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The article describes the characteristics of perinatal women who use drugs mainly marijuana which increases the possible risk factors such as neonatal morbidity and altered neurobehavioral performance in a newborn baby. It also gives an evaluation of the rise of the possibility of recognizing the barriers of treatment. The study targeted women for whom marijuana was the primary drug of choice. Provided with limited research and an aim of improving the clinical services for both mother and their infants, controlled involvements for substance misuse throughout the perinatal period with randomized samples were fortified.
Rationale
Various studies were made during the process. The use of marijuana caused the decrease in the length of gestation and the slowing of fetal growth, where both of them caused in increase in risk for the premature birth. Also, altered neurological performance in newborn infants, including their levels of arousal, excitability, and regulations (De Moraes Barros et al., 2006) were other concerns regarding marijuana use during a pregnancy. The recent Cochrane review was the first to study the effectiveness of psychological treatment in pregnant women who face barriers to substance use treatment, including morbid psychiatric disorders. Also, the study showed that African American and Hispanic women were unable to receive treatment as compared to other groups (Coleman-Cowger,2012).
Methods
The study included the women who met the DSM-IV criteria, where the study targeted women who have marijuana as the primary choice of drug. There were 67 participants in total where 54% of patients attended the program regarding substance abuse treatment during the perinatal and postpartum period. From the research, the data were taken by an assistant where maternal and infant charts for women who primarily used marijuana were included. The research data were experimented using SPSS version 20 where the data was approved by the Women & Infant Hospital Institutional Review Board.
The treatment included two sessions: an individual session and weekly session, which depended on retrospective chart view. The urine samples were collected weekly for toxicology screening and was supervised by the clinic staff. Each session was of 60 minutes where they were given an education on CBCT-based curriculum for a better understanding of substance abuse treatment.
Result
The study showed a comparison of pregnant and postpartum women where they revealed a non-significant difference. Of all women, 26% of them were reported with positive urine screens during the first trimester, 41% during the second trimester, and 27% during the third trimester. Among all of them, 13% of the women stopped using marijuana at the time of delivery who received the awareness program about the harmful effects of use of marijuana as confirmed by urinalysis. These women also have high compliance rate with prenatal visits and positive health outcomes. Moreover, the study showed that infants whose mothers continued to use marijuana even after getting the treatment were born at a lower gestational age.
Conclusion
This study concludes that the identification of the potential barriers and risk factors for treatment is already susceptible period for women to be able to help in the improvement of the preservation in the society- based treatment programs. The lack of awareness about the harmful effects of toxic substance such as marijuana use showed various direct effects on the growth of infants and potential risk factors. Ultimately, when the research was done, and the controlled interventions for substance abuse during the perinatal period, the outcomes of both infants and women got improved.

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The article describes the characteristics of perinatal women who use drugs mainly marijuana which increases the possible risk factors such as neonatal morbidity and altered neurobehavioral performance in a newborn baby. (2019, Apr 03). Retrieved January 26, 2021, from https://midwestcri.org/the-article-describes-the-characteristics-of-perinatal-women-who-use-drugs-mainly-marijuana-which-increases-the-possible-risk-factors-such-as-neonatal-morbidity-and-altered-neurobehavioral-performance/

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