Eagle Global Scientific LLC, San Antonio, Texas, USA.
Division of Birth Defects and Infant Disorders, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
J Womens Health (Larchmt). 2020 Dec;29(12):1491-1499. doi: 10.1089/jwh.2020.8848. Epub 2020 Nov 23.
Pregnant women with opioid use disorder (OUD) are at risk of overdose, infectious diseases, and inadequate prenatal care. Additional risks include adverse pregnancy and infant outcomes, such as preterm birth and neonatal abstinence syndrome. Management and treatment of OUD during pregnancy are associated with improved maternal and infant outcomes. Professional organizations, including the American College of Obstetricians and Gynecologists, recommend offering opioid agonist pharmacotherapy (, methadone or buprenorphine) combined with behavioral therapy as standard treatment for pregnant women with OUD. Other medications and herbal supplements have also been used by pregnant women for OUD. Determining which OUD treatments optimize maternal and infant outcomes is challenging given the host of potential factors that affect these outcomes. The Centers for Disease Control and Prevention initiated the MATernaL and Infant NetworK to Understand Outcomes Associated with Treatment of Opioid Use Disorder during Pregnancy (MAT-LINK) to monitor more than 2000 mothers and their infants, using data collected from geographically diverse clinical sites. Information learned from MAT-LINK will inform the future management and treatment of pregnant women with OUD.
患有阿片类药物使用障碍(OUD)的孕妇有发生药物过量、传染病和产前护理不足的风险。其他风险包括不良的妊娠和婴儿结局,如早产和新生儿戒断综合征。在怀孕期间对 OUD 的管理和治疗与改善母婴结局相关。专业组织,包括美国妇产科医师学会,建议对患有 OUD 的孕妇提供阿片类激动剂药物治疗(,美沙酮或丁丙诺啡)联合行为治疗作为标准治疗。其他药物和草药补充剂也被孕妇用于治疗 OUD。鉴于影响这些结局的潜在因素众多,确定哪种 OUD 治疗方法能优化母婴结局具有挑战性。疾病控制和预防中心发起了 MATernaL 和婴儿网络,以了解与妊娠期治疗阿片类药物使用障碍相关的结局(MAT-LINK),以监测来自地理位置不同的临床地点的 2000 多名母亲及其婴儿。从 MAT-LINK 获得的信息将为未来患有 OUD 的孕妇的管理和治疗提供信息。