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Perinatal Substance Use Disorder Educational Content in US Midwifery Training Programs: A Survey.

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Most US midwifery programs offer some education on perinatal substance use disorders (PSUDs), but clinical training is lacking. Barriers include insufficient faculty expertise and curriculum time, hindering comprehensive maternal care.

Keywords:
midwifery educationpregnancy complicationssubstance use disorders including tobacco

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Area of Science:

  • Maternal Health
  • Addiction Medicine
  • Midwifery Education

Background:

  • Perinatal substance use disorders (PSUDs) significantly contribute to maternal mortality and morbidity.
  • Addressing PSUDs is critical for improving pregnancy and postpartum outcomes.

Purpose of the Study:

  • To evaluate the integration of PSUD training within US midwifery education.
  • To identify challenges and propose recommendations for enhancing PSUD education in midwifery.

Main Methods:

  • A cross-sectional survey was distributed to directors of US certified nurse-midwifery and certified midwifery programs.
  • The survey collected data on didactic and clinical education related to PSUDs.

Main Results:

  • 35 out of 39 (90%) programs responded to the survey.
  • Most programs incorporate didactic content on topics like nicotine cessation, alcohol use, and screening.
  • Less than half of programs offer clinical experiences for PSUD management.

Conclusions:

  • While didactic PSUD education is common, clinical training remains a gap in midwifery programs.
  • Barriers to enhanced education include a lack of addiction specialists, faculty expertise, and curriculum time.