Principles of care for pregnant and parenting people with substance use disorder: the obstetrician gynecologist perspective

Frontiers in Pediatrics

Pediatrics

Mishka Terplan¹  Cecily May Barber² 

[1] Friends Research Institute, Baltimore, MD, United States;Department of Family and Community Medicine, University of California, San Francisco, CA, United States;Grayken Center for Addiction, Boston Medical Center, Boston, MA, United States;Department of Obstetrics and Gynecology, Boston University School of Medicine and Boston Medical Center, Boston, MA, United States;

关键词: addiction;    pregnancy;    parenting;    disparities;    stigma;   

DOI  :  10.3389/fped.2023.1045745

 received in 2022-09-16, accepted in 2023-04-17,  发布年份 2023

来源: Frontiers

【 摘 要 】

Substance use in pregnant and parenting persons is common, yet still underdiagnosed. Substance use disorder (SUD) is one of the most stigmatized and undertreated chronic medical conditions, and this is exacerbated in the perinatal period. Many providers are not sufficiently trained in screening or treatment for substance use, so gaps in care for this population persist. Punitive policies towards substance use in pregnancy have proliferated, lead to decreased prenatal care, do not improve birth outcomes, and disproportionately impact Black, Indigenous, and other families of color. We discuss the importance of understanding the unique barriers of pregnancy-capable persons and drug overdose as one of the leading causes of maternal death in the United States. We highlight the principles of care from the obstetrician-gynecologist perspective including care for the dyad, person-centered language, and current medical terminology. We then review treatment of the most common substances, discuss SUD during the birthing hospitalization, and highlight the high risk of mortality in the postpartum period.

【 授权许可】

Unknown   
© 2023 Terplan and Barber.