TY - JOUR
AU - S. Sozen
AU - D. Krag
AU - C. Milliren
A1 - 
AB - BACKGROUND: Pregnant and post-partum women with opioid dependence are an extremely vulnerable population within correctional facilities. A significant number of maternal inmates, however, still lack adequate provision of medications for opioid use disorder (OUD) and are subsequently forced into withdrawal. Currently, there exist no comprehensive reviews on the scope of literature regarding the management of this population. We aimed to provide a review on the research surrounding these women. DESIGN: A systematic search of PubMed Central was conducted to identify studies evaluating OUD among pregnant and post-partum incarcerated women. Citations from only the last 20 years were included to ensure both relevance and scope of information. RESULTS: The topics that emerged from this review included medications for OUD (MOUD) administration vs detoxification practices, treatment upon incarceration and upon release, and maternal and fetal outcomes. Across all articles, current care management of this population appeared inadequate. We further compiled all author recommendations and perspectives into a framework that can inform potential improvements in care coordination. CONCLUSIONS: This review identifies significant gaps in current management-particularly regarding administration of MOUDs-and emphasizes the need for standardization of addiction-related and perinatal healthcare. We also highlight gaps in the literature and potential areas for future research.
AD - Department of Medicine, The Robert Larner, MD College of Medicine, University of Vermont, Burlington, Vermont. ORCID: https://orcid.org/0000-0001-6775-0541.; Department of Surgery, University of Vermont Cancer Center, University of Vermont Larner College of Medicine, Burlington, Vermont.; Institutional Centers for Clinical and Translational Research, Boston Children's Hospital, Boston, Massachusetts.
AN - 37879667
BT - J Opioid Manag
C5 - Opioids & Substance Use; Healthcare Disparities
CP - 7
DA - Special-Issue
DO - 10.5055/jom.2023.0806
DP - NLM
IS - 7
JF - J Opioid Manag
LA - eng
N2 - BACKGROUND: Pregnant and post-partum women with opioid dependence are an extremely vulnerable population within correctional facilities. A significant number of maternal inmates, however, still lack adequate provision of medications for opioid use disorder (OUD) and are subsequently forced into withdrawal. Currently, there exist no comprehensive reviews on the scope of literature regarding the management of this population. We aimed to provide a review on the research surrounding these women. DESIGN: A systematic search of PubMed Central was conducted to identify studies evaluating OUD among pregnant and post-partum incarcerated women. Citations from only the last 20 years were included to ensure both relevance and scope of information. RESULTS: The topics that emerged from this review included medications for OUD (MOUD) administration vs detoxification practices, treatment upon incarceration and upon release, and maternal and fetal outcomes. Across all articles, current care management of this population appeared inadequate. We further compiled all author recommendations and perspectives into a framework that can inform potential improvements in care coordination. CONCLUSIONS: This review identifies significant gaps in current management-particularly regarding administration of MOUDs-and emphasizes the need for standardization of addiction-related and perinatal healthcare. We also highlight gaps in the literature and potential areas for future research.
PY - 2023
SN - 1551-7489 (Print); 1551-7489
SP - 123
EP - 133+
ST - Opioid dependence among pregnant and post-partum incarcerated individuals: A review of the literature
T1 - Opioid dependence among pregnant and post-partum incarcerated individuals: A review of the literature
T2 - J Opioid Manag
TI - Opioid dependence among pregnant and post-partum incarcerated individuals: A review of the literature
U1 - Opioids & Substance Use; Healthcare Disparities
U3 - 10.5055/jom.2023.0806
VL - 19
VO - 1551-7489 (Print); 1551-7489
Y1 - 2023
ER -