Opioid Use Disorder in Pregnancy-VIDEO: Opioid Use in Pregnancy

Video Transcription

Video Summary

Dr. Dawn Hannah, an MFM specialist, gives a lecture on opioid use disorder during pregnancy. She discusses the increase in opioid prescriptions and substance abuse disorder admissions, as well as the rise in neonatal abstinence syndrome. Dr. Hannah defines opioid use disorder and recommends a universal screening for pregnant women to identify and treat the condition. She discusses the use of various screening tools and urine drug testing. Dr. Hannah emphasizes the importance of a multidisciplinary approach to prenatal care, including testing for STIs, HIV, and Hep B/C, and screening for mental health disorders. She also discusses alternative pain therapies for pregnant women. <br />Dr. Hannah explains the use of opioid agonist therapy, such as methadone and buprenorphine, in pregnancy and the precautions needed for their administration. She discusses the importance of antepartum care, including ultrasound evaluations and multidisciplinary consultations. Intrapartum care should include continuation of methadone or Subutex maintenance, additional pain relief, and avoidance of certain medications. Dr. Hannah encourages breastfeeding for mothers on opioid agonist therapy, with precautions for specific medications. Postpartum care involves screening for postpartum depression, contraceptive counseling, and close communication between OB and Peds for the management of neonatal abstinence syndrome. The lecture concludes with a discussion on long-term follow-up and the importance of a non-judgmental approach to support mothers with opioid use disorder.

Keywords

opioid use disorder

pregnancy

neonatal abstinence syndrome

universal screening

multidisciplinary approach

alternative pain therapies

opioid agonist therapy

postpartum care