Opioid Use Disorder in Pregnancy Health Policy and Practice in the Midst of an Epidemic
Opioid Use Disorder in Pregnancy Health Policy and Practice in the Midst of an Epidemic
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DOI：
10.1097/aog.0000000000001446
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发表时间：
2016-07-01
影响因子：
7.2
通讯作者：
Patrick, Stephen W.
中科院分区：
文献类型：
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作者：
Krans, Elizabeth E.;Patrick, Stephen W.
孕妇滥用阿片类药物已达到流行病的程度，并影响了联邦、州和地方各级的妇幼保健政策。因此，我们回顾了妊娠期阿片类药物使用的现状，并评估了最近旨在打击妊娠期阿片类药物成瘾的立法和卫生政策举措。我们强调安全和负责任的阿片类药物处方做法的重要性，扩大药物辅助治疗的提供和可及性，并使有新生儿戒断综合征风险的新生儿护理标准化。惩罚孕妇的努力以及向保健提供者披露使用药物的负面后果是有害的，可能会阻止妇女在怀孕期间寻求产前护理和其他有益的保健服务。相反，卫生保健提供者应倡导以科学研究和循证实践为依据的卫生政策，以减少产前阿片类药物滥用的负担，并优化母亲及其新生儿的结局。
Opioid abuse among pregnant women has reached epidemic proportions and has influenced maternal and child health policy at the federal, state, and local levels. As a result, we review the current state of opioid use in pregnancy and evaluate recent legislative and health policy initiatives designed to combat opioid addiction in pregnancy. We emphasize the importance of safe and responsible opioid-prescribing practices, expanding the availability and accessibility of medication-assisted treatment and standardizing care for neonates at risk of neonatal abstinence syndrome. Efforts to penalize pregnant women and negative consequences for disclosing substance use to health care providers are harmful and may prevent women from seeking prenatal care and other beneficial health care services during pregnancy. Instead, health care providers should advocate for health policy informed by scientific research and evidence-based practice to reduce the burden of prenatal opioid abuse and optimize outcomes for mothers and their neonates.