The Importance of Initial Encounter
The initial encounter is
crucial in engaging a woman into care; the chief goal is to establish rapport.
Ask her what she needs and respect her answers. This may be as simple as
offering something to eat or providing reassurance that you will take care of
her and her baby. Respect a woman’s autonomy without argument or
judgement.
By providing
non-judgemental care, you will support a woman’s self-determination.
Recognize that “disruptive” behaviour may be a reaction to past
negative experiences with the health care system.
Caring for pregnant
women with problematic substance use may be challenging. Being less
“intrusive” on the first visit may actually ensure that she comes
back for subsequent visits, ultimately optimizing prenatal care.
Information on the
general care of pregnant women using any substances is available, including:
initial clinic encounter, management of medical emergency, approach to care,
follow-up visits, infectious diseases, and drug toxicology testing.
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