Sm Training Drugs In Pregnancy
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Transcript of Sm Training Drugs In Pregnancy
INTRODUCTIONINTRODUCTION INTRODUCTIONINTRODUCTION
• SMTraining (UK)SMTraining (UK)• 15 Years 15 Years
experience as a experience as a Specialist Drugs Specialist Drugs Training CompanyTraining Company
• Expert advisor Expert advisor Ambulance Ambulance Association UKAssociation UK
• National National consultancy consultancy
• National advisor on National advisor on illicit drugsillicit drugs
1909 1909
“ The sufferer is tremulous and loses his self command; he is subject to fits of agitation and depression. He loses colour and has a haggard appearance…as with other such agents, a renewed dose of the poison gives temporary relief, but at the cost of future misery.”
Scene Assessments
• Home Visits• Surgeries• Hospitals• Clinics
Introduction to scene assessment
Look
Using P.O.P makes risk assessments a conscious
process and that in turn reduces risk to individuals. It involves
breaking risks into three categories
Person
Object
Place
WHAT ARE DRUGSWHAT ARE DRUGS
• OPIATES • CANNABOIDS• PHYSICAL
DEPENDANCY• PSYCHOLOGICAL
DEPENDANCY
ANNA
• Age: 22• Single Mother• Unemployed• Assessed at 18 wks• Discloses the use of
cannabis• Now what ????
CANNABISCANNABIS
CANNABIS&
PREGNANCY
CANNABIS&
PREGNANCY• Low birth weight• Breathing difficulties• Higher risk of cot
death• Premature• Bleeding /
Miscarriage
EFFECTSEFFECTS
• EUPHORIA• RELAXATION• CHANGE OF
PERCEPTION• PSYCHOSIS
Methylenedioxymethamphetamine
ANNA - Ecstasy
ECSTASYECSTASY
• Congenital Abnormalities
• Research is not conclusive
• Mixing of drugs represent real risk factors
Ecstasy Deaths
AMPHETAMINEAMPHETAMINE
AMPHETAMINE THE RISKS ?AMPHETAMINE THE RISKS ?• 65 Children studied• Studies carried out at
ages 1-4-8• 20% in homes at birth• After 10 years- 70% in
foster homes• Direct link to
aggression and violence during Amphetamine use in fetal life
St Gorans children hospital Stockholm
COCAINECOCAINE
• EXTRACTED FORM COCOA PLANT
• SOUTH AMERICAN • RUBBED ON TO GUMS
• FREEBASE COCAINE
ANNA
• Age: 22• Single Mother• Unemployed• Discloses the use of
Cocaine• Now what ????
The RisksThe Risks• In early pregnancy
may increase risk of miscarriage
• High risk premature labour
• Generally smaller head babies
• Deep sleep is common during days
COCAINECOCAINE
Importation
CRACK THE RISKSCRACK THE RISKS
• Low child birthweight typically below 5 ½ lbs
• Urinary tract defects and Heart Defects are Common
HEROINHEROIN
ANNA
• Age: 22• Single Mother• Unemployed• Assessed at • Discloses the use of
Heroin or Methadone• Now what ????
• Extreme risk of miscarriage
• Usual blood born diseases HIV,HEP
• Sudden withdrawal – Still Birth, miscarriage
• Drug present in breast milk if using whilst breast feeding
PRODUCTIONPRODUCTION
EFFECTSEFFECTS
• INITIAL EUPHORIA• INCREASED WELL BEING AND • DROWSINESS & DISPHORIC MOOD• SLURRED SPEECH• IMPAIRMENT IN ATTENTION
DANGERS DANGERS
• INFECTION• CAPILLARY
COLLAPSE
Morphine Substitutes
RachaelRachael
Professional Staff DevelopmentLakeview
The Maltings
Shepton Mallet
Somerset BA4 5QE
Tel: - 0845 347 0017
E-mail: [email protected]
Web:- www.smtraininguk.com
SM Training (UK) Ltd