Department of Obstetrics and Gynecology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
Department of Obstetrics and Gynecology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
Fertil Steril. 2017 Aug;108(2):222-227. doi: 10.1016/j.fertnstert.2017.06.011. Epub 2017 Jul 8.
The increased prevalence of opioid use disorder and access to medical insurance is subsequently increasing the likelihood that medical professionals will encounter individuals with opioid use disorder. Sharp increases in opioid use disorder among women mean that obstetricians, gynecologists, and other reproductive medicine providers may be especially likely to encounter such patients. Medical professionals' understanding of treatment for opioid use disorder and their roles in their patients' treatment may increase referrals to treatment, reduce stigma, and improve the quality of medical care. Treatment for opioid use disorder falls into four overlapping domains: medication management, medical care, behavioral/mental health care, and psychosocial support. In this review, we discuss these domains with an emphasis on pregnant women and women of reproductive age. Treatment for opioid use disorder is most effective when all providers coordinate care in an informed, nonjudgmental, patient-centered approach.
阿片类药物使用障碍的患病率增加以及医疗保险的普及，使得医疗专业人员更有可能遇到阿片类药物使用障碍患者。女性阿片类药物使用障碍的急剧增加意味着妇产科医生和其他生殖医学提供者可能特别容易遇到此类患者。医疗专业人员对阿片类药物使用障碍治疗的理解及其在患者治疗中的作用可能会增加对治疗的转介，减少污名化，并提高医疗服务质量。阿片类药物使用障碍的治疗分为四个重叠领域：药物管理、医疗保健、行为/心理健康保健和社会心理支持。在这篇综述中，我们讨论了这些领域，重点是孕妇和育龄妇女。当所有提供者都以知情、非评判和以患者为中心的方式协调护理时，阿片类药物使用障碍的治疗效果最佳。
