UNC Horizons Program, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, 410 North Greensboro St, Suite 220, Carrboro, NC, 27510, USA.
Semin Perinatol. 2019 Apr;43(3):132-140. doi: 10.1053/j.semperi.2019.01.002. Epub 2019 Jan 14.
As the opioid crisis continues to exist in the United States, opioid use in pregnancy is becoming a more common occurrence. Left untreated, it may result in an increased risk for adverse outcomes for both the mother and her unborn child. Unfortunately, women with opioid use disorders often face numerous barriers when trying to access prenatal care services including limited availability or treatment options, stigma, legal consequences, co-morbid psychiatric disorders, and trauma exposure. A care model that integrates prenatal care, medication assisted treatment and behavioral health services delivered in a trauma-informed environment can improve prenatal care attendance and thus have far-reaching positive implications for both the woman and her newborn child.
在美国，阿片类药物危机持续存在，孕妇阿片类药物使用的情况越来越常见。如果不加以治疗，可能会增加母亲及其未出生婴儿不良后果的风险。不幸的是，患有阿片类药物使用障碍的女性在尝试获得产前护理服务时经常面临许多障碍，包括有限的可用性或治疗选择、耻辱感、法律后果、合并精神疾病和创伤暴露。在一个以创伤知情为基础的环境中提供产前护理、药物辅助治疗和行为健康服务的综合护理模式，可以提高产前护理的出勤率，从而对妇女及其新生儿产生深远的积极影响。
