Maternal Substance Use and the Dysfunction of the System With Lauren Micalizzi

Maternal Substance Use and the Dysfunction of the System With Lauren Micalizzi

How do we change the stigma surrounding perinatal substance use to aid informed decisions?

In this episode of the “Why am I Just Finding This Out?” podcast, host Kristin Stovern, APRN-C, MSN, CNM, FACNM, engages in a thought-provoking discussion with Dr. Lauren Micalizzi, a professor at Brown University School of Public Health. Dr. Micalizzi’s extensive research and advocacy shed light on the crucial topic of perinatal substance use and the punitive policies surrounding it.

Kristin and Lauren emphasize that the aim of their discussion is to raise awareness and promote open dialogue rather than present a singular opinion. Acknowledging the complexity of the issue opens the door for more informed conversations. By fostering open and informed dialogue, we can take meaningful steps toward improving maternal and child health outcomes.

“The goal is to protect the developing child and the pregnant mother” – Lauren Micalizzi, Ph.D.

Listen in now for a deeper understanding of substance use policies and their unintended consequences. Let’s work together to create awareness and advocate for change.

Kristin’s guest, Dr. Micalizzi:

Dr. Lauren Micalizzi is an Assistant Professor at Brown University’s School of Public Health. She received her Ph.D. in Developmental Science from Boston University and completed a postdoctoral training program at the Center for Alcohol and Addiction Studies at Brown University. Her research focuses on the parent-child unit, with a particular focus on the perinatal and adolescent periods of child development. Her ongoing studies explore 1) the etiology and treatment of perinatal substance use, 2) the generational transmission of risk associated with parental substance use and mental health, and 3) parenting and parent-child relationship quality.

Assistant Professor (Research)

Behavioral & Social Sciences | Center for Alcohol & Addiction Studies

401-863-6640

lauren_micalizzi@brown.edu

Helpful Resources:

https://www.statnews.com/2023/02/08/addiction-pregnancy-treatment-not-criminalization/

http://www.rimed.org/rimedicaljournal/2022/04/2022-04-28-ethics-spiegel.pdf

References

Alspaugh, A., Barroso, J., Reibel, M., & Phillips, S. (2019). Women’s contraceptive perceptions, beliefs, and attitudes: An integrative review of qualitative research. Journal of Midwifery & Women’s Health, 65(1), 64–84. https://doi.org/10.1111/jmwh.12992

BA, D., BA, S., & MD, M. H. (2021). What the World Needs Now: Lifestyle Medicine for All Women. American Journal of Lifestyle Medicine, 155982762110281. https://doi.org/10.1177/15598276211028101

Balls-Berry, J., Sinicrope, P., Valdez Soto, M., Brockman, T., Bock, M., & Patten, C. (2018). Linking podcasts with social media to promote community health and medical research: Feasibility Study. JMIR Formative Research, 2(2). https://doi.org/10.2196/10025

Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011). Low Health Literacy and Health Outcomes: An updated systematic review. Annals of Internal Medicine, 155(2), 1–941.

Bryant, A. (2022, June 28). Racial and ethnic disparities in obstetrics and gynecological care and role of implicit bias. UpToDate. https://www.uptodate.com/contents/racial-and-ethnic-disparities-in-obstetric-and-gynecologic-care-and-role-of-implicit-biases#!

Bureau, U. S. C. (2021, November 9). 2020 demographic analysis estimates press kit. Census.gov. https://www.census.gov/newsroom/press-kits/2020/2020-demographic-analysis.html

Burton, C. W. (2016). The health needs of young women. Advances in Nursing Science, 39(2), 108–118. https://doi.org/10.1097/ans.0000000000000119

Cristina Cassano MSN, R. N. (2015, August 29). Interactive Technology is shaping patient education and experience. RN Journal. https://rn-journal.com/journal-of-nursing/interactive-technology-patient-education-experience

Centers for Disease Control and Prevention. (n.d.). Centers for Disease Control and Prevention. Retrieved February 4, 2022, from https://www.cdc.gov/

Centers for Disease Control and Prevention. (2020, August 13). Maternal mortality. Centers for Disease Control and Prevention. https://www.cdc.gov/reproductivehealth/maternal-mortality/index.html

Clarke, M. A., Fruhling, A. L., Sitorius, M., Windle, T. A., Bernard, T. L., & Windle, J. R. (2020). Impact of age on patients’ communication and technology preferences in the era of meaningful use: Mixed methods study. Journal of Medical Internet Research, 22(6). https://doi.org/10.2196/13470

Connor, K., Wambach, K., & Baird, M. B. (2018). Descriptive, qualitative study of women who use mobile health applications to obtain perinatal health information. Journal of Obstetric, Gynecologic & Neonatal Nursing, 47(6), 728–737. https://doi.org/10.1016/j.jogn.2018.04.138

Crouch, E., & Gordon, N. P. (2019). Prevalence and factors influencing use of internet and electronic health resources by middle-aged and older adults in a US health plan population: Cross-sectional Survey Study. JMIR Aging, 2(1). https://doi.org/10.2196/11451

Daniel, H., Erickson, S. M., & Bornstein, S. S. (2018). Women’s Health Policy in the United States: An American College of Physicians Position Paper. Annals of Internal Medicine, 168(12), 874. https://doi.org/10.7326/m17-3344

Dmytryshyn, J., & Selk, A. (2022). Learning on the go: Assessing Knowledge Gained from Medical Podcasts Created for Vulvovaginal Disease Education. Journal of Lower Genital Tract Disease, 26(2), 164–168. https://doi.org/10.1097/lgt.0000000000000654

Gebretatyos, H., Ghirmai, L., Amanuel, S., Gebreyohannes, G., Tsighe, Z., & Tesfamariam, E. H. (2020). Effect of health education on knowledge and attitude of menopause among middle-aged teachers. BMC Women’s Health, 20(1). https://doi.org/10.1186/s12905-020-01095-2

Geller, S. E., Koch, A. R., Roesch, P., Filut, A., Hallgren, E., & Carnes, M. (2018). The more things change, the more they stay the same. Academic Medicine, 93(4), 630–635. https://doi.org/10.1097/acm.0000000000002027

Ghiasi, A. (2019). Health information needs, sources of information, and barriers to accessing health information among pregnant women: A systematic review of Research. The Journal of Maternal-Fetal & Neonatal Medicine, 34(8), 1320–1330. https://doi.org/10.1080/14767058.2019.1634685

Harper, J. C., Phillips, S., Biswakarma, R., Yasmin, E., Saridogan, E., Radhakrishnan, S., C Davies, M., & Talaulikar, V. (2022). An online survey of perimenopausal women to determine their attitudes and knowledge of the Menopause. Women’s Health, 18, 1-18. https://doi.org/10.1177/17455057221106890

Hoyert, D., & Minino, A. (2020, January 30). National Vital Statistics reports – Centers for Disease Control and … Center for Disease Control. https://www.cdc.gov/nchs/data/nvsr/nvsr69/nvsr69-02-508.pdf

Kendig, S., Rideout, R., & Williams, A. (2021, October). Missouri maternal-infant health: State and regional actions impacting care delivery and health outcomes. MHA. https://web.mhanet.com/media-library/missouri-maternal-infant-health-state-and-regional-actions-impacting-care-delivery-and-health-outcomes/

Lange-Maia, B. S., Karavolos, K., Avery, E. F., Strotmeyer, E. S., Karvonen-Gutierrez, C. A., Appelhans, B. M., Janssen, I., Dugan, S. A., & Kravitz, H. M. (2020). Contribution of common chronic conditions to midlife physical function decline: The Study of Women’s health across the nation. Women’s Midlife Health, 6(1). https://doi.org/10.1186/s40695-020-00053-0

Mayo Foundation for Medical Education and Research. (2020, October 14). Menopause. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/menopause/diagnosis-treatment/drc-20353401

Missouri Department of Health and Senior Services. (2021). Pregnancy-associated mortality review (PAMR). Pregnancy Associated Mortality Review | Health & Senior Services. https://health.mo.gov/data/pamr/

Moran, K. J., Burson, R., & Conrad, D. (2020). The Doctor of Nursing practice project: A framework for success. Jones & Bartlett Learning.

NIH. (2022). Hormone therapy for cancer. National Cancer Institute. https://www.cancer.gov/about-cancer/treatment/types/hormone-therapy

Nordhues, H. C., Bhagra, A., Stroud, N. N., Vencill, J. A., & Kuhle, C. L. (2021). Covid-19 gender disparities and mitigation recommendations: A narrative review. Mayo Clinic Proceedings, 96(7), 1907–1920.

Office for Human Research Protections (OHRP). (2021, December 15). Exemptions (2018 requirements). HHS.gov. https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/common-rule-subpart-a-46104/index.html

Palmer, J. R., Cozier, Y. C., & Rosenberg, L. (2022). Research on Health Disparities: Strategies and findings from the Black Women’s Health Study. American Journal of Epidemiology. https://doi.org/10.1093/aje/kwac022

Pender, N. (2011). Health Promotion Model Manual. University of Michigan. https://deepblue.lib.umich.edu/handle/2027.42/85350 (Links to an external site.)

Petiprin, A. (2020). Pender’s Health Promotion Model. Nursing Theory. https://nursing-theory.org/theories-and-models/pender-health-promotion-model.php

Pinn, V. W. (2003). Sex and gender factors in medical studies. JAMA, 289(4), 397. https://doi.org/10.1001/jama.289.4.397

Prodan‐Bhalla, N., & Browne, A. J. (2019). Exploring women’s health care experiences through an equity lens: Findings from a community clinic serving marginalised women. Journal of Clinical Nursing, 28(19-20), https://doi.org/10.1111/jocn.14937

Qualtrics. (2022, July 26). What is a Likert scale? Qualtrics. https://www.qualtrics.com/experience-management/research/likert-scale/

Smith, S. M., Orgill, S., Smith, J., & Smith, R. (2022, September 9). Online survey software – powering +1B surveys annually. Qualtrics. https://www.qualtrics.com/core-xm/survey-software/

Starrs, A. M., Ezeh, A. C., Barker, G., Basu, A., Bertrand, J. T., Blum, R., Coll-Seck, A. M., Grover, A., Laski, L., Roa, M., Sathar, Z. A., Say, L., Serour, G. I., Singh, S., Stenberg, K., Temmerman, M., Biddlecom, A., Popinchalk, A., Summers, C., & Ashford, L. S. (2018). Accelerate progress—sexual and reproductive health and rights for all: Report of the Guttmacher– Lancet Commission. The Lancet, 391(10140), 2642–2692. https://doi.org/10.1016/s0140-6736(18)30293-9

Stec, M. A., Arbour, M. W., & Hines, H. F. (2019). Client‐centered Mobile Health Care Applications: Using the Mobile Application Rating Scale Instrument for evidence‐based evaluation. Journal of Midwifery & Women’s Health, 64(3), 324–329. https://doi.org/10.1111/jmwh.12941

Terry, A. J. (2018). Clinical Research for the Doctor of Nursing Practice (3rd ed.). Jones & Bartlett Learning.

Timmers, T., Janssen, L., Kool, R. B., & Kremer, J. A. M. (2020). Educating patients by providing timely information using smartphone and tablet apps: Systematic review. Journal of Medical Internet Research, 22(4). https://doi.org/10.2196/17342

Troutman, M., Rafique, S., & Plowden, T. C. (2020). Are higher unintended pregnancy rates among minorities a result of disparate access to contraception? Contraception and Reproductive Medicine, 5(1). https://doi.org/10.1186/s40834-020-00118-5

United Health Foundation. (2021). Explore health measures in Missouri: 2021 annual report. America’s Health Rankings. https://www.americashealthrankings.org/explore/annual/state/MO

U.S. Census Bureau. (2021). U.S. Census Bureau quick facts: Missouri. U.S. Census Bureau. https://www.census.gov/quickfacts/fact/table/MO/PST045221

U.S. Department of Health and Human Services. (2021, March 31). Minority Health and Health Disparities: Definitions and parameters. National Institute of Minority Health and Health Disparities. https://www.nimhd.nih.gov/about/strategic-plan/nih-strategic-plan-definitions-and-parameters.html

U.S. Department of Health and Human Services. (2021, June). NICHD. Eunice Kennedy Shriver National Institute of Child Health and Human Development https://www.nichd.nih.gov/health/topics/factsheets/maternal-morbidity-mortality

U.S. Department of Health and Human Services. (2022, May 6). Research explores the impact of menopause on Women’s Health and Aging. National Institute on Aging. https://www.nia.nih.gov/news/research-explores-impact-menopause-womens-health-and-aging

Ward, J. B., Gartner, D. R., Keyes, K. M., Fliss, M. D., McClure, E. S., & Robinson, W. R. (2019). How do we assess a racial disparity in health? distribution, interaction, and interpretation in epidemiological studies. Annals of Epidemiology, 29, 1–7. https://doi.org/10.1016/j.annepidem.2018.09.007

What is an app? types of apps and examples. Indeed Career Guide. (2021, July). https://www.indeed.com/career-advice/career-development/what-is-an-app

Wikimedia Foundation. (2022, March 25). Gender inequality. Wikipedia. https://en.wikipedia.org/wiki/Gender_inequality

World Health Organization. (n.d.). Adolescent health. World Health Organization. https://www.who.int/westernpacific/health-topics/adolescent-health