Obstetrician-Gynecologists’ practice patterns related to opioid use during pregnancy and postpartum - United States, 2017

Ko, Jean Y.; Tong, Van T.; Haight, Sarah C.; Terplan, Mishka; Snead, Carrie; Schulkin, Jay

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Obstetrician-Gynecologists’ practice patterns related to opioid use during pregnancy and postpartum - United States, 2017

Published Date:

October 15 2019

Source:

J Perinatol. 40(3):412-421

Language:

English

[PDF-273.31 KB]

Details:

Alternative Title:

J Perinatol

Personal Author:

Ko, Jean Y. ; Tong, Van T. ; Haight, Sarah C. ; Terplan, Mishka ; Snead, Carrie ; ... More ▼

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:

[+]

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 ▼

Collection(s):

CDC Public Access

Main Document Checksum:

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Supporting Files:

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