Vermont Center on Behavior and Health, University of Vermont, United States of America; Department of Psychological Sciences, University of Vermont, United States of America; Department of Psychiatry, University of Vermont, United States of America.
Vermont Center on Behavior and Health, University of Vermont, United States of America; Department of Psychological Sciences, University of Vermont, United States of America.
Prev Med. 2019 Nov;128:105794. doi: 10.1016/j.ypmed.2019.105794. Epub 2019 Aug 6.
Dramatic increases in the rate of opioid use disorder (OUD) during pregnancy have been paralleled by substantial increases in the number of neonates diagnosed with neonatal abstinence syndrome (NAS). Women with OUD have reliably reported high rates of unintended pregnancy and a number of studies also indicate they desire easier access to contraception. Recent statements from the Centers for Disease Control and Prevention and the American Academy of Pediatrics/American College of Obstetricians and Gynecologists have drawn increased attention to efforts to prevent unintended pregnancy and improve access to contraception among women with OUD. We briefly review a number of innovative clinical approaches in these areas, including efforts to integrate family planning services into substance use disorder (SUD) treatment and other settings that serve people with OUD and interventions that aim to make family planning a higher priority among women with OUD. Results suggest many of these approaches have led to increases in contraceptive use and may aid in efforts to reduce unintended pregnancy and improve access to contraception among women with OUD now and in the future.
孕期阿片类药物使用障碍（OUD）发生率的急剧上升，与新生儿戒断综合征（NAS）的诊断数量的大幅增加是同步的。患有 OUD 的女性可靠地报告了高比例的意外怀孕，而且一些研究也表明，她们希望更容易获得避孕措施。最近疾病控制与预防中心和美国儿科学会/美国妇产科医师学会的声明，引起了人们对预防意外怀孕和改善 OUD 女性获得避孕措施的关注。我们简要回顾了这些领域的一些创新临床方法，包括将计划生育服务纳入物质使用障碍（SUD）治疗和其他服务 OUD 患者的环境，以及旨在使计划生育成为 OUD 女性更高优先级的干预措施。结果表明，这些方法中的许多方法已经导致避孕措施的使用增加，并可能有助于减少 OUD 女性的意外怀孕和改善她们获得避孕措施的机会。
