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CE Course Description

Evidence suggests that women’s concerns about how substances will affect the developing fetus can motivate them to reduce or abstain from substances during pregnancy.  This CE course examines the scientific literature on the risk factors for and adverse health consequences of marijuana use during pregnancy along with emerging and best practices to prevent or reduce such use, and identifies key components of peer-reviewed models and discusses the challenges and strategies involved in implementing prevention programs.

Author:  Substance Abuse and Mental Health Services Administration (SAMHSA). Preventing the Use of Marijuana: Focus on Women and Pregnancy. SAMHSA Publication No. PEP19-PL-Guide-2 Rockville, MD: National Mental Health and Substance Use Policy Laboratory. Substance Abuse and Mental Health Services Administration, 2019.

References / Contributions by:

1. Holland, C. L., Nkumsah, M. A., Morrison, P., Tarr, J. A., Rubio, D., Rodriguez, K. L., ... Chang, J. C. (2016). “Anything above marijuana takes priority”: Obstetric providers’ attitudes and counseling strategies regarding perinatal marijuana use. Patient education and counseling, 99(9), 1446–1451. doi:10.1016/j.pec.2016.06.003
2. Krening, C., & Hanson, K. (2018). Marijuana— Perinatal and legal issues with use during pregnancy. The Journal of Perinatal & Neonatal Nursing, 32(1), 43–52. doi: 10.1097/JPN.0000000000000303
3. Compton, W. M., Han, B., Jones, C. M., Blanco, C., & Hughes, A. (2016). Marijuana use and use disorders in adults in the USA, 2002-14: Analysis of annual cross-sectional surveys. The Lancet Psychiatry, 3(10), 954–964. doi: 10.1016/S2215- 0366(16)30208-5

Retrieved from:  https://store.samhsa.gov/product/Preventing-the-Use-of-Marijuana-Focus-on-Women-and-Pregnancy/PEP19-PL-Guide-2

CE Course Objectives

1. Describe three key elements included in the maternity medical home model.
2. Explain an action that should be taken to address reluctance among pregnant women to admit to marijuana use.
3. Identify one of the most effective approaches to treating SUDs.
4. List three outcomes that prenatal marijuana exposure is linked to.
5. Provide how many days after maternal marijuana use has THC been found in breast milk.

CE Outline with Main Points

1.  Preventing the Use of Marijuana: Focus on Women and Pregnancy

a.  Risk Factors for Marijuana Use

b.  Further Contributing Risk Factors

c.  Potency and Content of Marijuana

d.  Harms Associated with Marijuana Use by Pregnant and Postpartum Women

2.  Effective Practices to Prevent Substance Use During Pregnancy

a.  Screening, Brief Intervention, and Referral to Treatment (SBIRT)

b.  Integrated Clinics for Pregnant and Parenting Women

c.  Health Communication Campaigns to Change Behaviors

d.  Contingency Management for Reducing Use

e.  Postpartum Home Visits by Health Professionals

f.  Policies to Prevent and Reduce Marijuana Use

3.  Examples of Effective Prevention Programs

4.  Implementing Evidence-Based Substance Use Prevention Practices for Pregnant and Postpartum Women

a.  Key Considerations for Implementing Prevention Practices and Programs

b.  Facilitating Factors of Implementation

c.  Challenges to Implementing Marijuana Use Prevention Programs Among Pregnant and Postpartum Women

5.  Marijuana Use Prevention Resources for Implementation, Quality Improvement, and Evaluation of Programs

ACE credit is not offered for this course. A list of courses offering ACE credit can be found here.

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Added On: 01/01/2019