Medication-Assisted Treatment for Opioid Use Disorder in Pregnancy: Practical Applications and Clinical Impact
| Autor: | Lauren T. Bouchard, Lulu Zhao, Cece Cheng |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Chronic condition media_common.quotation_subject Heroin 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Opiate Substitution Treatment Humans 030212 general & internal medicine Intensive care medicine media_common 030219 obstetrics & reproductive medicine business.industry Addiction Obstetrics and Gynecology Opioid use disorder Prenatal Care General Medicine medicine.disease Opioid-Related Disorders Analgesics Opioid Pregnancy Complications Female business Postpartum period Methadone medicine.drug Buprenorphine |
| Zdroj: | Obstetricalgynecological survey. 75(3) |
| ISSN: | 1533-9866 |
| Popis: | Importance Opioid use disorder is increasingly common in the United States and affects many pregnancies. Given the rise in pregnancies complicated by opioid use, providers should understand the diagnosis and management of opioid use disorder in pregnancy. Objective This article focuses on screening for opioid misuse, selecting appropriate treatment for patients, initiating medication-assisted treatment in the inpatient setting, and providing appropriate peripartum care. Evidence Acquisition A PubMed search was undertaken using the following search terms: "opioid use disorder", "pregnancy," "medication assisted treatment," "buprenorphine," "methadone," "heroin," "addiction," "neonatal abstinence syndrome," and "detoxification." The search was limited to the English language publications, with most being published after 2000. Results All women should be screened for opioid use disorder during pregnancy. Opioid use has profound effects on the mother and infant. Medication-assisted treatment is the standard of care for pregnant women with opioid use disorder. Patients will require a multidisciplinary approach to management in the intrapartum and postpartum period. Conclusions Conclusions Opioid use disorder is a common, chronic condition with significant implications during pregnancy. Recognition and appropriate treatment of this disorder can optimize maternal and fetal outcomes. Conclusions Obstetricians are increasingly being challenged to manage pregnancies complicated by opioid use disorder and should be proficient in providing safe and effective care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|