Expecting You: A Keepsake Pregnancy Journal

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Find out more about what happens at your first midwife appointment. When and where will my appointments be? Emily Finch , consultant psychiatrist and clinical director of Addictions Clinical Academic Group 2, Box 1 Questions to consider asking about substance use during pregnancy or in women planning a pregnancy

From Bump to Baby: A Pregnancy Journal (My Baby and Me)

Use third person—“Health professionals are encouraged to ask all women in pregnancy about substance use. Is it OK if we explore this?” WHO guidelines for benzodiazepine withdrawal recommend gradual dose reduction with long acting benzodiazepines at the lowest effective dose for as long as is required to manage withdrawal symptoms. Gradual taper will reduce these symptoms. Consider inpatient admission for benzodiazepine detoxification in pregnancy, given the risks of withdrawal such as seizures. 7 A neonatal withdrawal syndrome has been reported in some infants involving symptoms such as vomiting and restlessness. 56 Competing interests: We have read and understood BMJ policy on declaration of interests and have no relevant interests to declare. Stimulants such as cocaine, amphetamines, and mephedrone are all potent vasoconstrictors that can affect the developing fetus at any gestation, leading to the obstetric complications of placental abruption and premature rupture of membranes and a potentially increased risk for congenital anomalies, low birth weight, and preterm birth. 54 55 Advise women using stimulants of these risks and encourage them to stop completely.I'm actually getting emotional just thinking about writing letters to my baby through my pregnancy and their first year. This journal prompts you to do just that, and I can't think of a more beautiful way to document your pregnancy. Support pregnant women using alcohol to stop (ideally) or reduce their alcohol consumption. 20 There are several screening tools for use in the non-pregnant population, such as the three question AUDIT-C, 27 although there is limited evidence for its validity during pregnancy. 28 29 Don’t just cross your fingers and hope for the best. Feel super prepared, in control, and at ease feeding your baby. After class you’ll think to yourself,

Pregnancy Journal Template — Milkology® Free Printable Pregnancy Journal Template — Milkology®

Assess types and amounts of substances—“What are you taking? How do you use it and how often? Are you using anything else? How much are you spending?” Benzodiazepine use is often comorbid with other substance use 49 and may exacerbate the neonatal abstinence syndrome associated with opioid use during pregnancy. However, consider and ask about benzodiazepine use (including prescribed benzodiazepines) in all pregnant women. For classic-style loving parents, this bound journal will hit all the right notes. It's beautifully arranged with filigree and scrollwork throughout. NICE. Pregnancy and complex social factors: a model for service provision for pregnant women with complex social factors (clinical guideline CG110). 2010. https://www.nice.org.uk/Guidance/CG110British Association for Psychopharmacology. Consensus guidance on the use of psychotropic medication preconception, in pregnancy and postpartum 2017. https://www.bap.org.uk/pdfs/BAP_Guidelines-Perinatal.pdf Have you been referred to any other services such as a specialist addictions service? What are those services currently providing?” It’s like having your very own lactation consultant BFF 💛 // fairy milk-mother ✨ breaking down the 1st 6 weeks for you. Royal College of Paediatrics and Child Health. Safeguarding—learning resources. https://www.rcpch.ac.uk/resources/safeguarding-learning-resources

Your NHS pregnancy journey - NHS Your NHS pregnancy journey - NHS

There are also things you can do to keep you and your baby as healthy as possible in pregnancy, including:It also has spaces for things like ultrasound and bump pics, giving you room to cherish the whole journey. What is your understanding of the impact of the substance use on you and your baby during pregnancy?” What is your understanding of how the substances that you are using may affect your pregnancy and baby?” Royal College of Obstetricians and Gynaecologists. Alcohol and pregnancy. https://www.rcog.org.uk/en/patients/patient-leaflets/alcohol-and-pregnancy/