Nonadherence to Lifestyle Changes During Pregnancy
After identifying potential health risks for pregnant patients, providers often recommend behavior changes in lifestyle choices such as drug use, alcohol consumption, dietary habits, and environmental exposures. Even with provider recommendations and patient education programs, some patients still struggle to adhere to recommended lifestyle changes during pregnancy, posing health risks for both the mother and child.
In your role as the provider, you must be able to recognize signs of nonadherence to recommended lifestyle changes because not all patients will be forthcoming with the struggles they may be experiencing. Management plans are only successful if patients’ individual needs are recognized and met, so provider-patient collaboration is essential for mitigating nonadherence issues. For this Discussion, consider implications of nonadherence to recommended lifestyle changes and potential management strategies for pregnant patients.
To prepare:
•Review the “During Pregnancy” article in this week’s Learning Resources.
•Think about the health promotion topic that you selected for the Week 8 Discussion (i.e., smoking, drinking, taking drugs, eating habits, and caring for pets).
•With the topic you selected in mind, consider early signs and symptoms that might indicate a patient’s nonadherence to recommended lifestyle changes during pregnancy.
Think about the impact of nonadherence on the fetus and the patient.
•Reflect on treatment and management strategies for patients presenting with signs and symptoms of nonadherence to recommended lifestyle changes.
Discuss explanation of signs and symptoms that might indicate a pregnant patient’s nonadherence to recommended lifestyle changes related to the topic you selected.
Explain the impact of nonadherence to these lifestyle recommendations on the fetus and the patient.
Then, explain treatment and management strategies for patients presenting with signs and symptoms resulting from their nonadherence.
Required Resources
Readings
•Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.
◦Review: Chapter 3, “Care of the Pregnant Woman with Prenatal Variations” (pp. 83–138)
This chapter examines the care of women who suffer from complications during pregnancy and focuses on interventions that maximize health outcomes for the mother and baby.
◦Chapter 4, “Care of the Woman During Labor and Birth” (pp. 139–217)
This chapter explores the care of women during labor and birth. It also describes the progression of pregnancy and potential concerns that may arise at each stage.
◦Chapter 5, “Care of the Infant and Mother After Birth” (pp. 219–261)
This chapter explores the care of the infant and mother after birth and focuses on connecting the mother and baby physiologically and emotionally. It also covers the assessment of the newborn infant, breastfeeding, and the postpartum assessment of the mother in the weeks after birth.
•The American College of Obstetricians and Gynecologists. (2010). Smoking cessation during pregnancy. Retrieved from http://www.acog.org/Resources_And_Publications/Committee_Opinions/Committee_on_Health_Care_for_Underserved_Women/Smoking_Cessation_During_Pregnancy
This article explores the epidemiology of smoking by pregnant and nonpregnant women of reproductive age. It then examines strategies for helping patients quit smoking when pregnant, including effective behavioral and drug therapies.
•The American College of Obstetricians and Gynecologists. (2012). Opioid abuse, dependence, and addiction in pregnancy. Retrieved from http://www.acog.org/Resources_And_Publications/Committee_Opinions/Committee_on_Health_Care_for_Underserved_Women/Opioid_Abuse_Dependence_and_Addiction_in_Pregnancy
This article describes factors associated with opioid addiction and its effects on pregnancy outcome. It then examines screening strategies for opioid use, abuse, and addiction in pregnant women.
•Centers for Disease Control and Prevention. (2011). During pregnancy. Retrieved from http://www.cdc.gov/pregnancy/during.html
This website emphasizes the need for health promotion during pregnancy. Implications of smoking, alcohol, infections, and environmental exposures are explored.
•U.S. Department of Health and Human Services. (2009a). Reducing alcohol-exposed pregnancies: A report of the National Task Force on Fetal Alcohol Syndrome and Fetal Alcohol Effect. Retrieved from http://www.cdc.gov/ncbddd/fasd/documents/redalcohpreg.pdf
This article examines alcohol screening strategies for women during pregnancy. It also proposes prevention recommendations and interventions for helping pregnant women abstain from alcohol.
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