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Federal and State Policy Efforts to Address Maternal Opioid Misuse: Gaps and Challenges
Jennifer B Saunders1, Marian P Jarlenski2, Robert Levy3
1Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, Minnesota.
Opioid misuse in pregnant women requires more policy attention, especially for prevention and postpartum care. Addressing treatment barriers like provider shortages and stigma is crucial for maternal and infant health.
Area of Science:
- Public Health
- Maternal Health
- Addiction Medicine
Background:
- Opioid misuse during pregnancy is a growing concern, linked to preterm birth and neonatal abstinence syndrome.
- Increased policy focus aims to reduce opioid misuse and improve treatment for opioid use disorder around childbirth.
Purpose of the Study:
- To identify policy strategies for addressing opioid misuse in pregnant women.
- To outline federal and state laws affecting women before, during, and after pregnancy.
- To pinpoint gaps and challenges in current policies and interventions.
Main Methods:
- A comprehensive review of peer-reviewed and grey literature was performed.
- The review focused on policy strategies, existing legislation, and identified gaps.
Main Results:
- Key gaps include insufficient attention to prevention in reproductive-age women and a lack of postpartum policies.
- Barriers to care are significant, including provider shortages, logistical issues (transportation, childcare), stigma, and fear of legal repercussions.
Conclusions:
- Policymakers must consider the specific needs of pregnant and postpartum women when addressing the opioid epidemic.
- Overcoming treatment barriers is essential for effective interventions and improved outcomes.
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