Complex calculations: how drug use during pregnancy becomes a barrier to prenatal care.

Matern Child Health J 2011 Apr;15(3):333-41

Alcohol Research Group, 6475 Christie Ave., Emeryville, CA 94608, USA.

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, acceptance of responsibility for unintended consequences of public health bureaucratic procedures and messages about effects of drug use during pregnancy.

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http://dx.doi.org/10.1007/s10995-010-0594-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2904854PMC
April 2011
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References

(Supplied by CrossRef)

J Melnikow et al.
Journal of Family Practice 1991

RH Kelly et al.
Psychiatric Services 1999

J Hankin et al.
Alcoholism, Clinical and Experimental Research 2000

DL Pagnini et al.
Family Planning Perspectives 2000

R Maupin Jr et al.
The Journal of Maternal-Fetal & Neonatal Medicine 2004

GR Alexander et al.
Public Health Reports 2001

M Green et al.
American Journal of Drug and Alcohol Abuse 1979

SN MacGregor et al.
Obstetrics and Gynecology 1989

FF Broekhuizen et al.
American Journal of Obstetrics and Gynecology 1992

A Racine et al.
Journal of the American Medical Association 1993

C Chazotte et al.
Seminars in Perinatology 1995

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