis, K., & Chapman, Y. (2010). Challenges for midwives: Pregnant women and illicit drug use. Australian Journal of Advanced Nursing, 28(1), 83–90. https://doi.org/10.3316/ielapa.053248327279822
Miller-Thomas, T., Leoutsakos, J. M., Terplan, M., Brigham, E. P., & Chisolm, M. S. (2014). Comparison of cigarette smoking knowledge, attitudes, and practices among staff in perinatal and other substance abuse treatment settings. Journal of Addiction Medicine, 8(5), 377–383. https://doi.org/10.1097/ADM.0000000000000068
Ministério da Saúde (2012a). Gestação de alto risco: Manual técnico (5a ed.). http://bvsms.saude.gov.br/bvs/publicacoes/manual_tecnico_gestacao_alto_risco.pdf
Ministério da Saúde (2012b). Atenção ao pré-natal de baixo risco. http://bvsms.saude.gov.br/bvs/publicacoes/atencao_pre_natal_baixo_risco.pdf
Motta, K. M. C., & Linhares, M. B. M. (2016). Perfil das gestantes usuárias de álcool/drogas e os efeitos na saúde e desenvolvimento dos filhos. Interação em Psicologia, 19(1), 133–144. http://dx.doi.org/10.5380/psi.v19i1.35877
Neiva, E. R., & Mauro, T. G. (2011). Atitude e mudanças de atitude. In C. V. Torres & E. R. Neiva (Orgs.), Psicologia social: Principais temas e vertentes (pp. 171–203). Artmed.
Oni, H. T., Buultjens, M., Blandthorn, J., Davis, D., Abdel-Latif, M., & Islam, M.M (2020). Barriers and facilitators in antenatal settings to screening and referral of pregnant women who use alcohol or other drugs: A qualitative study of midwives’ experience. Midwifery, 81(102595), 1–32. https://doi.org/10.1016/j.midw.2019.102595
Ordean, A., Forte, M., Selby, P., & Grennell, E. (2020). Screening, brief intervention, and referral to treatment for prenatal alcohol use and cigarette smoking: A survey of academic and community health care providers. Journal of Addiction Medicine, 14(4), e76–e82. https://doi.org/10.1097/ADM.0000000000000588
Oser, C., Biebel, E., Harris, M., Klein, E., & Leukefeld, C. (2011). Gender differences in provider’s use of a standardized screening tool for prenatal substance use. Journal of Addiction Medicine, 5(1), 36–42. https://doi.org/10.1097/ADM.0b013e3181ccec2e
Petersen, P. W., Petersen, Z., Sorsdahl, K., Mathews, C., Everett-Murphy, K., & Parry, C. D. (2015). Screening and brief interventions for alcohol and other drug use among pregnant women attending midwife obstetric units in Cape Town, South Africa: A qualitative study of the views of health care professionals. Journal of Midwifery & Women’s Health, 60(4), 401–409. https://doi.org/10.1111/jmwh.12328
Rodrigues, A., Assmar, E. M. L., & Jablonski, B. (2014). Psicologia social (31a ed.). Vozes.
Romo-Avilés, N. (2018) Drugs and gender. In T. M. Ronzani (Ed.), Drugs and social context: Social perspectives on the use of alcohol and other drugs. Springer.
Röske, K., Hannöver, W., Thyrian, J. R., John, U., & Hannich, H. (2009). Smoking cessation counselling for pregnant and postpartum women among midwives, gynaecologists and paediatricians in germany. International Journal of Environmental Research and Public Health, 6(1), 96–107. https://doi.org/10.3390/ijerph6010096
Silva, F. T. R., Fernandes, C. A. M., Tamais, M. L. B., Costa, A. B, & Melo, S. C. C. S. D. (2021). Prevalência e fatores associados ao uso de drogas de abuso por gestantes. Revista Brasileira de Saúde Materno Infantil, 20(4), 1101–1107. https://doi.org/10.1590/1806-93042020000400010
St. Louis, J., Barreto, T., Taylor, M., Kane, C., Worringer, E., & Eden, A. R. (2022). Barriers to care for perinatal patients with opioid use disorder: Family physician perspectives. Family Practice, 39(2), 249–256. https://doi.org/10.1093/fampra/cmab154
Stone R. (2015). Pregnant women and substance use: Fear, stigma, and barriers to care. Health & Justice, 3(2), 1–15. https://doi.org/10.1186/s40352-015-0015-5
Tamashiro, E. M., Milanez, H. M., & Azevedo, R. C. S. (2020). “Por causa do bebê”: Redução do uso de drogas por gestantes. Revista Brasileira de Saúde Materno Infantil, 20(1), 313–317. https://doi.org/10.1590/1806-93042020000100017
Taylor, P., Zaichkin, J., Pilkey, D., Leconte, J., Johnson, B. K., & Peterson, A. C. (2007). Prenatal screening for substance use and violence: Findings from physician focus groups. Maternal and Child Health Journal, 11(3), 241–247. https://doi.org/10.1007/s10995-006-0169-9
Tuchman, E. (2010). Women and addiction: The importance of gender issues in substance abuse research. Journal of Addictive Diseases, 29(2), 127–138. https://doi.org/10.1080/10550881003684582
United Nations Office on Drugs and Crime (2016). World drug report. https://www.unodc.org/documents/scientific/WORLD_DRUG_REPORT_2016_web.pdf
Van der Wulp, N. Y., Hoving, C., & De Vries, H. (2013). A qualitative investigation of alcohol use advice during pregnancy: Experiences of Dutch midwives, pregnant women and their partners. Midwifery, 29(11), 89–98. https://doi.org/10.1016/j.midw.2012.11.014
Wangberg, S. C. (2015). Norwegian midwives’ use of screening for and brief interventions on alcohol use in pregnancy. Sexual & Reproductive Healthcare, 6(3), 186–190. https://doi.org/10.1016/j.srhc.2015.03.001
Wright, A., & Walker, J. (2007). Management of women who use drugs during pregnancy. Seminars in Fetal & Neonatal Medicine, 12(2), 114–118. https://doi.org/10.1016/j.siny.2007.01.001