Prenatal and postpartum care of women with substance use disorders.
The incidence of substance abuse in pregnancy is substantial and affects pregnancy health and outcomes. Multiple challenges exist in the identification of women with substance abuse disorders in pregnancy and the provision of care. A multidisciplinary approach has been shown to be most successful in providing comprehensive and effective care. This article outlines key aspects of prenatal and postpartum care, with a brief overview provided of intrapartum care. Issues covered include screening, opioid replacement therapy, comorbid medical and psychiatric conditions, environmental stressors, parenting preparation, pain management in labor and postpartum, breastfeeding guidance, prevention of relapse, and assistance with postpartum transition to primary care.
Family and Community Medicine, University of New Mexico, MSC09-5040, 2400 Tucker Avenue, Northeast, Albuquerque, NM 87131, USA. Electronic address: sgopman@salud.unm.edu.
Sarah
S
Gopman
D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology*; D058850:Opiate Substitution Treatment / Q000379:methods*; D010817:Physician-Patient Relations; D011181:Postnatal Care; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011295:Prenatal Care; D012017:Referral and Consultation; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation; D014481:United States / Q000453:epidemiology; D016387:Women's Health
Opioid addiction; Opioid dependence; Opioid replacement therapy; Postpartum care; Pregnancy; Prenatal care; Substance abuse disorder