Care strategies for drug-dependent pregnant women: a scoping review
Abstract
Introduction: this study sought to answer the following research question: how to deal with pregnant women’s dependence on legal and illegal drugs in the context of ambulatory health services? Objective: to identify, in the literature, care intervention strategies aimed at expectant mothers affected by use of legal and illegal drugs. Methodology: in accordance with the Joanna Briggs Institute, this is a scoping review. Searched databases: LILACS, MedLine, BDENF, PubMed, Web of Science and CINHAL. The main descriptors were: pregnant women, illegal drugs, standard of care, and ambulatory care. Results: a total of 939 articles were identified, and nine studies were selected from the PubMed database, all published in the United States, with a randomized clinical trial design, and conducted from 2007 to 2015. The pregnant women’s profiles were characterized by low income and social vulnerability. The care intervention strategies were composed of enhanced motivational interviewing, brief intervention and, especially, therapeutic intervention through work, whose purpose was to encourage abstinence in association with financial support for a better quality of life. Conclusion: the production of care towards the expectant mothers involved relational work such as welcoming, bonding, listening and sensitivity for a socio-historical-cultural approach, all associated with gender and time specificities.
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