Apa research paper outline on opioid overdose

Read terms. Reaffirmed The Society of Maternal—Fetal Medicine endorses this document.

Misuse of Prescription Drugs Research Report

To combat the opioid epidemic, overfose health care providers need to take an active role. Pregnancy provides an important opportunity to identify and treat women with substance use disorders. Substance use disorders affect women across all racial and ethnic groups and all socioeconomic groups, and affect women in rural, urban, and suburban populations.

apa research paper outline on opioid overdose

Therefore, it is essential that screening be universal. Screening for substance use should be a part of comprehensive obstetric care and should be done at the first prenatal visit in partnership with the pregnant woman.

THREE PHASES OF AN INTERTWINED EPIDEMIC

Patients who use opioids during pregnancy apa research paper outline on opioid overdose a diverse group, and it is important to recognize and differentiate between opioid use in the context of medical care, opioid misuse, and untreated opioid use disorder.

Multidisciplinary pape follow-up should include medical, developmental, and social support. Infants born to women who used opioids during pregnancy should be monitored for neonatal abstinence syndrome by a pediatric care provider.

Early universal screening, brief intervention such as engaging a patient in a short conversation, providing feedback and adviceand referral for treatment of pregnant women with opioid use and opioid use disorder improve maternal and infant outcomes. In general, a coordinated multidisciplinary approach without criminal sanctions has the best chance of papre infants and families.

Background

The American College of Obstetricians and Gynecologists ACOG makes the following recommendations and conclusions: Early universal screening, brief intervention such as engaging the patient in a short conversation, providing feedback and adviceand referral for treatment of pregnant women with opioid use and opioid use disorder improve maternal and infant outcomes.

Screening for substance use should be part of comprehensive obstetric care apa research paper outline on opioid overdose should be done at the first prenatal visit in partnership with the pregnant woman. Screening based only on factors, such as poor adherence to prenatal care or prior adverse pregnancy outcome, can lead to missed cases, and may add to stereotyping and stigma. For chronic pain, practice goals include strategies to avoid or minimize the use of opioids for pain management, highlighting alternative pain therapies such as nonpharmacologic eg, exercise, physical therapy, behavioral approachesand nonopioid pharmacologic treatments.

For pregnant women with an opioid use disorder, opioid agonist pharmacotherapy is the recommended therapy and is preferable to medically supervised withdrawal because withdrawal is associated with high relapse rates, which lead to worse outcomes. More research is needed to assess apa research paper outline on opioid overdose safety particularly regarding maternal relapseefficacy, and long-term outcomes of how to write a critical review research paper supervised withdrawal.

apa research paper outline on opioid overdose

Infants born to women who used opioids during pregnancy should be monitored by a pediatric care provider for neonatal abstinence syndrome, a drug withdrawal syndrome that opioid-exposed neonates may experience shortly after birth. Before prescribing opioids for their patients, obstetrician—gynecologists and other health care providers should ensure that opioids are appropriately indicated; discuss the risks and benefits of opioid apa research paper outline on opioid overdose and review treatment goals; and take a thorough history of substance use and review the Prescription Drug Write my essay pro review Program to determine whether patients have received prior opioid prescriptions.

Breastfeeding should be encouraged in women who are stable on their opioid agonists, who are not using illicit drugs, and who have no other contraindications, such as human immunodeficiency virus HIV infection.

apa research paper outline on opioid overdose

Women should be counseled about the need to suspend breastfeeding in the event of a relapse. Access to adequate postpartum psychosocial support services, apa research paper outline on opioid overdose substance use disorder treatment and relapse papper programs, should be made available. Contraceptive counseling and access to contraceptive services should be a routine part of substance use disorder treatment among women of reproductive age to minimize the risk of unplanned pregnancy.

Opioid use in pregnancy has escalated dramatically in recent years, paralleling the epidemic observed in the general population. InU.]