Prenatal Opioid Maintenance in the United States and Its Effect on Neonatal Abstinence Syndrome: The Case of West Virginia's Opioid Epidemic.

Q2 Nursing Health Care Manager Pub Date : 2019-07-01 DOI:10.1097/HCM.0000000000000268

Morgan Ruley, Alberto Coustasse

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引用次数: 2

Abstract

West Virginia's opioid epidemic has been the cause of more than 42 000 deaths each year. Opioid abuse has become an issue among pregnant mothers and has increased the effects of neonatal abstinence syndrome (NAS) in infants. The purpose of this study was to evaluate the participation of prenatal opioid maintenance to determine whether it has decreased the amount of treatment needed for NAS in infants in West Virginia. The methodology utilized a literature review complemented with a semistructured interview. Thirty-six sources were referenced for this literature review. It was found that buprenorphine maintenance therapy had the most positive effect on NAS after birth. This review also reported a lack of availability for addicted pregnant women to enroll in maintenance programs and a high dropout rate. Opioid maintenance therapy has permitted pregnant women to refrain from illicit drug use without experiencing withdrawal symptoms, and it has allowed the opportunity for their infants to have better health after birth.

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美国产前阿片类药物维持及其对新生儿戒断综合征的影响:以西弗吉尼亚州阿片类药物流行为例

西弗吉尼亚州的阿片类药物流行每年导致4.2万多人死亡。阿片类药物滥用已成为孕妇的一个问题，并增加了新生儿戒断综合征(NAS)对婴儿的影响。本研究的目的是评估产前阿片类药物维持的参与情况，以确定它是否减少了西弗吉尼亚州婴儿NAS所需的治疗量。研究方法采用文献综述和半结构化访谈相结合的方法。本文献综述参考了36个来源。发现丁丙诺啡维持治疗对出生后NAS的影响最为积极。这篇综述还报道了缺乏可获得性的成瘾孕妇参加维持计划和高辍学率。阿片类药物维持疗法使孕妇能够在不出现戒断症状的情况下避免使用非法药物，并使她们的婴儿有机会在出生后拥有更好的健康状况。

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Health Care Manager HEALTH POLICY & SERVICES-

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期刊介绍： The Health Care Manager (HCM), provides practical, applied management information for managers in institutional health care settings. It is a quarterly journal, horizontally integrated and cutting across all functional lines, written for every person who manages the work of others in any health care setting. This journal presents practical day-to-day management advice as well as research studies addressing current issues in health care management. Its intent is the strengthening management and supervisory skills of its readers and increasing their understanding of today"s health care environment. HCM is searchable through PubMed.

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