Diagnosing uncertainty, producing neonatal abstinence syndrome.
diagnosis
drug use
parenting
pregnancy
qualitative
Journal
Sociology of health & illness
ISSN: 1467-9566
Titre abrégé: Sociol Health Illn
Pays: England
ID NLM: 8205036
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
pubmed:
5
1
2020
medline:
19
8
2021
entrez:
5
1
2020
Statut:
ppublish
Résumé
The use of alcohol and other drugs during pregnancy is understood to be an important public health problem. One way in which this problem is expressed and responded to is via the identification and treatment of neonatal abstinence syndrome (NAS). In this article, we demonstrate how the processes of anticipating, identifying and responding to NAS are characterised by significant uncertainty among parents and health and social care practitioners. We draw on interviews with 16 parents who had recently had a baby at risk of NAS, and multidisciplinary focus groups with 27 health and social care professionals, held in Scotland, UK. NAS, and drug use in pregnancy, is a fraught and complex arena. Parents in the UK who use opioids risk losing custody of children, and must navigate a high degree of surveillance, governance and marginalisation. We suggest that considering NAS as a social diagnosis, further informed by Mol's political ontology of 'multiple' bodies/diseases, may help to produce clinical and social responses to uncertainty which avoid, rather than promote, further marginalisation of parents who use drugs. One such response is to develop a culture of relationship-based care which empowers both service providers and service users to challenge existing practice and decision-making.
Identifiants
pubmed: 31900970
doi: 10.1111/1467-9566.13000
doi:
Substances chimiques
Analgesics, Opioid
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
35-50Informations de copyright
Understanding and Managing Uncertainty in Healthcare: Revisiting and Advancing Sociological Contributions, First Edition. Edited by Nicola Mackintosh and Natalie Armstrong. Chapters © 2020 The Authors. Book Compilation © 2020 Foundation for the Sociology of Health & Illness/John Wiley & Sons Ltd.
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