Document Detail


Evaluation and Management of Opioid Dependence in Pregnancy.
MedLine Citation:
PMID:  22902085     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Opioid use disorders are a growing public health problem in the United States. Most women who are opioid-dependent are of childbearing age, and management of opioid dependence during pregnancy poses unique challenges. Assessment includes evaluation for addiction, withdrawal syndromes, and comorbid psychiatric diagnoses. Consultation-liaison (C-L) psychiatrists may also be involved in acute pain management, perinatal medication management, buprenorphine induction, and stabilization. For the past four decades, the standard of care has included methadone maintenance, but the increasing use of buprenorphine creates new treatment issues and opportunities. OBJECTIVE: To educate C-L psychiatrists in emergency and obstetrical settings about the appropriate approach toward the evaluation and basic management of women with opioid dependence in pregnancy. METHOD: The authors reviewed the consensus literature and all new treatment options on opioid dependence during pregnancy. DISCUSSION: In this review, the authors summarize known and emerging management strategies for opioid dependence in pregnancy pertinent to C-L psychiatrists.
Authors:
Eliza M Park; Samantha Meltzer-Brody; Joji Suzuki
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-14
Journal Detail:
Title:  Psychosomatics     Volume:  -     ISSN:  1545-7206     ISO Abbreviation:  Psychosomatics     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376506     Medline TA:  Psychosomatics     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 The Academy of Psychosomatic Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Psychiatry, University of North Carolina, Chapel Hill, NC.
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