Substance misuse is a complex issue, fraught with many challenges and inequalities for those affected; most of these are as a result not of the substances themselves, but of the underlying web of socioeconomic problems associated. Whilst the literature suggests that pregnancy may be a ‘window of opportunity’ for substance misusing women, it also suggests that there are several barriers to women engaging with health care. One of these is the fear of being judged and stigmatised by healthcare professionals. This literature review looks at research in the field of substance misuse in pregnancy, focusing on the ‘stigmatisation’ of pregnant drug users by healthcareudprofessionals, illustrating the potential impact of this upon care.ududKeywords: Substance misuse, stigma, midwives, attitude, engagement
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机译：物质滥用是一个复杂的问题，对那些受影响的人充满许多挑战和不平等；其中大多数不是物质本身的结果，而是相关社会经济问题潜在网络的结果。虽然文献表明怀孕可能是滥用药物的妇女的“机会之窗”，但它也表明，妇女从事医疗保健存在若干障碍。其中之一是担心被医疗保健专业人员判断和污名化。这篇文献综述着眼于孕妇滥用药物领域的研究，着重于医疗保健专业人士对怀孕吸毒者的“污名化”，说明了这种药物对护理的潜在影响。 ud ud关键字：药物滥用，污名，助产士，态度，参与度
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