TY - JOUR
KW - Adult
KW - Buprenorphine/therapeutic use
KW - Female
KW - General Practice/methods
KW - Humans
KW - Methadone/therapeutic use
KW - Narcotics/therapeutic use
KW - Neonatal Abstinence Syndrome/etiology
KW - Opiate Substitution Treatment/adverse effects
KW - Opioid-Related Disorders/complications/drug therapy
KW - Practice Guidelines as Topic
KW - Pregnancy
KW - Pregnancy Complications/etiology/prevention & control
KW - Prenatal Care
KW - Young Adult
AU - S. Arunogiri
AU - L. Foo
AU - M. Frei
AU - D. I. Lubman
A1 - 
AB - BACKGROUND: Managing opioid dependence in pregnant women is a complex and potentially challenging task. Drug-dependent women may be difficult to engage in antenatal care and opioid substitution requires careful dose titration. Pregnancy, however, can be an opportune time to effect behaviour change, and supporting an opioid-dependent woman through pregnancy can be a rewarding clinical experience. OBJECTIVE: This article provides an overview of treatment principles for managing opioid dependence in pregnancy, and reviews current treatment guidelines for use of opioid-substitution therapy in pregnant women. DISCUSSION: The management of opioid dependence during pregnancy requires holistic and comprehensive assessment and referral to specialist services is often appropriate. Specific issues that may need to be addressed include decision-making regarding the choice of opioid-substitution therapy and the potential for neonatal abstinence syndrome in the newborn. General practitioners are often well placed to support and coordinate care of their opioid-dependent pregnant patients.
BT - Australian Family Physician
C5 - Opioids & Substance Use
CP - 10
CY - Australia
IS - 10
JF - Australian Family Physician
N2 - BACKGROUND: Managing opioid dependence in pregnant women is a complex and potentially challenging task. Drug-dependent women may be difficult to engage in antenatal care and opioid substitution requires careful dose titration. Pregnancy, however, can be an opportune time to effect behaviour change, and supporting an opioid-dependent woman through pregnancy can be a rewarding clinical experience. OBJECTIVE: This article provides an overview of treatment principles for managing opioid dependence in pregnancy, and reviews current treatment guidelines for use of opioid-substitution therapy in pregnant women. DISCUSSION: The management of opioid dependence during pregnancy requires holistic and comprehensive assessment and referral to specialist services is often appropriate. Specific issues that may need to be addressed include decision-making regarding the choice of opioid-substitution therapy and the potential for neonatal abstinence syndrome in the newborn. General practitioners are often well placed to support and coordinate care of their opioid-dependent pregnant patients.
PP - Australia
PY - 2013
SN - 0300-8495; 0300-8495
SP - 713
EP - 716
EP - 
T1 - Managing opioid dependence in pregnancy -- a general practice perspective
T2 - Australian Family Physician
TI - Managing opioid dependence in pregnancy -- a general practice perspective
U1 - Opioids & Substance Use
U2 - 24130973
VL - 42
VO - 0300-8495; 0300-8495
Y1 - 2013
ER -