Zipursky Jonathan, Juurlink David N
Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Institute for Clinical Evaluative Sciences, Toronto, ON, Canada.
Obstet Med. 2021 Dec;14(4):211-219. doi: 10.1177/1753495X20971163. Epub 2020 Dec 6.
Opioid use in pregnancy has increased in parallel to the opioid crisis observed in the general population. Rising rates of peripartum opioid use pose a significant public health concern for both mothers and their children. Pregnancy also represents a unique opportunity for healthcare providers to screen women for opioid use disorder and engage them in appropriate care. In the present review, we describe patterns of opioid use in pregnancy and how this relates to maternal and neonatal health outcomes. We also examine screening for and treatment of opioid use disorder in pregnancy, neonatal outcomes following maternal opioid use, and breastfeeding recommendations for women taking opioids postpartum.
孕期阿片类药物的使用与普通人群中观察到的阿片类药物危机同步增加。围产期阿片类药物使用比例的上升对母亲及其子女都构成了重大的公共卫生问题。怀孕也为医疗保健提供者提供了一个独特的机会，来筛查女性是否患有阿片类药物使用障碍，并让她们接受适当的护理。在本综述中，我们描述了孕期阿片类药物的使用模式及其与孕产妇和新生儿健康结局的关系。我们还研究了孕期阿片类药物使用障碍的筛查和治疗、母亲使用阿片类药物后的新生儿结局，以及对产后服用阿片类药物的女性的母乳喂养建议。
