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Introduction to domestic abuse and substance misuse

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This tutorial covers the topics of domestic abuse and substance misuse in pregnancy (drugs and alcohol). The tutorial should improve your basic knowledge of the impact of these in obstetrics and gynaecology. This tutorial also covers the effects of smoking in pregnancy.

The term domestic abuse is preferred over domestic violence as a reminder that the problem is not always physical abuse but includes financial, sexual and emotional abuse.

The term substance misuse is preferred as it covers both drugs and alcohol and other substances, such as glue.

This tutorial aims to improve your ability to act appropriately in order to effectively mitigate the deleterious effects of domestic abuse and substance misuse.

Learning objectives

Domestic abuse

In this section of the tutorial you will:

  • understand the scope of the problem and the effects on the mother and child
  • learn what action to take when a woman reveals that she is experiencing domestic abuse
  • develop your awareness of the issues associated with domestic abuse
  • be aware of the safeguarding issues associated with domestic abuse

Smoking in pregnancy

In this section of the tutorial you will:

  • understand the scope of the problem and the effects on the mother and child
  • improve your ability to provide appropriate antenatal care to women who smoke

Substance misuse

In this section of the tutorial you will:

  • understand the scope of the problem and the effects on the mother and child
  • be aware of what action to take when a woman reveals that she is taking misusing drugs or alcohol
  • improve your awareness of issues associated with substance abuse
  • improve your ability to manage women during pregnancy and labour who have a substance misuse problem

Last updated:04/05/12 (5 new final assessments were added)

30/03/2012 (tutorial reviewed and updated by Dr Melissa Whitworth and Dr Ruth Cockerill)

14/08/09 (TOG paper added in 'Further reading ')

06/03/09 (BJOG paper added in the 'Drug misuse – Methadone prescription' section).

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