Green Caitlin, Board Amy, Squire Claudia, Adams Elizabeth T, Kim Shin Y, Brown Jill A, Williams Peyton, Malik Raahina, Polen Kara, Gilboa Suzanne M, Miele Kathryn
Division of Birth Defects and Infant Disorders, https://ror.org/042twtr12Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA.
Research Triangle Institute (RTI) International, Research Triangle Park, NC, USA.
Disaster Med Public Health Prep. 2025 Jun 17;19:e154. doi: 10.1017/dmp.2025.10089.
About 13% of pregnant women with substance use disorder (SUD) receive treatment and many may encounter challenges in accessing perinatal care, making it critical for this population to receive uninterrupted care during a global pandemic.
From October 2021-January 2022, we conducted an online survey of pregnant and postpartum women and interviews with clinicians who provide care to this population. The survey was administered to pregnant and postpartum women who used substances or received SUD treatment during the COVID-19 pandemic.
Two hundred and ten respondents completed the survey. All respondents experienced pandemic-related barriers to routine health care services, including delays in prenatal care and SUD treatment. Disruptions in treatment were due to patient factors (38.2% canceled an appointment) and clinic factors (25.5% had a clinic cancel their appointment). Respondents were generally satisfied with telehealth ( = 3.97, = 0.82), though half preferred a combination of in-person and telehealth visits. Clinicians reported telehealth improved health care access for patients, however barriers were still observed.
Although strategies were employed to mitigate barriers in care during COVID-19, pregnant and postpartum women who used substances still experienced barriers in receiving consistent care. Telehealth may be a useful adjunct to enhance care access for pregnant and postpartum women during public health crises.
约13%患有物质使用障碍（SUD）的孕妇接受了治疗，许多人在获得围产期护理方面可能会遇到挑战，这使得该人群在全球大流行期间获得不间断护理至关重要。
2021年10月至2022年1月，我们对孕妇和产后妇女进行了在线调查，并对为该人群提供护理的临床医生进行了访谈。该调查针对在新冠疫情期间使用过物质或接受过SUD治疗的孕妇和产后妇女。
210名受访者完成了调查。所有受访者都经历了与疫情相关的常规医疗服务障碍，包括产前护理和SUD治疗的延迟。治疗中断是由于患者因素（38.2%取消了预约）和诊所因素（25.5%诊所取消了他们的预约）。受访者总体上对远程医疗感到满意（均值 = 3.97，标准差 = 0.82），不过一半的人更喜欢面对面和远程医疗相结合的就诊方式。临床医生报告说远程医疗改善了患者获得医疗服务的机会，然而障碍仍然存在。
尽管在新冠疫情期间采取了策略来减轻护理障碍，但使用物质的孕妇和产后妇女在获得持续护理方面仍然遇到障碍。在公共卫生危机期间，远程医疗可能是增强孕妇和产后妇女获得医疗服务机会的有用辅助手段。
