TREATMENT ISSUES FOR OPIOID-DEPENDENT WOMEN DURING THE PERINATAL-PERIOD
TREATMENT ISSUES FOR OPIOID-DEPENDENT WOMEN DURING THE PERINATAL-PERIOD
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DOI：
10.1080/02791072.1991.10472236
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发表时间：
1991-04-01
影响因子：
2.8
通讯作者：
FINNEGAN, LP
中科院分区：
文献类型：
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作者：
FINNEGAN, LP
过去三十年来，人们一直在研究阿片类药物依赖对妇女、胎儿和儿童的影响，它仍然是一个严重的问题，必须由卫生保健提供系统认识和解决，以便提供最佳的医疗保健。美沙酮维持治疗等药物疗法的使用只是为阿片依赖妇女提供最佳服务的各种治疗方式之一。在围产期治疗阿片类药物依赖的完整方案是复杂和激烈的，但MMT服务于多个目的。首先，它将成瘾的女性从寻求毒品的环境中移除，消除必要的非法行为，并防止可能在一天中发生的母亲海洛因水平的高峰和低谷。此外，产妇营养通常得到改善，MMT患者变得适合产前护理和心理康复。许多研究结果表明，当阿片类药物依赖的孕妇及其子女的身体，心理和社会经济问题与MMT相结合时，精神活性药物对母亲，胎儿，新生儿和儿童的潜在身体和行为影响可能会显着减少。
Opioid dependence has been studied with regard to its effects on the woman, the fetus, and the child for the past three decades, and it continues to be a serious problem that must be recognized and addressed by the health care delivery system in order to provide optimal medical care. The use of pharmacotherapy, such as methadone maintenance treatment (MMT), is only one of a variety of treatment modalities to provide optimal services for opioid-dependent women. The complete schema for treating opioid dependence in the perinatal period is complex and intense, but MMT serves multiple purposes. Primarily, it removes the addicted woman from the drug-seeking environment, eliminates the necessary illicit behavior, and prevents the peaks and valleys in the maternal heroin level that may occur throughout the day. In addition, maternal nutrition is usually improved and MMT patients become amenable to prenatal care and psychosocial rehabilitation. It is evident from the findings of numerous studies that when the physical, psychological, and socioeconomic issues of pregnant opioid-dependent women and their children are coupled with MMT, the potential physical and behavioral effects of psychoactive drugs on the mother, the fetus, the newborn, and the child may be markedly reduced.