Details:

Alternative Title:
MMWR Morb Mortal Wkly Rep
Publisher's site:
http://dx.doi.org/10.15585/mmwr.mm6731a1
Personal Author:
Haight, Sarah C. ; Ko, Jean Y. ; Tong, Van T. ; Bohm, Michele K. ; Callaghan, William M. ;
Haight, Sarah C. ; Ko, Jean Y. ; Tong, Van T. ; Bohm, Michele K. ; Callaghan, William M. ; Less -
Description:
Opioid use by pregnant women represents a significant public health concern given the association of opioid exposure and adverse maternal and neonatal outcomes, including preterm labor, stillbirth, neonatal abstinence syndrome, and maternal mortality (1,2). State-level actions are critical to curbing the opioid epidemic through programs and policies to reduce use of prescription opioids and illegal opioids including heroin and illicitly manufactured fentanyl, both of which contribute to the epidemic (3). Hospital discharge data from the 1999-2014 Healthcare Cost and Utilization Project (HCUP) were analyzed to describe U.S. national and state-specific trends in opioid use disorder documented at delivery hospitalization. Nationally, the prevalence of opioid use disorder more than quadrupled during 1999-2014 (from 1.5 per 1,000 delivery hospitalizations to 6.5; p<0.05). Increasing trends over time were observed in all 28 states with available data (p<0.05). In 2014, prevalence ranged from 0.7 in the District of Columbia (DC) to 48.6 in Vermont. Continued national, state, and provider efforts to prevent, monitor, and treat opioid use disorder among reproductive-aged and pregnant women are needed. Efforts might include improved access to data in Prescription Drug Monitoring Programs, increased substance abuse screening, use of medication-assisted therapy, and substance abuse treatment referrals.
Subject:
[+]
Delivery, Obstetric
Female
Full Report
Hospitalization
Humans
Medical Records
Opioid-Related Disorders
Pregnancy
Prevalence

Source:
MMWR Morb Mortal Wkly Rep. 67(31):845-849. ;
Pubmed ID:
30091969
Pubmed Central ID:
PMC6089335
Document Type:
Journal Article ;
Place as Subject:
United States ;
Collection(s):
Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:
[+]
urn:sha256:ff3300ecbbdb1115859b0a9b6b9a4a9b393c729001d54e721954955020f4227d
File Type:

Supporting Files

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