| Title |
Caring for Pregnant Women with Opioid Use Disorder in the USA: Expanding and Improving Treatment
|
|---|---|
| Published in |
Current Obstetrics and Gynecology Reports, July 2016
|
| DOI | 10.1007/s13669-016-0168-9 |
| Pubmed ID | |
| Authors |
Kelley A. Saia, Davida Schiff, Elisha M. Wachman, Pooja Mehta, Annmarie Vilkins, Michelle Sia, Jordana Price, Tirah Samura, Justin DeAngelis, Clark V. Jackson, Sawyer F. Emmer, Daniel Shaw, Sarah Bagley |
| Abstract |
Opioid use disorder in the USA is rising at an alarming rate, particularly among women of childbearing age. Pregnant women with opioid use disorder face numerous barriers to care, including limited access to treatment, stigma, and fear of legal consequences. This review of opioid use disorder in pregnancy is designed to assist health care providers caring for pregnant and postpartum women with the goal of expanding evidence-based treatment practices for this vulnerable population. We review current literature on opioid use disorder among US women, existing legislation surrounding substance use in pregnancy, and available treatment options for pregnant women with opioid use disorder. Opioid agonist treatment (OAT) remains the standard of care for treating opioid use disorder in pregnancy. Medically assisted opioid withdrawal ("detoxification") is not recommended in pregnancy and is associated with high maternal relapse rates. Extended release naltrexone may confer benefit for carefully selected patients. Histories of trauma and mental health disorders are prevalent in this population; and best practice recommendations incorporate gender-specific, trauma-informed, mental health services. Breastfeeding with OAT is safe and beneficial for the mother-infant dyad. Further research investigating options of OAT and the efficacy of opioid antagonists in pregnancy is needed. The US health care system can adapt to provide quality care for these mother-infant dyads by expanding comprehensive treatment services and improving access to care. |
X Demographics
The data shown below were collected from the profiles of 27 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 15 | 56% |
| Belarus | 1 | 4% |
| Colombia | 1 | 4% |
| Unknown | 10 | 37% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 20 | 74% |
| Practitioners (doctors, other healthcare professionals) | 3 | 11% |
| Scientists | 3 | 11% |
| Science communicators (journalists, bloggers, editors) | 1 | 4% |
Mendeley readers
The data shown below were compiled from readership statistics for 189 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 189 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 33 | 17% |
| Researcher | 25 | 13% |
| Student > Ph. D. Student | 22 | 12% |
| Student > Bachelor | 19 | 10% |
| Student > Doctoral Student | 12 | 6% |
| Other | 33 | 17% |
| Unknown | 45 | 24% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 41 | 22% |
| Medicine and Dentistry | 40 | 21% |
| Social Sciences | 20 | 11% |
| Psychology | 12 | 6% |
| Agricultural and Biological Sciences | 4 | 2% |
| Other | 19 | 10% |
| Unknown | 53 | 28% |
Attention Score in Context
This research output has an Altmetric Attention Score of 95. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 January 2022.
All research outputs
#458,061
of 25,839,971 outputs
Outputs from Current Obstetrics and Gynecology Reports
#3
of 93 outputs
Outputs of similar age
#8,970
of 368,775 outputs
Outputs of similar age from Current Obstetrics and Gynecology Reports
#1
of 7 outputs
Altmetric has tracked 25,839,971 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 93 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.9. This one has done particularly well, scoring higher than 96% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 368,775 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 97% of its contemporaries.
We're also able to compare this research output to 7 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them