不信任限制了有关怀孕期间使用大麻的患者和提供者讨论的可能性
Heather Gould1, Claudia Zaugg1, Karen A Scott2
1Advancing New Standards in Reproductive Health, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, Oakland, California.
概括
孕妇经常出于医疗原因使用大麻,但害怕被医疗保健提供者判断和报告. 这种脱节阻碍了关于怀孕期间大麻风险和益处的公开讨论.
科学领域:
- 围产期健康 围产期健康
- 大麻研究 大麻研究
- 患者与医疗服务提供者之间的沟通
背景情况:
- 在政策变化中,怀孕期间使用大麻的数量正在增加.
- 建议医疗保健提供者与孕妇讨论使用大麻的问题.
研究的目的:
- 探索孕妇对医疗保健提供者与大麻使用的互动的看法.
- 了解患者在怀孕期间关于大麻的沟通经验.
主要方法:
- 与34名怀孕或最近怀孕并使用大麻的个人进行了深入采访.
- 探索与医疗保健提供者的沟通经验和观点.
主要成果:
- 大多数参与者没有提供者启动有关大麻使用的讨论,很少有人披露了自己的使用情况.
- 参与者不信任提供大麻信息的供应商,担心判断和儿童福利报告.
- 患者认为提供者将大麻等同于其他非法药物,而不考虑对怀孕风险缺乏证据.
结论:
- 孕妇因医疗原因使用大麻和提供者将其视为有害的娱乐药物之间存在分歧.
- 提供者对判断和报告的恐惧限制了有效的,以个人为中心的讨论,讨论如何使用大麻来管理怀孕症状和疾病.
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