Should pregnant women with substance use disorders be managed differently?
Should pregnant women with substance use disorders be managed differently?
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DOI：
10.2217/npy.11.74
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发表时间：
2012-02-01
期刊：
影响因子：
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通讯作者：
Fischer, Gabriele
中科院分区：
文献类型：
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作者：
Metz, Verena;Koechl, Birgit;Fischer, Gabriele
患有药物使用障碍的孕妇有多种特殊需要，最好在包括医疗、心理和社会护理在内的多专业治疗环境中加以管理。提供适当的治疗仍然是卫生保健专业人员面临的挑战，他们在处理这一患者群体时应该接受特殊的培训和教育。为了使母亲和新生儿获得有益的临床结果，有必要对干预措施进行仔细评估和筛查，以使其适合妇女的需要，而治疗方案的选择在很大程度上取决于滥用物质的类型和现有的循证治疗干预措施。经济方面的考虑表明，早期多专业治疗可能产生更好的临床结果，并在整个生命周期中节省医疗费用。
Pregnant women with substance use disorders have multiple special needs, which might be best managed within a multiprofessional treatment setting involving medical, psychological and social care. Adequate treatment provision remains a challenge for healthcare professionals, who should undergo special training and education when working with this patient population. Careful assessment and screening is necessary to tailor interventions individually to the woman's needs in order to achieve beneficial clinical outcomes for mothers and newborns, whereas the choice of treatment options highly depends on the type of substance of abuse and evidence-based treatment interventions available. Economic considerations have shown that early multiprofessional treatment might yield better clinical outcomes and save healthcare costs over the lifespan.