Haycraft Amy L
J Psychosoc Nurs Ment Health Serv. 2018 Mar 1;56(3):19-23. doi: 10.3928/02793695-20180219-03.
Opioid use disorder (OUD) in pregnancy is increasing, which often results in poor maternal and neonatal outcomes including neonatal abstinence syndrome (NAS) as a result of lack of prenatal care and inadequate substance use disorder management. Practice guidelines have been developed to manage OUD during and after pregnancy for mother and baby, but barriers exist, limiting comprehensive implementation. To reduce the impact of OUD in pregnancy and associated maternal and neonatal sequela, implementing compassionate evidence-based care and a non-punitive response is needed. A stigma-free approach, substance use disorder screening, medication-assisted treatment, screening and treatment of mental health disorders, and an after-birth environment that promotes maternal-child bonding are recommended. [Journal of Psychosocial Nursing and Mental Health Services, 56(3), 19-23.].
孕期阿片类物质使用障碍（OUD）的发生率正在上升，这常常导致不良的母婴结局，包括由于缺乏产前护理和物质使用障碍管理不足而导致的新生儿戒断综合征（NAS）。已经制定了实践指南来管理孕期及产后母婴的OUD，但存在障碍，限制了全面实施。为减少孕期OUD及其相关母婴后遗症的影响，需要实施富有同情心的循证护理和非惩罚性应对措施。建议采用无歧视方法、物质使用障碍筛查、药物辅助治疗、心理健康障碍筛查与治疗，以及促进母婴亲密关系的产后环境。[《心理社会护理与心理健康服务杂志》，56(3) , 19 - 23。]
