{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T09:28:35Z","timestamp":1788341315213,"version":"build-2803163510"},"reference-count":19,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T00:00:00Z","timestamp":1684972800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ir. j. psychol. Med."],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0790966723000228_as1\"><jats:title>Objectives:<\/jats:title><jats:p>Perinatal substance abuse (PSA) is associated with increased risk of prematurity, low birth weight, neonatal abstinence syndrome, behavioral issues and learning difficulties. It is imperative that robust care pathways are in place for these high-risk pregnancies and that staff and patient education are optimized. The present study explores the knowledge and attitudes of healthcare professionals toward PSA to identify knowledge gaps to enhance care and reduce stigma.<\/jats:p><\/jats:sec><jats:sec id=\"S0790966723000228_as2\"><jats:title>Methods:<\/jats:title><jats:p>This is a cross-sectional study using questionnaires to survey healthcare professionals (HCPs) working in a tertiary maternity unit (<jats:italic>n<\/jats:italic> = 172).<\/jats:p><\/jats:sec><jats:sec id=\"S0790966723000228_as3\"><jats:title>Results:<\/jats:title><jats:p>The majority of HCPs were not confident in the antenatal management (75.6%, <jats:italic>n<\/jats:italic> = 130) or postnatal management (67.5%, <jats:italic>n<\/jats:italic> = 116) of PSA. More than half of HCPs surveyed (53.5%, <jats:italic>n<\/jats:italic> = 92) did not know the referral pathway and 32% (<jats:italic>n<\/jats:italic> = 55) did not know when to make a TUSLA referral. The vast majority (96.5%, <jats:italic>n<\/jats:italic> = 166) felt that they would benefit from further training, and 94.8% (<jats:italic>n<\/jats:italic> = 163) agreed or strongly agreed that the unit would benefit from a drug liaison midwife. Among study participants, 54.1% (<jats:italic>n<\/jats:italic> = 93) agreed or strongly agreed that PSA should be considered a form of child abuse and 58.7% (<jats:italic>n<\/jats:italic> = 101) believe that the mother is responsible for damage done to her child.<\/jats:p><\/jats:sec><jats:sec id=\"S0790966723000228_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>Our study highlights the urgent need for increased training on PSA to enhance care and reduce stigma. It is imperative that staff training, drug liaison midwives and dedicated clinics are introduced to hospitals as a matter of high priority.<\/jats:p><\/jats:sec>","DOI":"10.1017\/ipm.2023.22","type":"journal-article","created":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T10:22:40Z","timestamp":1685010160000},"page":"584-587","source":"Crossref","is-referenced-by-count":5,"title":["Is perinatal substance abuse falling through the cracks?"],"prefix":"10.1017","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5195-0522","authenticated-orcid":false,"given":"J. M.","family":"Mitchell","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Keenan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Fakhoury","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Fitzgerald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. M.","family":"Mohamad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Imcha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,5,25]]},"reference":[{"key":"S0790966723000228_ref3","first-page":"352","article-title":"A decade of DOVE: multidisciplinary experience from an obstetric addiction clinic","volume":"114","author":"Eogan","year":"2021","journal-title":"The Irish Medical Journal"},{"key":"S0790966723000228_ref6","doi-asserted-by":"publisher","DOI":"10.1080\/13229400.2015.1110531"},{"key":"S0790966723000228_ref13","doi-asserted-by":"publisher","DOI":"10.1177\/0091450920969200"},{"key":"S0790966723000228_ref18","doi-asserted-by":"publisher","DOI":"10.1542\/peds.108.2.e34"},{"key":"S0790966723000228_ref4","article-title":"Suicides during pregnancy and 1 year postpartum in Sweden","author":"Esscher","year":"2015","journal-title":"British Journal of Psychiatry"},{"key":"S0790966723000228_ref10","volume-title":"Suicide in perinatal and non-perinatal women in contact with psychiatric services: 15 year findings from a UK national inquiry","author":"Khalifeh","year":"2016"},{"key":"S0790966723000228_ref17","doi-asserted-by":"publisher","DOI":"10.1080\/0963823031000153439"},{"key":"S0790966723000228_ref1","volume-title":"Unpublished manuscript. Georgia Mental Health Institute","author":"Coles","year":"1992"},{"key":"S0790966723000228_ref5","unstructured":"Government Response to the House of Commons Science and Technology Committee report of session 2010-12. (2012). Alcohol guidelines. Department of Health and Social Care (https:\/\/www.gov.uk\/government\/publications\/government-response-to-the-house-of-commons-science-and-technology-committee-report-of-session-2010-12-alcohol-guidelines). Accessed 7 June 2022."},{"key":"S0790966723000228_ref11","volume-title":"Saving lives, improving mothers\u2019 care: Core report: Lessons learned to inform maternity care from the UK and Ireland confidential enquiries into maternal deaths and morbidity 2018-20","author":"Knight","year":"2022"},{"key":"S0790966723000228_ref12","volume-title":"Confidential Maternal Death Enquiry Report 2016\u20132018","year":"2019"},{"key":"S0790966723000228_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(17)30021-9"},{"key":"S0790966723000228_ref8","volume-title":"Creating a Better Future Together","year":"2016"},{"key":"S0790966723000228_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-0362(02)00233-7"},{"key":"S0790966723000228_ref14","volume-title":"Embryo Project Encyclopedia","author":"O'Neil","year":"2011"},{"key":"S0790966723000228_ref16","unstructured":"Reducing Harm, Supporting Recovery (2019) A health-led response to drug and alcohol use in Ireland 2017-2025 (https:\/\/www.gov.ie\/en\/publication\/4e5630-reducing-harm-supporting-recovery-2017-2025\/). Accessed 7 June 2022."},{"key":"S0790966723000228_ref7","doi-asserted-by":"publisher","DOI":"10.1080\/1533256X.2015.1091003"},{"key":"S0790966723000228_ref9","doi-asserted-by":"publisher","DOI":"10.1126\/science.287.5455.1056"},{"key":"S0790966723000228_ref19","volume-title":"The WHO application of ICD-10 to deaths during pregnancy, childbirth and puerperium: ICD-MM","year":"2012"}],"container-title":["Irish Journal of Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0790966723000228","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T03:01:09Z","timestamp":1726628469000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0790966723000228\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,25]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["S0790966723000228"],"URL":"https:\/\/doi.org\/10.1017\/ipm.2023.22","relation":{},"ISSN":["0790-9667","2051-6967"],"issn-type":[{"value":"0790-9667","type":"print"},{"value":"2051-6967","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,25]]}}}