Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania.
Santa Rosa Community Health, Santa Rosa, California.
J Midwifery Womens Health. 2019 Mar;64(2):217-224. doi: 10.1111/jmwh.12960. Epub 2019 Mar 13.
Opioid use disorder among pregnant women is common and rapidly increasing nationwide. Group prenatal care is an innovative alternative to individual care for pregnant women and has been shown to improve women's and health care providers' satisfaction and adherence to care. We describe a novel group prenatal care program colocated in an opioid treatment program that integrates prenatal care, substance use disorder counseling, and medication-assisted treatment. Our interprofessional model draws on the unique contributions of physicians, midwives, nurses, and mental health professionals to address the complex needs of pregnant women with opioid use disorder. Participants reported increased trust and engagement with health care providers and peers, improved prenatal care and birth experience, and increased resilience for relapse prevention. Group prenatal care is an accepted and promising model for women with opioid use disorder in pregnancy and has the potential to improve outcomes for women and newborns.
孕妇阿片类药物使用障碍较为常见，且在全国范围内迅速增加。小组产前护理是一种针对孕妇的创新替代个体护理的方法，已被证明可以提高妇女和医疗保健提供者对护理的满意度和依从性。我们描述了一种新的小组产前护理项目，该项目位于阿片类药物治疗项目中，整合了产前护理、物质使用障碍咨询和药物辅助治疗。我们的跨专业模式借鉴了医生、助产士、护士和心理健康专业人员的独特贡献，以满足患有阿片类药物使用障碍的孕妇的复杂需求。参与者报告说，他们对医疗保健提供者和同行的信任和参与度有所提高，产前护理和分娩体验有所改善，并且对预防复发的适应能力有所提高。小组产前护理是一种被接受且有前途的针对孕期阿片类药物使用障碍妇女的模式，有可能改善妇女和新生儿的结局。
