Treatments for opioid use disorder among pregnant and reproductive-aged women
Treatments for opioid use disorder among pregnant and reproductive-aged women
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DOI：
10.1016/j.fertnstert.2017.06.011
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发表时间：
2017-08-01
影响因子：
6.7
通讯作者：
Abatemarco, Diane J.
中科院分区：
文献类型：
--
作者：
Hand, Dennis J.;Short, Vanessa L.;Abatemarco, Diane J.
阿片类药物使用障碍流行率的增加和获得医疗保险的机会随之增加了医疗专业人员遇到阿片类药物使用障碍患者的可能性。女性阿片类药物使用障碍的急剧增加意味着产科医生，妇科医生和其他生殖医学提供者可能特别容易遇到此类患者。医疗专业人员对阿片类药物使用障碍治疗的理解及其在患者治疗中的作用可能会增加转诊治疗，减少耻辱感，并提高医疗质量。阿片类药物使用障碍的治疗福尔斯分为四个重叠的领域：药物管理，医疗保健，行为/心理健康护理和心理社会支持。在这篇综述中，我们讨论了这些领域的重点是孕妇和育龄妇女。阿片类药物使用障碍的治疗是最有效的，当所有提供者在知情，非判断，以患者为中心的方法协调护理。(C)2017年美国生殖医学会。
The increased prevalence of opioid use disorder and access to medical insurance is subsequently increasing the likelihood that medical professionals will encounter individuals with opioid use disorder. Sharp increases in opioid use disorder among women mean that obstetricians, gynecologists, and other reproductive medicine providers may be especially likely to encounter such patients. Medical professionals' understanding of treatment for opioid use disorder and their roles in their patients' treatment may increase referrals to treatment, reduce stigma, and improve the quality of medical care. Treatment for opioid use disorder falls into four overlapping domains: medication management, medical care, behavioral/mental health care, and psychosocial support. In this review, we discuss these domains with an emphasis on pregnant women and women of reproductive age. Treatment for opioid use disorder is most effective when all providers coordinate care in an informed, nonjudgmental, patient-centered approach. (C) 2017 by American Society for Reproductive Medicine.