TY - JOUR
KW - Adult
KW - Analgesics, Opioid/therapeutic use
KW - Female
KW - Humans
KW - Opiate Substitution Treatment/methods
KW - Opioid-Related Disorders/drug therapy
KW - Pregnancy
KW - Pregnancy Complications/drug therapy/psychology
KW - Prenatal Care/methods
AU - L. Zhao
AU - C. Cheng
AU - L. Bouchard
A1 - 
AB - 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: 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.
AD - Assistant Professor.; Resident Physician, Obstetrics and Gynecology, University Hospitals Cleveland Medical Center, Case Western Reserve School of Medicine, Cleveland, OH.; Resident Physician, Obstetrics and Gynecology, University Hospitals Cleveland Medical Center, Case Western Reserve School of Medicine, Cleveland, OH.
BT - Obstetrical & gynecological survey
C5 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
CP - 3
CY - United States
DO - 10.1097/OGX.0000000000000744
IS - 3
JF - Obstetrical & gynecological survey
LA - eng
M1 - Journal Article
N2 - 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: 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.
PP - United States
PY - 2020
SN - 1533-9866; 0029-7828
SP - 175
EP - 189
EP - 
T1 - Medication-Assisted Treatment for Opioid Use Disorder in Pregnancy: Practical Applications and Clinical Impact
T2 - Obstetrical & gynecological survey
TI - Medication-Assisted Treatment for Opioid Use Disorder in Pregnancy: Practical Applications and Clinical Impact
U1 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
U2 - 32232496
U3 - 10.1097/OGX.0000000000000744
VL - 75
VO - 1533-9866; 0029-7828
Y1 - 2020
Y2 - Mar
ER -