Prenatal and Postpartum Care of Women with Substance Use Disorders
Prenatal and Postpartum Care of Women with Substance Use Disorders
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DOI：
10.1016/j.ogc.2014.02.004
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发表时间：
2014-06-01
影响因子：
3.2
通讯作者：
Gopman, Sarah
中科院分区：
文献类型：
--
作者：
Gopman, Sarah
怀孕期间药物滥用的发生率很高，影响到怀孕健康和结果。在查明怀孕期间患有药物滥用障碍的妇女和提供护理方面存在多重挑战。多学科方法已被证明是最成功的提供全面和有效的护理。本文概述了产前和产后护理的关键方面，并简要概述了产时护理。涵盖的问题包括筛查，阿片类药物替代治疗，共病的医疗和精神疾病，环境压力，育儿准备，分娩和产后疼痛管理，母乳喂养指导，预防复发，以及产后过渡到初级保健的援助。
The incidence of substance abuse in pregnancy is substantial and affects pregnancy health and outcomes. Multiple challenges exist in the identification of women with substance abuse disorders in pregnancy and the provision of care. A multidisciplinary approach has been shown to be most successful in providing comprehensive and effective care. This article outlines key aspects of prenatal and postpartum care, with a brief overview provided of intrapartum care. Issues covered include screening, opioid replacement therapy, comorbid medical and psychiatric conditions, environmental stressors, parenting preparation, pain management in labor and postpartum, breastfeeding guidance, prevention of relapse, and assistance with postpartum transition to primary care.