Addiction in Obstetrics-Addiction in Obstetrics

Video Transcription
Video Summary
In this video, Dr. Kristi Dively discusses addiction and pregnancy. She is certified in Obstetrics and Gynecology as well as addiction medicine. The objectives of her lecture are to define treatment protocols for opiate addiction in pregnant patients, describe the therapeutic approach for benzodiazepine addiction during pregnancy, identify methods used for treating alcohol addiction during pregnancy, outline strategies for managing nicotine addiction during pregnancy, and list the potential consequences of substance abuse during pregnancy.<br /><br />Dr. Dively discusses the prevalence of substance abuse in the United States among pregnant women, focusing on drug use, smoking, and alcohol consumption. She emphasizes the importance of screening pregnant women for substance use disorders due to the various negative consequences for both the mother and the fetus.<br /><br />She explains that substance use disorders are treatable, and there is an ethical duty to screen pregnant women for substance use. Treatment protocols for opiate addiction include methadone maintenance and buprenorphine, with an emphasis on comprehensive care including therapy and psychiatric care. She also mentions the use of urine drug screens for monitoring substance use during pregnancy.<br /><br />Dr. Dively discusses the risks associated with benzodiazepine, alcohol, nicotine, and stimulant use during pregnancy. She provides treatment recommendations for each substance, including tapering off benzodiazepines, behavioral interventions for nicotine use, and interdisciplinary care for alcohol and stimulant use disorders.<br /><br />Finally, she briefly mentions neonatal abstinence syndrome, which occurs when a newborn experiences withdrawal symptoms from maternal substance use. She explains the symptoms and treatment options for managing the syndrome.<br /><br />Overall, Dr. Dively emphasizes the importance of comprehensive care and interdisciplinary collaboration in the treatment of addiction during pregnancy. She also highlights the need for healthcare providers to stay updated on state and local laws regarding reporting and intervention for substance use during pregnancy.
Keywords
addiction
pregnancy
treatment protocols
substance abuse
comprehensive care
risks
withdrawal symptoms
interdisciplinary collaboration