Publications: Maternal Health & Substance Use

Mothering and Opioids: Addressing Stigma – Acting Collaboratively

Much is changing in the substance use and child welfare fields to bring forth approaches that are culturally safe, trauma informed, harm reduction-oriented and participant-driven. This toolkit highlights these advances and invites people to think about how we can continue to improve our work, in partnership with the women who use these services. The toolkit is designed primarily for substance use and child welfare practitioners, as well as other service providers and health system planners who offer services to, or design services with, pregnant women and new mothers who use substances. View PDF

Talking About Substance Use During Pregnancy: Collaborative Approaches for Health Care Providers

Asking questions about the type, frequency, and amount of substance use is often a routine part of prenatal care for physicians, midwives, nurses, pregnancy outreach workers and other prenatal care providers. Here are some ideas for open, supportive, and effective conversations with women and girls.
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Doorways to Conversation: Brief Intervention on Substance Use with Girls and Women

Because substance use has wide-ranging effects on many different aspects of life, service providers across a range of health care and social service settings can have an important role in addressing the potential harms of substance use and improving overall health. This resource focuses on brief intervention with girls and women in the preconception and perinatal period. Service providers from a range of backgrounds will find it relevant to their practice.

English version  French version

Brief Intervention on Substance Use with Girls and Women: 50 Ideas for Dialogue, Skill Building, and Empowerment

Brief interventions are collaborative conversations between an individual and a health care or social service provider about a health issue. This resource focuses on brief intervention on substance use with girls and women in the preconception and perinatal period in addressing the potential harms of substance use and improving girls’ and women’s overall health.

English version  French version

FASD Prevention: An Annotated Bibliography of Articles Published in 2018

FASD Prevention: An Annotated Bibliography of Articles Published in 2018. Each year Canada FASD Research Network (CanFASD) and CEWH compile published research articles related to FASD prevention from around the world. View the 2018 Annotated Bibliography here.

FASD Prevention: An Annotated Bibliography of Articles Published in 2017

FASD Prevention: An Annotated Bibliography of Articles Published in 2017. Each year Canada FASD Research Network (CanFASD) and CEWH compile published research articles related to FASD prevention from around the world. View the 2017 Annotated Bibliography here.

FASD Prevention: An Annotated Bibliography of Articles Published in 2016

FASD Prevention: An Annotated Bibliography of Articles Published in 2016. Each year Canada FASD Research Network (CanFASD) and CEWH compile published research articles related to FASD prevention from around the world. Download the 2016 Annotated Bibliography here.

Here’s what we know about alcohol & pregnancy

This infographic provides an overview of what we know about alcohol and pregnancy and the kinds of support women deserve.  It was developed with support from Canada FASD Research Network and its Prevention Network Action Team with a goal of promoting engagement between women, partners, providers and communities.

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Alcohol and Pregnancy Brief Intervention Guides

Alcohol and Pregnancy Brief Intervention Guides
The resources in this section were developed to support service providers to successfully engage with women and their partners on alcohol use, pregnancy, and prevention of Fetal Alcohol Spectrum Disorder (FASD). While many aspects of FASD prevention are interconnected, current evidence and practice issues have been synthesized into eight topics that allow service providers to explore issues from different perspectives and that are most relevant to their own practice.

Each topic area includes: a brief overview of recent research findings; practical strategies for addressing alcohol issues with women; online resources for further reading and for sharing with women and their supports; reflection and discussion questions; and referral information for British Columbia.

Click below for each detailed Intervention Guide or download just the 8 infographic posters together in one document.

BIG 1 cover- Who Drinks Alcohol during Pregnancy

1. Who Drinks Alcohol During Pregnancy?

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2. cover- Safest Not to Drink in Pregnancy

2. “It Is Safest Not To Drink During Pregnancy.” What Does This Mean?

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3. cover -Pages from Alcohol Preconception & Contraception

3. Alcohol, Contraception and Preconception

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4. cover -Alcohol Pregnancy Treatment & Care

4. Treatment and Care for Pregnant Women who use Alcohol and/or Other Drugs

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5. cover - Alcohol Pregnancy Violence & TIP

5. Pregnancy, Alcohol, and Trauma-informed Practice

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6. cover- Alcohol Pregnancy Partner Support

6. Alcohol, Pregnancy and Partner Support

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7. Girls, Alcohol and Pregnancy

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8. Young Women, Alcohol and Pregnancy

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Substance Use and Pregnancy Infographics

infographic englishThis series of eight infographics were developed to support BC service providers to successfully engage with women and their partners on alcohol use, pregnancy, and prevention of Fetal Alcohol Spectrum Disorder (FASD). They have recently been reformatted for national distribution, and with support from the Public Health Agency of Canada are now available in both English and French.

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Harm Reduction and Pregnancy Information for Service Providers

preg_trauma This poster is designed for use by services involved in prevention of alcohol, tobacco and other substance use in pregnancy.  On the front it is a poster, and on the back is information for service providers on supporting women, families and communities from a harm reduction stance.  This resource was developed with the support of the Education and Training Council, Alberta FASD Cross Ministry Committee and was reviewed by members of the CanFASD Research Network with prevention expertise.

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Harm Reduction and Pregnancy: Community-based Approaches to Prenatal Substance Use in Western Canada

HReduction and Preg Booklet.2015_web_coverThis resource was developed following a panel held at the HerWay Home Community Conference on September 29, 2014. The conference was generously supported by the Children’s Health Foundation of Vancouver Island.
This resource provides a short introduction to harm reduction approaches during pregnancy and uses examples from programs across Canada that work with pregnant women and new mothers to illustrate harm reduction ‘in action’.

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Substance Use During Pregnancy: An Overview of Key Canadian Policy and Practice Areas

Canadian.Policy on.Subst Use + Preg.Sept 2 2014-CoverCanada FASD Research Network’s Action Team on Prevention from A Women’s Health Determinants Perspective

Legislation, social policy and health care and child welfare practices can contribute significantly to effective care and support for women who use substances during pregnancy. This backgrounder provides a brief overview of several important areas of policy-making and discusses how policy can contribute to developing supportive health and social services to effectively address substance use during pregnancy.

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Alcohol and Pregnancy Warning Signage Fact Sheet

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Alcohol and Pregnancy: Warning Signage Information Kit for Local Governments in British Columbia, 2014

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Prepared for the Ministry of Health by Gerald Thomas, Okanagan Research and Nancy Poole, BC Centre of Excellence for Women’s Health. This resource includes a discussion of the forms and types of messages that can be provided via FASD prevention signs, including examples of recommended messages to help prevent/reduce drinking in pregnancy and promote health among women of childbearing years.

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FASD Prevention: Taking a Relational Approach: The Importance of Timely and Supportive Connections for Women

 

FASD Prevention RelationalApproach_March_2010 1-cover

This information sheet has been prepared for decision makers, health system planners and service providers interested in improving care for women at risk of having a child affected by FASD. It has been prepared by members of the Canada FASD Research Network’s Action Team on FASD Prevention from a Women’s Health Determinant’s Perspective.

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Alcohol, Pregnancy and Prevention of Fetal Alcohol Spectrum Disorder: What Men Can do to Help

Cover_what-men-can-do-_final-feb-2014Canada FASD Research Network’s Action Team on FASD Prevention from a Women’s Health Determinants Perspective, 2014

Fetal Alcohol Spectrum Disorder (FASD) is the leading known cause of developmental disability. FASD is the result of exposure to alcohol in utero and is believed to affect 1% of the population. While men’s alcohol use is not a direct contributor to FASD, there are many ways that men can help to prevent FASD. Researchers and service providers who are part of the Canada FASD Research Network have some suggestions for men who want to make a difference.

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Evaluation of FASD Prevention and FASD Support Programs: An Introductory Guide

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British Columbia Centre of Excellence for Women’s Health, 2014.

This guide is a companion resource to the www.fasd-evaluation.ca website. The website includes evaluation frameworks, methods, tools, and indicators of success to support the work of community-based FASD prevention programs for women including pregnant women and recent mothers, supportive intervention programs for adults and older youth with FASD, and FASD programs in Aboriginal communities. This guide provides an introduction to the visual maps that the website is based on, discussion questions for groups planning or undertaking evaluation, and suggestions on how to make use of the variety of resources available on-line.

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Mapping Evaluation of FASD Programs

These maps are intended to help program staff, planners and funders to more easily identify the aspects of programs that contribute to positive client and community outcomes and the range of outcomes that can result from or be associated with certain approaches and program activities. They also give us a common framework for thinking about how to conduct evaluations across programs or across communities.

MAP--FASD-support-jan29-2013-CoverMapping Evaluation of FASD Support Programs

Deborah Rutman, Carol Hubbertstey, Nancy Poole, Sharon Hume and Marilyn Van Bibber, 2012.

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Mapping Evaluation of FASD Prevention Programs

Deborah Rutman, Carol Hubbertstey, Nancy Poole, Sharon Hume and Marilyn Van Bibber, 2012.

 

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MAP-FASD-Aboriginal-feb22-2013---CoverMapping Evaluation of FASD Programs in Aboriginal Communities

Marilyn Van Bibber, Sharon Hume, Carol Hubbertstey, Deborah Rutman and Nancy Poole, 2012.

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Evaluation of FASD Prevention and FASD Support Programs Using Program Philosophy as a Foundation for Evaluation

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British Columbia Centre of Excellence for Women’s Health, 2014.

This guide is a companion resource to the fasd-evaluation.ca website. The website includes evaluation frameworks, methods, tools, and indicators of success to support the work of community-based FASD prevention programs for women who are pregnant and parenting, supportive intervention programs for adults and older youth with FASD, and FASD programs in Aboriginal communities. The guide provides an introduction to the program philosophies and theoretical frameworks discussed on the website. It also includes discussion questions for groups beginning or renewing evaluation and suggestions on how to make use of the variety of resources available on-line.

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10 fundamental Components of FASD Prevention from a Women’s Health Determinants Perspective

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Supporting Pregnant and Parenting Women Who Use Substances: What Communities are Doing to Help

Supporting Pregnant and Parenting Women Who Use SubstancesCanada FASD Research Network’s Action Team on Prevention from A Women’s Health Determinants Perspective, 2012

In this document, we profile the development of single-access programs in four different communities and talk about why this type of program works.

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Expecting to Quit: A Best-Practices Review of Smoking Cessation Interventions for Pregnant and Postpartum Girls and Women

Expecting to Quit 2nd edition 1Lorraine Greaves, Nancy Poole, Chizimuzo T.C. Okoli, Natalie Hemsing, Annie Qu, Lauren Bialystok and Renée O’Leary; British Columbia Centre of Excellence for Women’s Health, 2011

This revised edition reviews research and intervention development in the years since the first edition was published in 2003. It reflects recent emerging interventions and better practices with a variety of groups of pregnant and postpartum women, with an added section on high-risk populations of pregnant smokers.

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Le renoncement au tabac et la grossesse: Un examen des pratiques exemplaires de renoncement au tabac conçues pour les filles et les femmes pendant la grossesse et la période postnatale

ETQ 2nd edition_French coverLorraine Greaves, Nancy Poole, Chizimuzo T.C. Okoli, Natalie Hemsing, Annie Qu, Lauren Bialystok et Renée O’Leary; British Columbia Centre of Excellence for Women’s Health, 2011

Ce rapport examine les interventions conçues pour réduire ou éliminer le tabagisme durant la grossesse. Pour ce qui est des recherches sur les interventions ayant été publiées avant 2003, la méthodologie des « pratiques exemplaires » établie par Moyer, Cameron, Garcia et Maule (2002, p. 124) a été retenue. Pour celles qui ont été publiées après 2003, la méthodologie de l’examen systématique élaborée par le National Institute for Health and Clinical Excellence (NICE) (2006) du Royaume-Uni a été utilisée.

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Gendering the National Framework Series (Vol.3): Mothering and Substance Use: Approaches to Prevention, Harm Reduction, and Treatment

Gendering Nat Framework Mothering and Substance Use cvrBritish Columbia Centre of Excellence for Women’s Health (BCCEWH) in partnership with the Canadian Centre on Substance Abuse (CCSA) and the Universities of Saskatchewan and South Australia, 2010

This discussion guide explores four topics related to mothers and pregnant women with substance use problems: 1) stigma and public discourse, 2) barriers to treatment, 3) a guiding framework for practice, and 4) examples of Canadian mother-centred programming.

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Couples and Smoking: What You Need to Know When You are Pregnant

Couples and Smoking - coverThis is a self-help booklet for pregnant women who smoke. In this booklet you will learn how routines, habits, and ways of interacting with your partner influence smoking. Understanding how smoking is influenced by others and everyday routines is an important first step in changing smoking behaviours.

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Midwifery: Building Our Contribution to Maternity Care-Proceedings from the Working Symposium

Midwifery Building our Contributions to Maternity Care cvrJude Kornelsen, 2003

This report captures presentations and debates about new and innovative ways midwives can use their skills and expertise to meet the needs of Canadian women, including plans for alternative models of care, collaborative practice with other health care professionals and an expanded scope of practice.

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Mother and Child reunion: Preventing Fetal Alcohol Spectrum Disorder by Promoting Women’s Health

Mother and Child Reunion cvrNancy Poole, 2003

This paper describes current knowledge about FASD and current prevention strategies and outlines an alternative, multiple-determinants approach to FASD prevention that would be more effective for both mothers and babies, more humane, and more cost-effective.

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Solving the Maternity Care Crisis: Making Way for Midwifery’s Contribution

Solving the martenity care crisis cvrJude Kornelsen, 2003

This report discusses the need for new policies at the provincial and federal levels to enhance the capacity of midwifery to make a greater contribution to maternity care and to help solve the health care practitioner crisis.

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Fetal Alcohol Syndrome and Women’s Health: Setting a Women-Centred Research Agenda-Final Report

FAS_Research_Agenda cvrLorraine Greaves, Nancy Poole and Renée Cormier
British Columbia Centre of Excellence for Women’s Health, 2002

This report examines the issues related to Fetal Alcohol Syndrome (FAS) using a women’s health framework. The report describes a research agenda developed using an evolving model of “women-centred care” that encompasses women’s health issues and contributes to a preventative approach to FAS.

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Making Choices/Taking Chances: Lesbian/Bi/Queer Women Assisted Conception, and Reproductive Health

Making Choices Taking Chances cvrJacquelyne Luce
British Columbia Centre of Excellence for Women’s Health, 2002

This report focuses on queer women’s experiences of trying to get pregnant and/or become parents within the context of new developments in assisted reproductive technologies and lesbian, gay, bisexual and transgender rights legislation.

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Midwifery in Canada: Directions for Research-Proceedings from the National Invitational Workshop on Midwifery Research

Midwifery in Canada Directions for Research cvrJude Kornelsen
British Columbia Centre of Excellence for Women’s Health, 2002

This report reflects the focus of the “Midwifery in Canada: Directions for Research” workshop, moving forward with a national midwifery research agenda.

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Apprehensions: Barriers to Treatment for Substance-Using Mothers

Apprehensions cvrNancy Poole and Barbara Isaac
British Columbia Centre of Excellence for Women’s Health, 2001

This research study explores the barriers and supports encountered by pregnant and parenting women accessing care for addictions treatment.

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Evaluation Report of the Sheway Project for High-Risk Pregnant and Parenting Women

Evaluation Report of the Sheway Project for High-Risk Pregnant and Parenting WomenNancy Poole
British Columbia Centre of Excellence for Women’s Health, 2000

This report is an evaluation of a unique outreach program in Vancouver that provides services to pregnant women with substance use problems and support to mothers and their families through a women-centred, harm-reduction, culturally focused approach.

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In Transition: Nurses Respond to Midwifery Integration

In Transition cvrJude Kornelsen, V. Susan Dahinten and Elaine Carty
British Columbia Centre of Excellence for Women’s Health, 2000

This report describes the results of a survey of nurses on the topic of midwifery, which was conducted shortly after the introduction of midwives as a regulated and funded part of the British Columbia health care system.

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Pushing for Change: Challenges of Integrating Midwifery into the Health Care System

Pushing for Change cvrJude Kornelson, 2000

This report considers the current relationship between midwives, physicians and nurses from both a professional and interpersonal perspective, looks at objections put forward by the medical and nursing communities and considers the way objections have affected client care.

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Reality, Opinion and Uncertainty: Views on Midwifery in BC’s Health Care System

Reality Opinion and Uncertainty cvrJeanne Lyons and Elaine Carty, 2000

Documenting the observations of a researcher in the midwifery field, this report observes and comments on province-wide presentations and discussions on midwifery and its integration into BC’s health care system.

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Triple-Marker Screening in British Columbia: Current Practice, Future Options

Triple-Marker Screening in British ColumbiaKen Bassett, Patricia Lee, Carolyn Green, Lisa Mitchell, Hana Sroka, Rohinne Lal, Robin Hanvelt and Arminée Kazanjian, 2000

This review examines maternal serum triple-marker screening (TMS) for fetuses with Down Syndrome, other chromosomal abnormalities, and spina bifida in the British Columbia context.
* Co-funded by the British Columbia Centre of Excellence for Women’s Health, this report is available in print from the Centre for Health Services & Policy Research.

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