オピオイドを使用する妊婦の産後避妊へのアクセス

Emily R Root¹, Elizabeth A Farabee¹, Katherine B Byrket¹

¹Department of Obstetrics, Gynecology, and Women's Health, University of Louisville, Louisville, KY, USA.

The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception

|August 21, 2025

まとめ

オピオイドを使用しているほとんどの妊婦は,望ましい産後避妊薬を受けられず,意図せぬ妊娠に至った. 長期的な可逆避妊 (LARC) のような方法へのアクセスの拡大は,この集団にとって極めて重要です.

科学分野:

産婦人科
妊婦と胎児の医療
生殖健康

背景:

妊娠中のオピオイド使用は産後ケアに独特の課題をもたらします
有効な避妊は,この脆弱なグループで意図しない妊娠を防ぐために不可欠です.

研究の目的:

オピオイドを使用する妊婦の妊娠後の避妊方法と望ましい避妊方法を比較する.
予期せぬ妊娠率を評価する.

主な方法:

オピオイドの使用と文書化された避妊計画を持つ101人の妊婦の分析.
オピオイド使用障害 (MOUD) の治療薬を受けている患者,または病院でオピオイドを投与されている患者を除外する.
避妊の好みと結果を分析するための記述的統計

主要な成果:

3分の2以上の患者は出院時に望ましい産後避妊薬を投与されなかった.
長期作用の可逆避妊薬 (LARC) が最も望ましい方法であり,デポメドロキシプロゲステロンアセテート (DMPA) が最も一般的であった.
望ましい避妊療法を受けていない患者の約28%が,2年以内に妊娠した.

結論:

オピオイドを服用している妊婦は,望ましい産後避妊と受けた産後避妊の間で大きなギャップがある.
LARCの方法へのアクセスと利用の強化が推奨されています.
避妊手段の利用に関する政策は,この集団における意図しない妊娠を防ぐために必要である.

キーワード:

オピオイド使用障害避妊法について産後について短期間の妊娠

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