Foundation for Opioid Response Efforts, 110 West. 40th Street, New York, NY, 10018, USA.
College of Nursing and Professional Disciplines, University of North Dakota, 430 Oxford Street Stop 9025 Grand Forks, Grand Forks, ND, 58202, USA.
Matern Child Health J. 2023 Dec;27(Suppl 1):177-181. doi: 10.1007/s10995-023-03772-8. Epub 2023 Sep 27.
Many pregnant and parenting people with substance use disorders (SUD) refrain from seeking perinatal care or treatment for their SUD for fear of being treated poorly by health care providers and/or triggering a child welfare investigation. For those who do seek treatment, there are relatively few clinicians willing and able to prescribe medications for opioid use disorder (MOUD) to pregnant people. Both stigma and lack of access to treatment put many pregnant and parenting people at risk. Drug-related deaths contribute significantly to U.S. maternal mortality rates, with people at especially high risk of drug overdose in the months following delivery.
The Foundation for Opioid Response Efforts (FORE) is a national philanthropy focused on finding and fostering solutions to the opioid crisis. We draw lessons from our grantees' efforts to expand access to substance use treatment and recovery supports for pregnant and parenting people.
To build systems of care that ensure more pregnant people get timely perinatal care, we need to expand training for perinatal providers on how to provide OUD treatment, clarify child welfare reporting rules, and engage and support trusted organizations and community-based services.
In addition to changes to our systems of SUD treatment and recovery, we need greater philanthropic investment in efforts to combat the public health crisis of substance use and overdose among pregnant and parenting people. Private funders have the leeway to act quickly, take risks, and demonstrate the effectiveness of new approaches, building the case for investment of public resources in such initiatives.
许多患有物质使用障碍（SUD）的孕妇和育儿人士担心受到医疗保健提供者的不良对待和/或引发儿童福利调查，因此避免寻求围产期护理或 SUD 治疗。对于那些确实寻求治疗的人来说，愿意且能够为孕妇开阿片类药物使用障碍（MOUD）药物的临床医生相对较少。污名化和治疗机会不足使许多孕妇和育儿人士面临风险。与药物相关的死亡对美国孕产妇死亡率有重大影响，在分娩后的几个月里，药物过量的风险尤其高。
药物滥用应对努力基金会（FORE）是一家专注于寻找和培养阿片类药物危机解决方案的全国性慈善机构。我们从受赠者努力扩大对孕妇和育儿人士的物质使用治疗和康复支持的经验中吸取教训。
为了建立确保更多孕妇及时获得围产期护理的护理系统，我们需要扩大围产期提供者在如何提供 OUD 治疗方面的培训，澄清儿童福利报告规则，并让值得信赖的组织和社区服务参与进来并为其提供支持。
除了对 SUD 治疗和康复系统进行更改外，我们还需要在对抗孕妇和育儿人士物质使用和药物过量的公共卫生危机方面增加慈善投资。私人资助者有灵活的空间可以迅速采取行动、承担风险并展示新方法的有效性，为公共资源在这些举措上的投资提供案例。
