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Alcohol and other substance use during pregnancy

Alcohol and other drugs (AOD) use among pregnant women is associated with poor health outcomes for mothers and children.

Research has found that South Africa has one of the highest prevalence rates for Fetal Alcohol Spectrum Disorders (FASD) in the world. Alcohol, crack/cocaine, heroin and methamphetamine are the most abused substances in South Africa, with alcohol abuse being the most significant problem.

Maternal mental distress and AOD use in pregnancy often result in a cycle of dependency.

BUT, there are new the cross-cutting approaches that can maximize engagement and positive outcomes while mitigating potential harms.


Mothers who take alcohol and other substances during pregnancy often don’t attend antenatal clinic because they fear judgement by healthcare workers.  If a mother does attend it’s important to keep her in the system by making a special effort to create a positive relationship with her, through empathic communication.  You can encourage her to return to the clinic more frequently than other mothers, affirm the things she is doing well and help her to make informed choices.  

Healthcare workers are better able to mitigate harm if the mother is retained in the system!

For more information see our Issue Brief on Alcohol and other drug use in pregnancy

 

 

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