怀孕和产后期间的物质使用和使用障碍。

IF 8.7 1区 医学 Q1 OBSTETRICS & GYNECOLOGY American journal of obstetrics and gynecology Pub Date : 2025-01-09 DOI:10.1016/j.ajog.2025.01.007
Leah Habersham, Courtney Townsel, Mishka Terplan, Yasmin Hurd
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引用次数: 0

摘要

孕妇和产后个体的物质使用和物质使用障碍(sud)急剧上升,需要加强临床医生教育和干预策略。本专家综述为妇产科医生(OBGYNs)提供了产前和产后期间药物使用的全面概述。我们讨论了流行病学、母体和胎儿的不良反应,以及主要物质的治疗方法:尼古丁、大麻、酒精、苯二氮卓类药物、兴奋剂和阿片类药物。此外,我们解决了在怀孕期间使用药物的伦理和法律影响,并强调公平和非污名化护理的重要性。通过整合循证实践,我们的目标是支持妇产科医生为受sud影响的孕妇和产后个体提供最佳护理。
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Substance Use and Use Disorders During Pregnancy and the Postpartum Period.

Substance use and substance use disorders (SUDs) among pregnant and postpartum individuals have risen dramatically, necessitating enhanced clinician education and intervention strategies. This expert review offers obstetricians and gynecologists (OBGYNs) a comprehensive overview of substance use during the prenatal and postpartum periods. We discuss the epidemiology, maternal and fetal adverse effects, as well as treatment approaches for major substances: nicotine, cannabis, alcohol, benzodiazepines, stimulants, and opioids. Additionally, we address the ethical and legal implications of substance use during pregnancy and emphasize the importance of equitable and non-stigmatizing care. By integrating evidence-based practices, we aim to support OBGYNs in providing optimal care for pregnant and postpartum individuals affected by SUDs.

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来源期刊
CiteScore
15.90
自引率
7.10%
发文量
2237
审稿时长
47 days
期刊介绍: The American Journal of Obstetrics and Gynecology, known as "The Gray Journal," covers the entire spectrum of Obstetrics and Gynecology. It aims to publish original research (clinical and translational), reviews, opinions, video clips, podcasts, and interviews that contribute to understanding health and disease and have the potential to impact the practice of women's healthcare. Focus Areas: Diagnosis, Treatment, Prediction, and Prevention: The journal focuses on research related to the diagnosis, treatment, prediction, and prevention of obstetrical and gynecological disorders. Biology of Reproduction: AJOG publishes work on the biology of reproduction, including studies on reproductive physiology and mechanisms of obstetrical and gynecological diseases. Content Types: Original Research: Clinical and translational research articles. Reviews: Comprehensive reviews providing insights into various aspects of obstetrics and gynecology. Opinions: Perspectives and opinions on important topics in the field. Multimedia Content: Video clips, podcasts, and interviews. Peer Review Process: All submissions undergo a rigorous peer review process to ensure quality and relevance to the field of obstetrics and gynecology.
期刊最新文献
Impact of hypertensive disorders of pregnancy and gestational diabetes mellitus on offspring cardiovascular health in early adolescence. Agnostic identification of plasma biomarkers for postpartum hemorrhage risk. Preterm preeclampsia as an independent risk factor for thromboembolism in a large national cohort. Blood pressure cutoffs at 11-13 weeks of gestation and risk of preeclampsia. Expectant management of preeclampsia with severe features diagnosed at less than 24 weeks.
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