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[Pregnancy and drug dependence]

C Schneider1, G Fischer, K Diamant

  • 1Klinische Abteilung für Allgemeine Psychiatrie, Universitätsklinik für Psychiatrie, Wien.

Wiener Klinische Wochenschrift
|January 1, 1996
PubMed
Summary

Treating opiate-dependent pregnant women with morphine may be an alternative to methadone maintenance. This approach could potentially reduce illicit drug use during pregnancy and improve outcomes for both mother and child.

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Area of Science:

  • Obstetrics and Gynecology
  • Addiction Medicine
  • Neonatology

Context:

  • Opiate dependence during pregnancy poses significant risks to both the mother and the fetus.
  • Illicit drug abuse in pregnant individuals complicates treatment and increases adverse outcomes.
  • Managing opiate-dependent pregnant women requires careful consideration of treatment modalities and potential risks.

Purpose:

  • To evaluate the safety and efficacy of morphine treatment as an alternative for pregnant, opiate-dependent women.
  • To compare outcomes between pregnant women receiving methadone maintenance and those treated with morphine.
  • To assess the impact of treatment on illicit drug consumption and neonatal outcomes.

Summary:

  • A study involving 23 pregnant, opiate-dependent women investigated outpatient treatment options.

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  • Seventeen women were in a methadone maintenance program, while six received morphine treatment.
  • Neonatal outcomes included average birth weight, absence of congenital anomalies, and opiate withdrawal syndrome in maintained infants. Five subjects achieved a drug-free state at delivery.

    • Impact:

    • Morphine treatment may serve as a viable alternative for pregnant women with opiate dependence.
    • This alternative treatment might decrease illicit drug use during pregnancy.
    • Further research is warranted to confirm the benefits of morphine in this patient population.