You can receive independent, expert advice on alcohol treatment and alcohol rehab centres by telephoning DryOutNow.com on 0845 370 0203

The most important consideration in choosing the type of treatment for alcohol addiction is to match the individual to the alcohol treatment that is most likely to lead to a successful outcome.

DryOutNow.com can provide an assessment of all your needs and a recommendation regarding the most effective alcohol treatment for you, given your particular circumstances. We can provide fast, immediate access to alcohol treatment.

In a committee opinion issued recently, The American College of Obstetricians and Gynecologists (ACOG) has called for ob-gyns to ask all of their patients about drug and alcohol use and to help women get the help they need. Although time constraints, unfamiliarity with treatment resources, poor reimbursement, and legal reporting requirements are all legitimate concerns, substance abuse is a medical issue and a physician's responsibility. Universal substance abuse screening can be as simple as adding a few questions to a standard patient intake form, says ACOG.

Overall, 10% of non-pregnant women report illegal drug use. More than 6% of females 12 and older are dependent on alcohol or illegal drugs. Among women ages 18-25, 34% binge drink and 10% are heavy drinkers. Heavy drinking is defined as five or more drinks on one occasion on five or more days in the last 30 days.

Among pregnant women ages 15-44, nearly 12% admit to drinking at least some alcohol during the previous month, which may put the fetus at risk for fetal alcohol syndrome (FAS), the leading cause of mental retardation in the US. Four per cent of pregnant women report illicit drug use; the rate is even higher, at 15.5%, among pregnant women ages 15-17.

"There is a lot moral judgment around the use of alcohol and drugs, especially during pregnancy," said Anne D. Lyerly, MD, chair of ACOG's Committee on Ethics. "We want to emphasise that drug and alcohol dependence are medical issues and that physicians have an obligation to ask patients about use and to facilitate referral for appropriate treatment." Brief physician advice has been unequivocally shown to be powerful and feasible in the office setting.

Heavy drinking carries a higher risk of heart and liver complications for women than men and the alcohol-associated mortality rate for women is 50-100 times higher than it is for men. Illegal drug use also has major physical, social, and mental health consequences for women, including increased rates of STDs such as hepatitis and HIV, as well as depression, domestic violence, poverty, and significant prenatal and neonatal complications.

According to ACOG, federal government warnings about the need to abstain from alcohol use in pregnancy were first issued in 1984. ACOG has recommended screening for alcohol early in pregnancy since 1977.
"Routinely asking our patients, both pregnant and non-pregnant, about substance abuse is imperative to improving the overall health of women and their families," said Dr. Lyerly. "Once identified, women should be referred to treatment. And treatment, rather than punishment, is key." Punitive measures may endanger trust in the physician-patient relationship, place the ob-gyn in an adversarial relationship with the patient, and conflict with the physician's obligation to help patients.

Physicians should capitalise on the skills of social workers, nurses, and other staff to develop a list of treatment resources for patients. Patients with substance abuse problems should be treated with dignity and respect in order to foster a trusting, therapeutic relationship. Physicians should protect confidentiality, whenever possible, within the requirements of legal obligations by informing patients, in advance, what information can and cannot be protected.

Reference
Committee Opinion #422, "At-Risk Drinking and Illicit Drug Use: Ethical Issues in Obstetric and Gynecologic Practice," is published in the December 2008 issue of Obstetrics & Gynecology.

Article published on 24/12/2008 by DryOutNow.com

DryOutNow.com provides highly practical help for people with alcohol problems, their friends and relatives. DryOutNow.com also provides free resources for healthcare professionals such as medical information and alcohol treatment guidelines.

• Technology improves treatment options for drug users ...... read
• Department promoting early substance use screening process ...... read
• Alcohol tax increases deter drinking ...... read
• DrugScope welcomes report on 'neglected issue' of prescription and over-the-counter medication depen ...... read
• DrugScope responds to NTA figures on young people in treatment for substance misuse ...... read
• Concerns over trends in Ketamine use ...... read
• Try science when 'just saying no' isn't enough ...... read
• More action needed to tackle alcohol misuse, says BMA ...... read
• Alkermes initiates clinical trial for ALKS 33, a novel oral molecule with potential benefits in addi ...... read
• Genetic markers identified for alcohol response in UCSF Gallo study ...... read
• NIDA Monitoring the Future Survey, Results published ...... read
• Technology can help addicts trying to quit ...... read
• Study assesses success of anti meth adverts ...... read
• All patients should be asked about alcohol and drug abuse, says The American College of Obstetrician ...... read
• Researchers must tap into the language of intoxication ...... read
• Report points to lack of public awareness of health guidelines ...... read
• Reward stress link points to new targets for treating addiction ...... read
• SAMHSA releases new data on drug related hospital emergency department visits ...... read
• National rates of co occurring substance use and mental disorders call for better integration of men ...... read
• Study will seek to break cycle of chemical dependence and incarceration ...... read

• Pablo and FRANK - the new cocaine campaign ...... read
• Cannabis upgraded to Class B drug ...... read
• DrugScope welcomes report on 'neglected issue' of prescription and over-the-counter medication depen ...... read
• Tougher health and safety law demands tougher drugs policies, says drug testing company ...... read
• Time's up for irresponsible drink deals ...... read