Screening for Substance Abuse During Pregnancy - University of 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by reviewing the purpose section, which outlines the importance of screening for substance abuse during pregnancy. This will help you understand the context as you fill out the form.
  3. Proceed to the definitions section. Familiarize yourself with key terms such as 'use', 'abuse', and 'dependence' to accurately assess responses.
  4. In the screening tools section, utilize validated questionnaires provided in Appendix A. You can easily input answers directly into our platform.
  5. For each response, ensure that you document any follow-up actions required based on the answers given, particularly if a woman admits to substance use.
  6. Finally, review your entries for accuracy and completeness before saving or sharing the document through our platform's distribution features.

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The screening test for sickle cell and thalassaemia should be offered as early as possible before 10 weeks of pregnancy. Its recommended that screening blood tests for HIV, hepatitis B and syphilis should happen as early as possible in pregnancy.
You can expect on most visits throughout your pregnancy to have a routine test, blood pressure check and weight check. Your is checked for any sugar, protein or urinary tract infections. Your blood pressure is monitored throughout the pregnancy to ensure it is safe for you and the baby.
The 5 Ps Integrated Screening Tool is a quick, non-threatening, and effective screening tool for pregnant persons that asks about use of alcohol and drugs as well as depression, violence, and tobacco. It provides clear guidelines for use and follow up recommendations.
The American College of Obstetricians and Gynecologists strongly recommends substance use screening for pregnant women,5 and a 2012 expert panel convened by the Centers for Disease Control and Prevention concluded that prenatal substance use screening should be universal.
The Program for Substance Use in Pregnancy (PROSPR) at the Maternity Centre of Hamilton is an integrated prenatal and substance use care program for pregnant people with substance use disorders. We provide a one-stop model where individuals can receive: prenatal care. substance use care, including methadone or suboxone.
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Substance use during pregnancy is common, costly and associated with maternal and newborn health consequences. Assessment of substance use should be integrated into prenatal care. Substance use identification methods include patient interview, screening instruments, and biological testing.
Professional organizations recommend universal drug screening using a tool such as the 4Ps ( Pregnancy, Past, Partner, and Parental Use) to identify risk factors for substance abuse. This screening tool has been validated in non-pregnant subjects but not in pregnancy.

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