Department of Psychiatry, University of North Carolina, Chapel Hill, NC 27599, USA.
Psychosomatics. 2012 Sep-Oct;53(5):424-32. doi: 10.1016/j.psym.2012.04.003. Epub 2012 Aug 14.
Opioid use disorders are a growing public health problem in the United States. Most women who are opioid-dependent are of childbearing age, and management of opioid dependence during pregnancy poses unique challenges. Assessment includes evaluation for addiction, withdrawal syndromes, and comorbid psychiatric diagnoses. Consultation-liaison (C-L) psychiatrists may also be involved in acute pain management, perinatal medication management, buprenorphine induction, and stabilization. For the past four decades, the standard of care has included methadone maintenance, but the increasing use of buprenorphine creates new treatment issues and opportunities.
To educate C-L psychiatrists in emergency and obstetrical settings about the appropriate approach toward the evaluation and basic management of women with opioid dependence in pregnancy.
The authors reviewed the consensus literature and all new treatment options on opioid dependence during pregnancy.
In this review, the authors summarize known and emerging management strategies for opioid dependence in pregnancy pertinent to C-L psychiatrists.
在美国，阿片类药物使用障碍是一个日益严重的公共卫生问题。大多数阿片类药物依赖的女性都处于生育年龄，怀孕期间管理阿片类药物依赖带来了独特的挑战。评估包括成瘾、戒断综合征和合并精神科诊断的评估。联络精神病学家也可能参与急性疼痛管理、围产期药物管理、丁丙诺啡诱导和稳定。在过去的四十年中，标准的治疗方法包括美沙酮维持治疗，但丁丙诺啡的使用越来越多，这带来了新的治疗问题和机会。
教育急诊和产科环境中的联络精神病学家，了解如何对妊娠期间阿片类药物依赖的女性进行评估和基本管理。
作者回顾了关于妊娠期间阿片类药物依赖的共识文献和所有新的治疗选择。
在这篇综述中，作者总结了与联络精神病学家有关的妊娠期间阿片类药物依赖的已知和新兴管理策略。
