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农村环境中的阿片类药物使用障碍和新生儿阿片类戒断综合征。

Opioid Use Disorder and Neonatal Opioid Withdrawal Syndrome in Rural Environments.

机构信息

Department of Pediatrics, Dartmouth Health Children's, 1 Medical Center Drive, Lebanon, NH 03766, USA.

Department of Pediatrics, Dartmouth Health Children's, 1 Medical Center Drive, Lebanon, NH 03766, USA.

出版信息

Pediatr Clin North Am. 2025 Feb;72(1):37-52. doi: 10.1016/j.pcl.2024.07.026. Epub 2024 Sep 2.

Abstract

Rural communities in the United States have seen a steep rise in opioid use disorder (OUD) during pregnancy, with a parallel increase in neonatal opioid withdrawal syndrome (NOWS). The birthing person-infant dyads affected by OUD and NOWS in rural areas face many barriers to accessing care. Innovative approaches have proven successful in improving health outcomes for affected birthing persons and newborns, but more work is needed to continue to improve access to prevention, treatment, and additional support services for this vulnerable population.

摘要

美国农村社区在妊娠期间阿片类药物使用障碍(OUD)的发生率急剧上升,同时新生儿阿片类戒断综合征(NOWS)的发病率也有所增加。在农村地区,受 OUD 和 NOWS 影响的母婴对护理的获取存在诸多障碍。创新方法已被证明可成功改善受影响产妇和新生儿的健康结局,但仍需做更多工作来继续改善这一脆弱人群获得预防、治疗和其他支持服务的机会。

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