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Caring for Parturients with Substance Use Disorders.

David L Stahl1, Leslie J Matthews2

  • 1Department of Anesthesiology, The Ohio State University, 410 West 10th Avenue, Columbus, OH 43210, USA.

Anesthesiology Clinics
|November 15, 2021
PubMed
Summary
This summary is machine-generated.

Managing pregnant patients with substance use disorder requires specialized care for intoxication, withdrawal, and chronic use. Opioid use disorder in pregnancy is a growing concern, necessitating a comprehensive approach beyond medical treatment.

Keywords:
Maternal mortalityMaternal substance useMedication-assisted treatmentNeonatal abstinence syndromeNeonatal opioid withdrawal syndromeOpioid use disorderOverdoseSubstance use disorder

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Area of Science:

  • Obstetrics and Gynecology
  • Addiction Medicine
  • Public Health

Background:

  • Parturients with substance use disorder present complex management challenges including intoxication, withdrawal, and chronic use.
  • Opioid use disorder in pregnancy has increased significantly (more than 4-fold) over the last decade.
  • Geographic variability in opioid use disorder is substantial (50-fold), surpassing other substance use issues in this demographic.

Purpose of the Study:

  • To highlight the complexities in managing pregnant patients with substance use disorder.
  • To emphasize the rising prevalence and variability of opioid use disorder in pregnancy.
  • To underscore the need for a multidisciplinary approach considering medical, public health, and criminal justice factors.

Main Methods:

  • This is a review/discussion of current clinical challenges and public health implications.
  • No specific patient data or clinical trial methods were detailed in the abstract.
  • Focus is on synthesizing existing knowledge regarding substance use disorder in parturients.

Main Results:

  • Substance use disorder in parturients requires expert management for intoxication, withdrawal, and analgesia during labor.
  • Opioid use disorder in pregnancy shows a significant increasing trend and wide geographic disparities.
  • Optimal care necessitates understanding medical, public health, and criminal justice dimensions.

Conclusions:

  • Effective management of parturients with substance use disorder demands specialized expertise.
  • The escalating prevalence and geographic variability of opioid use disorder in pregnancy require urgent attention.
  • A holistic approach integrating medical, public health, and legal considerations is crucial for this vulnerable population.