Abstract
Pregnancy is an opportune time to identify opioid dependence, facilitate conversion to opioid maintenance treatment, and coordinate care with specialists in addiction medicine, behavioral health, and social services. Comprehensive prenatal care for opioid-dependent women involves the evaluation and the management of co-occurring psychiatric disorders, polysubstance use, infectious diseases, social stressors, and counseling regarding the importance of breastfeeding, contraception, and neonatal abstinence syndrome. Although the complex psychiatric, social, and environmental factors faced by this population pose significant challenges to obstetric care providers, the development of strong patient-provider relationships can facilitate the ability to deliver efficient and effective health care during pregnancy.
MeSH terms
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Alcohol-Related Disorders* / complications
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Alcohol-Related Disorders* / diagnosis
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Alcohol-Related Disorders* / epidemiology
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Alcohol-Related Disorders* / etiology
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Breast Feeding / methods
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Counseling
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Female
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Humans
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Incidence
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Infant, Newborn
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Methadone / therapeutic use*
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Narcotics / therapeutic use
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Neonatal Abstinence Syndrome* / diagnosis
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Neonatal Abstinence Syndrome* / etiology
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Neonatal Abstinence Syndrome* / prevention & control
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Opiate Substitution Treatment / methods
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Opioid-Related Disorders* / complications
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Opioid-Related Disorders* / diagnosis
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Opioid-Related Disorders* / epidemiology
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Opioid-Related Disorders* / etiology
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Pregnancy
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Pregnancy Complications* / epidemiology
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Pregnancy Complications* / etiology
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Prenatal Care / methods*
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Smoking / adverse effects
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Smoking / epidemiology
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Socioeconomic Factors
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Substance Abuse Detection / methods
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United States / epidemiology