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Medication-Assisted Treatment for Opioid Use Disorder in Pregnancy: Practical Applications and Clinical Impact
Lulu Zhao1, Cece Cheng2, Lauren Bouchard2
1Assistant Professor.
Obstetrical & Gynecological Survey
|April 2, 2020
Summary
Opioid use disorder in pregnancy requires prompt recognition and management. Medication-assisted treatment is the standard of care, optimizing outcomes for both mother and infant.
Area of Science:
- Obstetrics and Gynecology
- Addiction Medicine
- Maternal-Fetal Medicine
Background:
- Opioid use disorder (OUD) is a growing concern in the United States, frequently complicating pregnancies.
- Healthcare providers need updated knowledge on diagnosing and managing OUD in pregnant individuals.
Purpose of the Study:
- To outline screening protocols for opioid misuse during pregnancy.
- To guide the selection of appropriate treatments, including medication-assisted treatment (MAT).
- To detail peripartum care strategies for pregnant patients with OUD.
Main Methods:
- A comprehensive PubMed literature search was conducted.
- Keywords included "opioid use disorder," "pregnancy," "medication assisted treatment," "buprenorphine," "methadone," "heroin," "addiction," "neonatal abstinence syndrome," and "detoxification."
- The search focused on English-language publications, primarily from 2000 onwards.
Main Results:
- Universal screening for OUD is recommended for all pregnant women.
- OUD significantly impacts maternal and fetal health.
- MAT is the established standard of care for pregnant individuals with OUD.
- A multidisciplinary approach is crucial for intrapartum and postpartum management.
Conclusions:
- OUD is a prevalent chronic condition with serious pregnancy implications.
- Timely recognition and effective treatment of OUD improve maternal and infant outcomes.
- Obstetricians must be skilled in managing pregnancies affected by OUD for safe and effective patient care.
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