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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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  11. Growing Together: Optimization Of Care Through Quality Improvement For The Mother/infant Dyad Affected By Perinatal Opioid Use

Growing together: Optimization of care through quality improvement for the mother/infant dyad affected by perinatal opioid use

Megan R Miller1, Kathryn Dee L MacMillan2

  • 1Obstetrics & Gynecology, UMMS-Baystate Medical Center, United States.

Seminars in Perinatology
|May 3, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Quality improvement initiatives enhance care for dyads affected by opioid use disorder (OUD). Focusing on the mother-baby dyad and family, these efforts improve outcomes during pregnancy, delivery, and postpartum, especially for racial inequities.

Area of Science:

  • Perinatal health
  • Maternal and infant health
  • Substance use disorder treatment

Background:

  • Caring for dyads affected by opioid use disorder (OUD) necessitates a multidisciplinary approach, often challenging for healthcare institutions.
  • Quality improvement (QI) initiatives have evolved to address the complex needs of mothers, babies, and families impacted by perinatal OUD.
  • Early QI efforts often focused on mothers and infants separately, but have progressed to encompass dyadic and family-centered care across the perinatal continuum.

Purpose of the Study:

  • To review recent and impactful quality improvement (QI) initiatives for dyads affected by opioid use disorder (OUD).
  • To highlight how QI efforts have evolved to provide comprehensive care for the mother-baby dyad and family.
  • To advocate for the integration of a racial equity lens in QI work for perinatal OUD, addressing existing disparities.
Keywords:
Opioid use disorderPregnancydyadperinatal opioid use

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Main Methods:

  • Review of recent and impactful quality improvement (QI) initiatives.
  • Analysis of the evolution of QI efforts in perinatal opioid use disorder (OUD) care.
  • Emphasis on a racial equity framework for evaluating and implementing QI.

Main Results:

  • QI initiatives have demonstrably improved outcomes for mothers, babies, and families affected by perinatal OUD.
  • The focus of QI has shifted from individual care to integrated dyadic and family-centered approaches.
  • Small interventions within QI frameworks can lead to significant positive changes in care delivery and patient outcomes.

Conclusions:

  • Quality improvement is crucial for optimizing care for dyads with opioid use disorder (OUD).
  • A racial equity lens is essential to address and mitigate disparities in care for non-white populations with substance use disorders.
  • QI frameworks offer a pathway to meaningful improvements in the health and well-being of families affected by perinatal OUD.
quality improvement