Managing Pregnancy and Substance Use Disorders Using a Reproductive Justice Framework-VIDEO: Compassionate Care of Substance Use During Pregnancy and Beyond

VIDEO: Compassionate Care of Substance Use During Pregnancy and Beyond

Video Transcription

Video Summary

Tricia Wright, an obstetrician and addiction medicine specialist, discusses how to screen for and assess substance use disorders during pregnancy, counsel patients on appropriate treatment options, manage post-operative pain, and prevent maternal mortality. She notes that addiction was historically thought of as a man's disease, but women have been affected by addiction throughout history. Wright explains the importance of using validated screening tools, such as the NIDA-4 and 4Ps Plus, to identify substance use disorders during pregnancy. She emphasizes the benefits of methadone and buprenorphine as treatment options for opioid use disorder in pregnancy, citing reduced overdose-related deaths and improved fetal outcomes. Wright also addresses pain management strategies for pregnant individuals on opioids, highlighting the need for individualized approaches and multimodal pain control. She discusses the use of naltrexone for alcohol use disorder and provides guidance for managing pain and substance use disorders in the postpartum period. Finally, she raises awareness about the increasing prevalence of alcohol use disorder among women, the associated risks, and the importance of addressing this issue during pregnancy.

Keywords

substance use disorders

pregnancy

treatment options

maternal mortality

screening tools

opioid use disorder

pain management strategies

alcohol use disorder