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A Public Health Response to Opioid Use in Pregnancy

Show simple item record Patrick, S. W., & Schiff, D. M. 2018-07-11T15:33:16Z 2018-07-11T15:33:16Z 2018
dc.identifier.citation Patrick, S. W., & Schiff, D. M. (2017). A public health response to opioid use in pregnancy. Pediatrics, e20164070. en_US
dc.description.abstract The use of opioids during pregnancy has grown rapidly in the past decade. As opioid use during pregnancy increased, so did complications from their use, including neonatal abstinence syndrome. Several state governments responded to this increase by prosecuting and incarcerating pregnant women with substance use disorders; however, this approach has no proven benefits for maternal or infant health and may lead to avoidance of prenatal care and a decreased willingness to engage in substance use disorder treatment programs. A public health response, rather than a punitive approach to the opioid epidemic and substance use during pregnancy, is critical, including the following: a focus on preventing unintended pregnancies and improving access to contraception; universal screening for alcohol and other drug use in women of childbearing age; knowledge and informed consent of maternal drug testing and reporting practices; improved access to comprehensive obstetric care, including opioid-replacement therapy; gender-specific substance use treatment programs; and improved funding for social services and child welfare systems. The American College of Obstetricians and Gynecologists supports the value of this clinical document as an educational tool en_US
dc.language.iso en_US en_US
dc.publisher Pediatrics en_US
dc.subject opioids en_US
dc.subject substance abuse en_US
dc.subject prenatal drug exposure en_US
dc.title A Public Health Response to Opioid Use in Pregnancy en_US
dc.type Article en_US

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