1. RISE Recovery & Integration Service Substance Use & Pregnancy Liz Thompson Families and Communities Manager

2. Who are We? Devon’s drug and alcohol recovery service Psychosocial interventions Medically assisted recovery Access to detox and rehab Mutual aid facilitation Recovery & Life Skills

3. Where are We? Barnstaple Tiverton Exeter Newton Abbot Okehampton Rise has five teams across Devon: North Devon East and Mid Devon Torridge and West Devon Exeter South Devon

4. Working with pregnant substance users Complex needs and increased risk Take action as early as possible Multi disciplinary approach Open communication Early interventions make a difference Don’t make assumptions

5. Alcohol and pregnancy Foetal alcohol spectrum disorder https://www.drinkaware.co.uk/check-the-facts/health- effects-of-alcohol/fertility-and-pregnancy/foetal- alcohol-syndrome-(fas) Increased risk of: Miscarriage Stillbirth Developmental delays Premature birth Small birth weight

6. Opiates and Pregnancy Increased risk of: Premature birth Low birth weight Developmental delays Miscarriage and foetal distress through maternal withdrawals Neonatal abstinence syndrome

7. Cocaine and pregnancy Low birth weight Smaller head circumference Premature birth

8. Factors Frequency Quantity Route Number of drugs abused Nicotine use Other health needs Malnutrition And more

9. Myths Many myths surround substance use and pregnancy It is important that the information given to expectant mothers is accurate and factual so seek professional advice and support One example: ‘Women on methadone should not breastfeed’ Myth or truth?

10. Thank you Any questions?