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Caring for Opioid-dependent Pregnant Women: Prenatal and Postpartum Care Considerations

KRANS, ELIZABETH E. MD, MSc*; COCHRAN, GERALD PhD; BOGEN, DEBRA L. MD

Clinical Obstetrics & Gynecology: June 2015 - Volume 58 - Issue 2 - p 370–379
doi: 10.1097/GRF.0000000000000098
Changes in Obstetrics, and Gynecologic Care

Pregnancy is an opportune time to identify opioid dependence, facilitate conversion to opioid maintenance treatment, and coordinate care with specialists in addiction medicine, behavioral health, and social services. Comprehensive prenatal care for opioid-dependent women involves the evaluation and the management of co-occurring psychiatric disorders, polysubstance use, infectious diseases, social stressors, and counseling regarding the importance of breastfeeding, contraception, and neonatal abstinence syndrome. Although the complex psychiatric, social, and environmental factors faced by this population pose significant challenges to obstetric care providers, the development of strong patient-provider relationships can facilitate the ability to deliver efficient and effective health care during pregnancy.

Departments of *Obstetrics, Gynecology & Reproductive Sciences, Magee-Womens Research Institute

Pediatrics

School of Social Work, University of Pittsburgh, Pittsburgh, Pennsylvania

Supported by the National Center for Advancing Translational Sciences of the National Institutes of Health under Award Number KL2TR000146 (E.E.K.).

The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

The authors declare that they have nothing to disclose.

Correspondence: Elizabeth E. Krans, MD, MSc, Department of Obstetrics, Gynecology & Reproductive Sciences, Magee-Womens Research Institute, University of Pittsburgh, Pittsburgh, PA. E-mail: kransee@upmc.edu

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