Social Work Commons^™

Surrogacy And It's Effects On The Mental Health Of The Gestational Carrier, Dayjahne Haywood

Electronic Theses, Projects, and Dissertations

Objective: This study examines the process of surrogacy and the effects it has on the gestational carrier's mental health during the pregnancy as well as after. While previous studies have highlighted the positive impact surrogacy has on the intended families and parents, there are few studies exploring the experiences of women who participate in the selfless act of baring another person's child. My study explores and addresses the risks (health and mental health), the screening process, and the ethical issues associated with the surrogacy process. Additionally, I investigate the impact of familial, community, the intended parent(s) support has on the …

Mothers Get Really Exhausted!” The Lived Experience Of Pregnancy In Extreme Heat: Qualitative Findings From Kilifi, Kenya, Fiona Scorgie, Adelaide Lusambili, S. Luchters, Peter. Khaemba, Veronique Filippi, B. Nakstad, Jeremy Hess, Cathryn Birch, S. Kovats, M.F. Chersich

Institute for Human Development

Background: Palliative care (PC) can reduce symptom distress and improve quality of life for patients and their families experiencing life-threatening illness. While the need for PC in Kenya is high, PC service delivery and research is limited. Qualitative research is needed to explore potential areas for PC research and support needed to enable that research. This insight is critical for informing a national PC research agenda and mobilizing limited resources for conducting rigorous PC research in Kenya.

Objectives: To explore perceptions of priority areas for PC research and support needed to facilitate rigorous research from the perspective of Kenyan PC …

A Call To Action: Person-Centered Care Aligned With Reproductive Justice For Incarcerated Pregnant People With Substance Use Disorder, Essence Hairston, Aunchalee El Palmquist, Andrea K. Knittel, Kevin Mensah-Biney, Crystal M. Hayes, Amelia Mack, Hendrée E. Jones

School of Social Work Faculty Publications

Although research has proven that jails and prisons are ineffective in preventing or reducing substance use among pregnant people, the USA continues to rely heavily on the criminal legal system as its intervention. Pregnant people with an opioid use disorder are more likely to experience incarceration than pregnant people without an opioid use disorder. In some states, pregnant people are transported from jail to prison through the process of safekeeping in order to receive physical or mental health care that the jail does not provide, despite conviction status. When pregnant and postpartum safekeepers with an opioid use disorder experience incarceration, …

Assessing Clinical Social Workers’ Self-Efficacy Regarding Perinatal Mental Health Disorders, Ashley Sullivan

Social Work Doctoral Dissertations

This dissertation sought to explore social workers’ perceived levels of knowledge, self-efficacy, and awareness of perinatal mental health. This study looked at how identifying as a parent, different social work licensures, and having additional training on perinatal mental health affect social workers' knowledge, self-efficacy, and awareness responses. Utilizing a quantitative survey, this dissertation found having additional training on perinatal mental health to have a significant impact on social workers’ knowledge, self-efficacy, and awareness.

Exploring social workers’ knowledge, self-efficacy, and awareness of perinatal mental health allows for self-reflection of one's own ability to assist this vulnerable population. Continued research in this …

“Child Witches”: Sexual Exploitation And Abuse Of Homeless Girls In South-Southern Nigeria, Chima Agazue

Dignity: A Journal of Analysis of Exploitation and Violence

Sexual exploitation and abuse of girls is one of the endemic social problems in Nigeria. Although this problem has attracted much research attention in recent times, some newly emerged factors contributing to the problem have been mostly ignored. This study explored how the abandonment of children following their stigmatization as witches contributes to sexual exploitation and abuse of the girls in the Akwa Ibom and Cross River states of Nigeria. The study was based on the qualitative research paradigm. Data was collected via semi-structured interviews of three senior staff members of the Child’s Rights and Rehabilitation Network (CRARN)—a children’s charity …

Tuberculosis Clinical Presentation And Treatment Outcomes In Pregnancy: A Prospective Cohort Study, Brittney J. Van De Water, Meredith B. Brooks, Chuan-Chin Huang, Letizia Trevisi, Leonid Lecca, Carmen Contreras, Jerome Galea, Roger Calderon, Rosa Yataco, Megan Murray, Mercedes C. Becerra

Social Work Faculty Publications

Background: There is limited research to guide TB treatment specifically in pregnant women and few studies have described the presentation of TB in pregnant women. We aimed to understand TB presentation and treatment outcomes in pregnant women in a low HIV burden setting. We describe a cohort of women of childbearing age treated for TB disease in Lima, Peru, and compare clinical presentation and treatment outcomes among pregnant and non-pregnant women between 2009 and 2012, including 36 pregnant women.

Methods: This is a prospective cohort study. Subjects were recruited from across 106 public health centers in Lima, Peru. Baseline demographic, …

Associations Of First Trimester Co-Use Of Tobacco And Cannabis With Prenatal Immune Response And Psychosocial Well-Being, Kristin Ashford, Amanda Fallin-Bennett, Andrea Mccubbin, Amanda T. Wiggins, Sheila Barnhart, Joshua A. Lile

Perinatal Research and Wellness Center Faculty Publications

PURPOSE: This study aims to describe the association of first trimester co-use of tobacco and cannabis with maternal immune response and psychosocial well-being, relative to tobacco use only.

METHODS: A preliminary midpoint analysis included 138 pregnant women with biologically verified tobacco use, 38 of whom (28%) also tested positive for recent cannabis use. Maternal perceived stress (Perceived Stress Scale), depressive symptoms (Edinburgh Postnatal Depression Scale), and serum immune markers (IL-1β, IL-2, IL-6, IL-8, IL-10, TNFα, CRP, MMP8), were collected, although cytokine data were only available for 122 women.

RESULTS: Participant average age was 29.1 years, approximately half had a high …

Social Work Perspectives On Working With Pregnant Women With Opioid Use Disorder, Ann Schroeder

Master of Social Work Clinical Research Papers

The incidence of addiction to opioids, more formally known as opioid use disorder (OUD), has skyrocketed in the U.S. in the last 25 years. Opioids are a class of narcotic drugs that include a range of synthetic prescription opioid pain relievers, including fentanyl. The number of pregnant women in the United States experiencing opioid use disorder (OUD) related to nonmedical use of prescription opioids has increased dramatically. Between 2000 and 2009, the number of child-bearing women with an OUD increased five-fold. Nonmedical prescription OUD affects vulnerable, young, low-income or poor women and their children, including White, African American, and Hispanic …

Supporting Mothers With Mental Illness: Postpartum Mental Health Service Linkage As A Matter Of Public Health And Child Welfare Policy, Jesse Krohn, Msed, Jd, Meredith Matone, Drph, Mhs

Journal of Law and Health

Through our work in youth advocacy as, respectively, legal and public health professionals, we are all too aware of the high levels of health care fragmentation experienced during pregnancy and postpartum by poor, young mothers of color. Meredith Matone’s research highlights the heightened risk of fragmentation for girls with histories of child welfare involvement. For example, she found that 66.7% of young mothers who had resided in out-of-home placements and who had taken antipsychotic medication prior to becoming pregnant failed to fill prescriptions for antipsychotics in their first postpartum year. Put another way, two-thirds of these vulnerable young mothers—a far …

A Mixed Methods Examination Of Pregnancy Attitudes And Hiv Risk Behaviors Among Homeless Youth: The Role Of Social Network Norms And Social Support, Stephanie J. Begun

Electronic Theses and Dissertations

Homeless young women become pregnant at exceptionally high rates, and such pregnancies often pose serious emotional, social, and physical health concerns. Perhaps surprisingly, many homeless youth intentionally seek to become pregnant or involved in pregnancy, as pregnancy and parenthood are viewed as conduits toward accessing social services and meaningful social connections to others that this group often lacks. However, most prevention efforts focus solely on young females' pregnancy attitudes and behaviors at the individual level. Such approaches fail to acknowledge contextual factors, such as desired pregnancy and pregnancy ambivalence, the influence of youths' social networks and perceived social norms regarding …

Preparing To Parent: Mindfulness In Expectant Parents Exposed To Adversity, Laurel Marie Hicks

Wayne State University Dissertations

Expectant parents who have been exposed to psychosocial risk encounter deleterious psychological (Ashley et al., 2016), and physiological (V. H. Pereira, Campos, & Sousa, 2017) effects. This not only affects the parent-to-be, but also may affect the developing fetus (E. P. Davis et al., 2011) and is linked to poorer infant development (Lefmann & Combs-Orme, 2014). However, not all risk-exposed individuals experience this, many are resilient and still thrive in the face of adversity. Understanding potential risk and resiliency factors in expectant parents is advantageous, so tailored interventions can be devised to improve outcomes. One potential resiliency factor, mindfulness, is …

Medication-Assisted Treatment For Pregnant Women: A Systematic Review Of The Evidence And Implications For Social Work Practice, Amber M. Holbrook, Viba H. Nguyen

Amber Holbrook

Evidence-based practice with pregnant clients who are opioiddependent can be especially challenging because pregnant women are rarely included in clinical trials. The paper synthesizes systematic reviews on the outcomes of medication-assisted treatment for opioid dependent pregnant women and compares the effectiveness of methadone and buprenorphine. We explore evidence on maternal and neonatal outcomes, the safety of breastfeeding, and discuss the implications for social work practice. Searches were conducted in 6 databases. Ten reviews met the inclusion criteria. Results suggest medication-assisted treatment with either methadone or buprenorphine are equally effective in reducing maternal substance use, although methadone may offer slightly higher …

Professionals’ Perspectives On Substance Abuse And Pregnancy, Saydie Long

Master of Social Work Clinical Research Papers

Drug use has become an increasing issue in society, affecting a wide variety of populations. Specifically, the use of substances has increasingly been entering the lives of women during pregnancy. As the number of women that use drugs and alcohol during pregnancy increases, more and more children are born experiencing the negative physical and psychological effects of prenatal exposure to drugs and alcohol, both short and long term. This study was designed to explore from the perspective of professionals, what challenges are faced by women who use substances during pregnancy and what types of services and interventions are most effective …

Partnership With Doulas & Domestic Violence Services, Nora Smyth

Master of Social Work Clinical Research Papers

This research explored the perspectives of doulas and domestic violence (DV) service providers on how strategic partnerships between them could enhance outcomes for pregnant women and new mothers who are experiencing DV. Research indicates that DV during pregnancy is a risk factor for women to experience more severe abuse including higher risk of death (Silverman, Decker, Reed, & Raj, 2006). DV service providers in partnership with doulas who have been trained to understand dynamics of DV may help many women get the support they need and likely reduce the amount of serious complications during childbirth associated with exposure to DV …

Medication-Assisted Treatment For Pregnant Women: A Systematic Review Of The Evidence And Implications For Social Work Practice, Amber M. Holbrook, Viba H. Nguyen

Social Work (Graduate) Faculty Publications

Evidence-based practice with pregnant clients who are opioiddependent can be especially challenging because pregnant women are rarely included in clinical trials. The paper synthesizes systematic reviews on the outcomes of medication-assisted treatment for opioid dependent pregnant women and compares the effectiveness of methadone and buprenorphine. We explore evidence on maternal and neonatal outcomes, the safety of breastfeeding, and discuss the implications for social work practice. Searches were conducted in 6 databases. Ten reviews met the inclusion criteria. Results suggest medication-assisted treatment with either methadone or buprenorphine are equally effective in reducing maternal substance use, although methadone may offer slightly higher …

Experiences With Pregnancy Of Adolescents With Disabilities From The Perspectives Of The School Social Workers Who Serve Them, Kristen Faye Linton, Heidi Adams Rueda

Social Work Faculty Publications

Adolescents with disabilities are more likely than adolescents without disabilities to become pregnant, although very little is known about the lived contexts of their sexual and pregnancy experiences. Such youths are often deprived of sexual health information across a range of potential sources, although school social workers are in a unique position to provide them services. Thirteen school social workers working primarily with adolescents with disabilities were interviewed using a phenomenological study design to offer their perspectives concerning the sexual and pregnancy experiences of such youths. Inductive content analysis revealed that school social workers provided services for pregnant and parenting …

Maternal-Fetal Attachment And Health Behaviors Among Women With Hiv/Aids, Julieta P. Hernandez

FIU Electronic Theses and Dissertations

Background: Mothers with HIV often face personal and environmental risks for poor maternal health behaviors and infant neglect, even when HIV transmission to the infant was prevented. Maternal-fetal attachment (MFA), the pre-birth relationship of a woman with her fetus, may be the precursor to maternal caregiving. Using the strengths perspective in social work, which embeds MFA within a socio-ecological conceptual framework, it is hypothesized that high levels of maternal-fetal attachment may protect mothers and infants against poor maternal health behaviors. Objective: To assess whether MFA together with history of substance use, living marital status, planned pregnancy status, and timing of …

Trauma Exposure, Posttraumatic Stress, And Depression In A Community Sample Of First-Time Mothers, Mickey Sperlich

Wayne State University Dissertations

The adverse effects of posttraumatic stress and depression have separately been well-documented in the perinatal mental health literature. However, few studies have considered the comorbidity between trauma, posttraumatic stress and depression. This dissertation study brings attention to this comorbidity and explores implications of recent changes to diagnostic criteria for posttraumatic stress disorder related to the ability to predict postpartum depression and impairments in mother/infant bonding. Following a conceptual framework which outlines the effects of violence and trauma on adverse childbearing outcomes, hypotheses were that many women with depression in pregnancy would endorse trauma and would be at risk for subthreshold …

State Responses To Alcohol Use And Pregnancy: Findings From The Alcohol Policy Information System, Laurie Drabble, Sue Thomas, Lisa O'Connor, Sarah Roberts

Faculty Publications

This article describes U.S. state policies related to alcohol use during pregnancy, using data from the National Institute on Alcohol Abuse and Alcoholism Alcohol Policy Information System. Specifically, this study examines trends in policies enacted by states over time and types of policies enacted across states in the United States, with a focus on whether laws were supportive or punitive toward women. Findings revealed substantial variability in characteristics of policies (19 primarily supportive, 12 primarily punitive, 12 with a mixed approach, and 8 with no policies). Findings underscore the need to examine possible consequences of policies, especially of punitive policies …

Experiences With Infant Mortality As Reported By Middle Class Black Women In Their Own Words, Lisa Paisley-Cleveland

Dissertations, Theses, and Capstone Projects

Black Middle-Class Women and Pregnancy Loss: A Qualitative Inquiry is the first qualitative research case study of its kind on Black Infant Mortality (BIM) to focus on a target group of black American-born middle-class professional married women who have all lived through the experience of infant loss. This target group allows Lisa Paisley-Cleveland to examine the BIM phenomenon outside the poverty paradigm and issues attached to teenage pregnancy, as well as to explore contributing factors attached to the persistent black and white disparity in infant mortality rates, which according to CDC’s January 2013 report are 12.40 and 5.35 respectively.

This …

Physical Violence During Pregnancy: Maternal Complications And Birth Outcomes, Vilma E. Cokkinides, Ann L. Coker, Maureen Sanderson, Cheryl Addy, Lesa Bethea

CRVAW Faculty Journal Articles

Objective: To assess the association between physical violence during the 12 months before delivery and maternal complications and birth outcomes.

Methods: We used population-based data from 6143 women who delivered live-born infants between 1993 and 1995 in South Carolina. Data on women's physical violence during pregnancy were based on self-reports of partner-inflicted physical hurt and being involved in a physical fight. Outcome data included maternal antenatal hospitalizations, labor and delivery complications, low birth weights, and preterm births. Odds ratios and 95% confidence intervals were calculated to measure the associations between physical violence, maternal morbidity, and birth outcomes.

Results: The prevalence …

Experiencing Physical Violence During Pregnancy: Prevalence And Correlates, Vilma E. Cokkinides, Ann L. Coker

CRVAW Faculty Journal Articles

Violence during pregnancy directly impacts the mental and physical health of pregnant women. We assessed the prevalence and correlates of physical violence around the time of pregnancy in a representative sample of 6,718 women in South Carolina. Physical violence, defined as "being physically hurt by husband or partner" or "being involved in a physical fight" was reported by 10.9% of recently pregnant women. These were correlates of violence: experiencing increased numbers of stressful life events, being unmarried, having increased parity, being on Medicaid, and having an unwanted pregnancy. Screening to identify violence in pregnancy in health care settings is vital …

Grandmothers Laughing: Intergenerational Transmission Of Cultural Beliefs About Pregnancy And Childbirth Among Native American Women, Claudia Robin Long

Dissertations and Theses

This dissertation reports findings from a qualitative study of intergenerational transmission of pregnancy and childbirth information among Native American women. Proposed is a theory of intergenerational transmission that explains four pathways used by Indian women to gain information about pregnancy and childbirth. Antecedent, consequent, and core elements are associated with the transmission process.

Discriminant sampling was used to identify the middle generation of Indian mothers and grandmothers, between 36 and 65 years of age, residing on or near the reservation, with experience of assimilation policies that had moved off-reservation temporarily. The researcher used the grounded theory method to analyze responses …

The Significance Of Aspirations Among Unmarried Adolescent Mothers, Naomi Farber

Faculty and Staff Publications

Adolescent out of wedlock childbearing is associated with persistent poverty, particularly among urban underclass black youth. This article examines findings on the educational and vocational aspirations of teen mothers, how they are associated with class and race and how they may influence economic dependence. The analysis suggests the importance of distinguishing between poor teens' socially normative aspirations and their ability to fulfill those aspirations.