By Jennifer Loera, RN
Clinical Navigator - Maternal Opiate Medical Support (MOMS) Program, Blanchard Valley Health System
Engaging in as much prenatal care as possible is the single most important thing a pregnant woman can do, even if care is not sought until late. Pregnant women with substance use disorder (SUD) frequently face tremendous stigma and judgment when seeking medical care. Experience with judgment and stigma can often make it difficult to seek prenatal care, mental health care, and community support services.
Providers should utilize a trauma-informed care approach when working with substance-using pregnant patients to combat stigma. This includes harm reduction and motivational interviewing. Focusing primarily on building trust, enhancing self-efficacy, and strengthening personal skills and resources promotes optimal health and well-being of the mother-baby dyad.