Vital Signs: Prescription Opioid Pain Reliever Use During Pregnancy — 34 U.S. Jurisdictions, 2019
Autor: | Jean Y. Ko, Heather D Tevendale, Lee Warner, Andrea E Strahan, Denise V. D’Angelo, Sarah C. Haight, Wanda D. Barfield, Beatriz Salvesen von Essen, Shanna Cox, Leslie J.S. Harrison, Charlan D. Kroelinger, Brian Morrow |
---|---|
Rok vydání: | 2020 |
Předmět: |
Adult
medicine.medical_specialty Prescription Drugs Health (social science) Adolescent Prescription Drug Misuse Epidemiology Health Toxicology and Mutagenesis Vital signs Risk Assessment Young Adult 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Health Information Management Pregnancy 030225 pediatrics medicine Humans Full Report 030212 general & internal medicine Medical prescription business.industry Public health Chronic pain Opioid use disorder General Medicine medicine.disease United States Analgesics Opioid Opioid Health Care Surveys Prenatal Exposure Delayed Effects Family medicine Female Self Report Chronic Pain business medicine.drug |
Zdroj: | Morbidity and Mortality Weekly Report |
ISSN: | 1545-861X 0149-2195 |
Popis: | Background Prescription opioid use during pregnancy has been associated with poor outcomes for mothers and infants. Studies using administrative data have estimated that 14%-22% of women filled a prescription for opioids during pregnancy; however, data on self-reported prescription opioid use during pregnancy are limited. Methods CDC analyzed 2019 data from the Pregnancy Risk Assessment Monitoring System (PRAMS) survey in 32 jurisdictions and maternal and infant health surveys in two additional jurisdictions not participating in PRAMS to estimate self-reported prescription opioid pain reliever (prescription opioid) use during pregnancy overall and by maternal characteristics among women with a recent live birth. This study describes source of prescription opioids, reasons for use, want or need to cut down or stop use, and receipt of health care provider counseling on how use during pregnancy can affect an infant. Results An estimated 6.6% of respondents reported prescription opioid use during pregnancy. Among these women, 21.2% reported misuse (a source other than a health care provider or a reason for use other than pain), 27.1% indicated wanting or needing to cut down or stop using, and 68.1% received counseling from a provider on how prescription opioid use during pregnancy could affect an infant. Conclusions and implications for public health practice Among respondents reporting opioid use during pregnancy, most indicated receiving prescription opioids from a health care provider and using for pain reasons; however, answers from one in five women indicated misuse. Improved screening for opioid misuse and treatment of opioid use disorder in pregnant patients might prevent adverse outcomes. Implementation of public health strategies (e.g., improving state prescription drug monitoring program use and enhancing provider training) can support delivery of evidence-based care for pregnant women. |
Databáze: | OpenAIRE |
Externí odkaz: |