Addressing substance abuse in pregnancy opportunity for change
This presentation is the property of its rightful owner.
Sponsored Links
1 / 17

Addressing Substance Abuse in Pregnancy: Opportunity for Change PowerPoint PPT Presentation


  • 89 Views
  • Uploaded on
  • Presentation posted in: General

Addressing Substance Abuse in Pregnancy: Opportunity for Change. Jeanne Mahoney Director, Provider’s Partnership American College of Obstetricians and Gynecologists 2005. Overview. Why group tobacco and substance use together? Epidemiology / costs Interventions that work

Download Presentation

Addressing Substance Abuse in Pregnancy: Opportunity for Change

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Addressing substance abuse in pregnancy opportunity for change

Addressing Substance Abuse in Pregnancy:Opportunity for Change

Jeanne Mahoney

Director, Provider’s Partnership

American College of Obstetricians and Gynecologists

2005


Overview

Overview

  • Why group tobacco and substance use together?

  • Epidemiology / costs

  • Interventions that work

  • Involving health care providers


Tobacco and substance use

Tobacco and Substance Use

  • Women unable to give up smoking during pregnancy are at great risk to use/abuse alcohol and other drugs

  • Tobacco is an addictive substance. Intervention for tobacco use similar to alcohol and drugs

  • Both issues best addressed in preconception period – distinct effects early in fetal development and through entire pregnancy


Addressing substance abuse in pregnancy opportunity for change

Smoking is the single most important modifiable cause of poor pregnancy outcomes in the United States(Orleans , 2000)


Prevalence of prenatal tobacco use

Prevalence of prenatal tobacco use

  • Varies by state

    • Highly dependent on tobacco taxes and regulations.

  • Varies by race/ethnicity

    • American and Alaskan natives greatest use

  • Varies by age

    • Teen rate highest rate in early pregnancy

    • Women over 35 highest rate of continued smoking


Public health results of perinatal tobacco use

Public Health Results of Perinatal Tobacco Use

  • Annual smoking-attributable health care costs at delivery for problems caused by smoking during pregnancy - $366 million in 1996

  • 2/3 of these babies were born to mothers on Medicaid

  • About $704 per maternal smoker

    CDC, 2003


National perinatal tobacco initiatives

National Perinatal Tobacco Initiatives

  • Partnership to Help Pregnant Smokers Quit

  • Great Start Quitline

  • March of Dimes

  • Partnerships

  • ACOG Training Programs


Partnership to help pregnant smokers quit

Partnership to Help Pregnant Smokers Quit

  • Developed by SmokeFree Families and supported by RWJF

  • 60 national organizations involved

  • 6 work groups

  • Products:

    • Medicaid tool kit

    • Worksite tool kit

    • Legislative attention

    • Campaigns for Native American smokers


Great start quitline

Great Start Quitline

  • Supported by American Legacy Foundation

  • Tied into state and (soon) national quitlines.

  • Does proactive and responsive counseling

  • Developing a postpartum relapse prevention program


March of dimes

March of Dimes

  • All chapters involved in perinatal tobacco initiatives

  • Most include hospital grand rounds, provider and OB staff training and public health fairs

  • Have developed medical briefs on perinatal smoking


Tobacco partnership initiatives

Tobacco Partnership Initiatives

AMCHP, PPFA and ACOG state partnership teams – 10

  • Funded by CDC and WTPN

  • Involve team development and planning

  • Have succeed in state policy changes, provider training, resource identification and collaboration.


Acog tobacco provider partnership nevada

ACOG Tobacco Provider Partnership - Nevada

Example – Nevada Smoke Free Babies

Who - Public health and ACOG previous collaboration

Why – High rate of perinatal smoking

Catalyst - New Quit-line – Pending legislation

Result – Statewide diverse team, passed tax legislation, received grant funding for perinatal demonstration project


Acog materials

ACOG Materials

  • Tool kit for clinicians to counsel on perinatal smoking

  • Lecture guide/CD ROM to teach counseling

  • Chart stickers

  • Patient workbook

  • Pregnancy and Beyond – virtual clinic tutorial CD ROM (Dartmouth University)


Addressing substance abuse in pregnancy opportunity for change

Perinatal Substance Abuse

Fetal alcohol syndrome (FAS) is the most common preventable cause of mental retardation. It is 100% preventable.

Women rarely abuse single substances, those who abuse illicit substances frequently use alcohol and or tobacco.


Fasd prevention

FASD Prevention

  • Surgeon General’s Report

  • CDC’s stronger messages

  • Initiatives involving Women’s Health Care providers


Involving ob gyns in tobacco and sa initiatives

Involving OB/GYNs in Tobacco and SA Initiatives

Why

  • Direct access to patients

  • Strong legislative voice for policy change

  • It takes a physician to reach a physician

    How

  • Schedule meetings early in AM, lunch time, evening

  • Patch in clinician on conference call

  • Tighten up process

  • Use clinician as an advisor


Addressing substance abuse in pregnancy opportunity for change

Contact information

Jeanne Mahoney

Director, Provider’s Partnership

ACOG

409 12th Street, SW

Washington, DC 20024

202-314-2352 FAX 202-484-3917

[email protected]


  • Login