My name is Debbie Pinkerton, I am a Registered General Nurse.
I am also a nurse prescriber and currently undertaking Advanced Nurse Practitioner Traineeship (final year) through Ulster University and Northern Health and Social Care Trust in Northern Ireland in Addictions. My role is between the regional addictions unit in Northern Ireland, and community addictions.
I have a background of nursing in the custodial setting.
My current role involves working with women and men with addiction to alcohol, opiates or other substances. Additionally; meeting with women during the perinatal period, meeting with women to talk about family planning, undertaking physical health clinic for men and women who are involved with addiction services, assessing, diagnosing and prescribing for people with addictions.
My intention is to apply for the systematic review completed as part of my Masters in Advanced Nursing Practice to be published in Addiction journal.
What are the current interventions for women with substance misuse disorders and/or alcohol use disorder during pregnancy? A systematic review
Background and Aims
The aim of this systematic review is to search for the available evidence for clinical practices during pregnancy, for mothers who have substance misuse disorders, gather this evidence, and synthesize the current evidence. The objective is to collate evidence on good practice for pregnant women with substance use disorders including alcohol.
For eligibility criteria the PICO framework was used.
Literature which reviewed alcohol and drug use during pregnancy with women over and including the age of 18.
Any and all care interventions which mentioned drug or alcohol during any stage of pregnancy identified by the search were included.
The comparator is whether interventions are implemented or not during the perinatal period and what these interventions are, according to the literature.
Do women during the perinatal period receive addictions specific interventions at a clinical level?
Studies included were in English language, disseminated between January 2017 and May 2022.
The model for this systematic review used was the PRISMA guidelines (Moher et al 2020. The data was then charted to highlight any homogeneity or heterogeneity across the included studies.
In total, 19 studies were reported on. The included literature shows a thematic approach to intervention during the perinatal period. However, no standardized approach was identified.