Perinatal Substance Use
This common legal substance is linked to low birth weight and preterm birth when used during pregnancy
What is Nicotine/Tobacco
True or False: Pharmacologic treatment should begin in ESC as soon as withdrawal symptoms appear.
False
This term describes a coordinated, team-based approach centered around the patients goals and needs.
What is wraparound care?
To reduce stigma and increase postpartum follow-up, providers are encouraged to replace punitive language with terms like “substance use disorder,” a practice called this
What is person first language?
This therapy, using medications like methadone or buprenorphine, is the standard of care for opioid use disorder in pregnancy
What is opioid agonist treatment or medication assisted treatment?
Switching from methadone to buprenorphine during pregnancy is not advised because of the risk of this uncomfortable reaction
Precipitated withdrawal
Who is involved in the first huddle about ESC?
Patient and primary care giver (Nurse)
Name one non-medical support person who may be involved in a wraparound care team.
Who is a peer support worker, social worker, housing advocate, or doula?
Embrace prioritize keeping this pair together as much as possible to promote attachment and improved neonatal outcome
What is the birthing parent–infant dyad
For people who smoke, switching to complete cessation is best; but this tool, such as nicotine patches or gum, may be used when necessary under supervision.
What is nicotine replacement therapy (NRT)
This newborn condition results from in-utero exposure and often requires monitoring and support
What is Neonatal Abstinence Syndrome (NAS)
Babies receiving care using this newer, family-focused model for NAS often require less medication and shorter hospital stays
What is eat, sleep and be consoled model
This type of care environment, promoted by ESC and wraparound care, helps reduce stigma and trauma.
What is trauma informed care or low barrier care setting?
This type of relationship-building approach ensures parents feel welcomed, informed, and included as primary caregivers throughout hospitalization
What is Family Centered Care?
This type of prenatal care program integrates obstetric services with addiction treatment
What is integrated or multidisciplinary care?
True or False:All infants exposed to substances during pregnancy will have long-term developmental problems?
False
ESC aims to reduce use of this type of treatment for NAS
What is pharmacologic (opioid or medication) treatment?
A barrier that wraparound care helps address for perinatal individuals with substance use disorder
what is transportation, housing, stigma, lack of childcare, or fear of child apprehension?
This principle acknowledges that families have unique cultural values, histories, and strengths, and programs must adapt care to match them
What is culturally responsive care?
A medical tool utilized in the prevention of overdose related death?
Naloxone
What are Alcohol, Meth, Cannabis, Benzodiazepines (any two)
These 3 things have been reduced significantly since ESC has been introduced in hospitals
What is morphine administration NICU admissions, and child apprehensions
This type of specialist, often with lived experience, can offer emotional and practical support to pregnant people in recovery.
Programs like EMBRACE stress the importance of validating a parent’s feelings, fears, and experiences, an example of this communication principle.
What is empathy?
This term describes adjusting methadone dosage during pregnancy due to increased maternal metabolism
What is split dosing?