TY - JOUR
KW - Adult
KW - Analgesics, Opioid/adverse effects
KW - Female
KW - Humans
KW - Infant, Newborn
KW - Neonatal Abstinence Syndrome/prevention & control
KW - Opiate Substitution Treatment/methods
KW - Opioid-Related Disorders/complications/drug therapy
KW - Pain Management/methods
KW - Pain Measurement/drug effects
KW - Pregnancy
KW - Pregnancy Complications/prevention & control
KW - Pregnancy Outcome
KW - Pregnancy, High-Risk
KW - pregnant women
KW - Prenatal Care/methods
AU - Rebecca R. Safley
AU - Jamie Swietlikowski
A1 - 
AB - Opioid dependence is an epidemic in the United States, and the percentage of pregnant women who are opioid dependent has increased dramatically in the last decade. Pain management, already a concern for intrapartum and postpartum care, is complicated in the context of opioid dependence. This clinical review surveys the literature on pain management in opioid-dependent pregnant women to summarize current consensus and evidence to guide clinical practice. Points of consensus for pain management in opioid-dependent pregnant women include continual opioid maintenance therapy throughout the pregnancy and the postpartum period; adequate management of acute pain; the contraindication of opioid agonist-antagonists for pain management; and the need for interdisciplinary teams using a multimodal approach to provide optimal care to opioid-dependent pregnant women.
AD - Johns Hopkins University School of Nursing, Baltimore, Maryland (Ms Safley); and University of Maryland School of Medicine, Baltimore (Ms Swietlikowski).
BT - The Journal of perinatal & neonatal nursing
C5 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
CP - 2
CY - United States
DO - 10.1097/JPN.0000000000000244
IS - 2
JF - The Journal of perinatal & neonatal nursing
LA - eng
M1 - Journal Article
N2 - Opioid dependence is an epidemic in the United States, and the percentage of pregnant women who are opioid dependent has increased dramatically in the last decade. Pain management, already a concern for intrapartum and postpartum care, is complicated in the context of opioid dependence. This clinical review surveys the literature on pain management in opioid-dependent pregnant women to summarize current consensus and evidence to guide clinical practice. Points of consensus for pain management in opioid-dependent pregnant women include continual opioid maintenance therapy throughout the pregnancy and the postpartum period; adequate management of acute pain; the contraindication of opioid agonist-antagonists for pain management; and the need for interdisciplinary teams using a multimodal approach to provide optimal care to opioid-dependent pregnant women.
PP - United States
PY - 2017
SN - 1550-5073; 0893-2190
SP - 118
EP - 125
EP - 
T1 - Pain Management in the Opioid-Dependent Pregnant Woman
T2 - The Journal of perinatal & neonatal nursing
TI - Pain Management in the Opioid-Dependent Pregnant Woman
U1 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
U2 - 28437302
U3 - 10.1097/JPN.0000000000000244
VL - 31
VO - 1550-5073; 0893-2190
Y1 - 2017
Y2 - Apr/Jun
ER -