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PACEs in Pediatrics

Reply to "ACOG Policy Statements on Drug Use During Pregnancy and what Is Actually Happening in the Real World"

Prenatal and Postpartum Care of Women with Substance Use Disorders

Sarah Gorman, BA, MD (2014)

KEYWORDS

Prenatal care Substance abuse disorder Postpartum care Opioid dependence Opioid replacement therapy Pregnancy Opioid addiction

KEY POINTS

  •  Prenatal care providers should screen all patients for substance abuse disorders in preg- nancy using a validated screening tool.
  •  Women identified as having a substance abuse disorder in pregnancy should be offered coordinated multidisciplinary care.
  •  Opioid replacement therapy improves pregnancy outcomes for women with opioid dependence and is not a contraindication to breastfeeding.
  •  Women with substance abuse disorders should be evaluated and treated for concurrent psychiatric disorders.
  •  A respectful, nonjudgmental, and flexible approach by clinicians encourages ongoing pa- tient participation in prenatal care. 
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