Details:

Alternative Title:
J Perinatol
Personal Author:
Ko, Jean Y. ; Tong, Van T. ; Haight, Sarah C. ; Terplan, Mishka ; Snead, Carrie ; ... More +
Ko, Jean Y. ; Tong, Van T. ; Haight, Sarah C. ; Terplan, Mishka ; Snead, Carrie ; Schulkin, Jay Less -
Description:
Objective:

To describe obstetrician-gynecologists’ practices and attitudes related to opioid use among pregnant and postpartum women.

Study Design:

A 2017 cross-sectional survey assessed U.S. obstetrician-gynecologists’ (n=462; response rate=34%) practices (management) and attitudes (knowledge, preparedness, confidence, barriers, and resources needed) related to opioid use among pregnant and postpartum women. Modified Poisson regression determined adjusted prevalence ratios (aPR) for advising medication assisted therapy (MAT) for pregnant women with opioid use disorder (OUD) by knowledge, confidence, and preparedness.

Results:

Of respondents, 33% usually or always advised MAT to pregnant women with OUD. Confidence in treating pregnant women who use opioids (aPR: 1.3, 95% CI: 1.0-1.8) and knowledge that substance use services were covered under the Affordable Care Act (aPR: 1.4, 95% CI: 1.1-1.8) were associated with advising MAT.

Conclusion:

Evidence suggests that efforts are needed to enhance physician confidence to manage pregnant and postpartum patients who use opioids, which may increase optimal care of this patient population.


Subject:
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Article

Source:
J Perinatol. 40(3):412-421
Pubmed ID:
31616051
Pubmed Central ID:
PMC7047516
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHS/United States ; #200-2015-M-63715/U.S. Department of Health & Human Services ; Centers for Disease Control and Prevention (CDC)/ ; UA6MC31609/U.S. Department of Health & Human Services ; Health Resources and Services Administration (Health Resources & Services Administration)/ ; ... More +
CC999999/ImCDC/Intramural CDC HHS/United States ; #200-2015-M-63715/U.S. Department of Health & Human Services ; Centers for Disease Control and Prevention (CDC)/ ; UA6MC31609/U.S. Department of Health & Human Services ; Health Resources and Services Administration (Health Resources & Services Administration)/ ; UA6MC19010/U.S. Department of Health & Human Services Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:3bce54e69eab8ae6ad9c9e72aa0195ef0836b60c64a52f6629a4ee943053d047
File Type:

Supporting Files

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