title: Specialized drug liaison midwife services for pregnant opioid dependent women in Dublin, Ireland.
abstract: The health needs of pregnant opioid dependent women are increasingly being recognized by health care professionals. These women generally receive limited antenatal care. Maternal and neonatal outcomes are also poorer compared to non-drug using women. The number of pregnant opioid dependent women accessing drug treatment services in the Irish Republic has increased. A specialist Drug Liaison Midwife service was created in March 1999 to liaise between the three Dublin Maternity hospitals and the Drug Treatment Services. This paper surveys the first year of operation of one of these posts. It documents sociodemographic background, substance use, and medical histories of these women in addition to maternal and neonatal outcomes. Higher maternal methadone dose was associated with an increased risk of neonatal withdrawals among these women. The experience of this specialist liaison service indicates that it is possible to build effective working relationships between opioid dependent pregnant women and the Obstetric and Drug services involved in their care. This has resulted in benefit to these women, their children and the Irish Health Care system.
authors.affiliation: Department of Addictive Behaviour and Psychological Medicine, St George's Hospital Medical School, Cranmer Terrace, London SW17 0RE, UK. mpscully75@aol.com
authors.forename: Mike
authors.initials: M
authors.lastname: Scully
authors.forename: Noreen
authors.initials: N
authors.lastname: Geoghegan
authors.forename: Paul
authors.initials: P
authors.lastname: Corcoran
authors.forename: Marika
authors.initials: M
authors.lastname: Tiernan
authors.forename: Eamon
authors.initials: E
authors.lastname: Keenan
mesh_terms: D000328:Adult; D003415:Crime; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007494:Ireland / Q000453:epidemiology; D001523:Mental Disorders / Q000150:complications; D008691:Methadone / Q000627:therapeutic use; D008880:Midwifery; D009294:Narcotics / Q000627:therapeutic use; D009357:Neonatal Abstinence Syndrome / Q000628:therapy; D009293:Opioid-Related Disorders / Q000453:epidemiology / Q000534:rehabilitation*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D011256:Pregnancy Outcome; D011295:Prenatal Care; D012959:Socioeconomic Factors; D014777:Virus Diseases / Q000150:complications
chemical_list: D009294:Narcotics; D008691:Methadone