TY - JOUR
KW - Advanced Practice Nursing
KW - Analgesics, Opioid
KW - Child
KW - Delivery of Health Care
KW - Female
KW - Health Policy
KW - Humans
KW - Opioid-Related Disorders/drug therapy/epidemiology
KW - Pregnancy
KW - opioid-related disorders
KW - pregnant women
KW - Public Health
AU - B. N. Kameg
A1 - 
AB - The increase in prescription and illicit opioid use since 2000 has become an urgent public health crisis. While the opioid epidemic spans racial, regional, and socioeconomic divides, women have surfaced as one demographic affected by opioid use and related sequelae. Certain federal and state regulations, secondary to the Child Abuse Prevention and Treatment Act, strip pregnant women with opioid use disorders of the ability to engage autonomously with their health care clinician while simultaneously impeding their ability to achieve and sustain recovery. The purpose of this article is to explore current health policy that impacts pregnant women who use opioids. Recommendations to improve care, broadly, will be highlighted to include access to contraceptive services, universal screening for perinatal substance use, and access to appropriate treatment strategies. Policy modifications to facilitate these recommendations are discussed. The Centers for Disease Control and Prevention Policy Analytical Framework was utilized to derive recommendations. The recommendations are relevant to advanced practice registered nurses and midwives who have the potential to treat substance use in women, to women's health and pediatric registered nurses, and to nursing administrators who are involved in decision-making in obstetric and pediatric settings.
AD - Department of Health and Community Systems, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania, United States.
BT - Policy, politics & nursing practice
C5 - Education & Workforce; Healthcare Disparities; Healthcare Policy; Opioids & Substance Use
CP - 2
CY - United States
DO - 10.1177/1527154420981945
IS - 2
JF - Policy, politics & nursing practice
LA - eng
M1 - Journal Article
N2 - The increase in prescription and illicit opioid use since 2000 has become an urgent public health crisis. While the opioid epidemic spans racial, regional, and socioeconomic divides, women have surfaced as one demographic affected by opioid use and related sequelae. Certain federal and state regulations, secondary to the Child Abuse Prevention and Treatment Act, strip pregnant women with opioid use disorders of the ability to engage autonomously with their health care clinician while simultaneously impeding their ability to achieve and sustain recovery. The purpose of this article is to explore current health policy that impacts pregnant women who use opioids. Recommendations to improve care, broadly, will be highlighted to include access to contraceptive services, universal screening for perinatal substance use, and access to appropriate treatment strategies. Policy modifications to facilitate these recommendations are discussed. The Centers for Disease Control and Prevention Policy Analytical Framework was utilized to derive recommendations. The recommendations are relevant to advanced practice registered nurses and midwives who have the potential to treat substance use in women, to women's health and pediatric registered nurses, and to nursing administrators who are involved in decision-making in obstetric and pediatric settings.
PP - United States
PY - 2021
SN - 1552-7468; 1527-1544
SP - 146
EP - 155
EP - 
T1 - Modernizing Perinatal Substance Use Management
T2 - Policy, politics & nursing practice
TI - Modernizing Perinatal Substance Use Management
U1 - Education & Workforce; Healthcare Disparities; Healthcare Policy; Opioids & Substance Use
U2 - 33349194
U3 - 10.1177/1527154420981945
VL - 22
VO - 1552-7468; 1527-1544
Y1 - 2021
Y2 - May
ER -