Pregnancy
Resources
Basic InformationLatest News
Moms' Soda Habit in Pregnancy May Boost Kids' Odds for AsthmaDiabetes, High Blood Pressure While Pregnant Spells Trouble Later OnHospital Midwives, Lower C-Section Rates?Breathing Dirty Air May Raise Miscarriage RiskPsychostimulant Use Tied to Placental ComplicationsWeighing Too Much or Too Little When Pregnant Can Be RiskyPrenatal Exposure to ADHD Meds Tied to Neonatal MorbidityProlonged Breast-Feeding May Guard Against Teen EczemaEclampsia Tied to Increased Relative Risk of Seizure DisorderInfo Via Social Media Apps May Increase Vaccine AcceptanceBreast-Feeding Bond Lingers for MomEven Partial Breast-Feeding for First Few Months Lowers SIDS Risk3D Ultrasound Not Accurate for ID of Sex in First TrimesterDoctors Urged to Discuss Cord Blood Donations Early in PregnancyAcetaminophen in Pregnancy Tied to ADHD Risk in KidsRecommendations Developed for Trial of Labor After C-SectionOb/Gyns Warn Against 'Vaginal Seeding' Trend for NewbornsSummer Baby, Higher Odds for Postpartum Depression?Incision Length Linked to Pain After CesareanMore Vaginal Births With Lying Down in Second Stage of LaborWomen Falling Short on Birth Defect PreventionBlack Women Face Double the Risk of Pregnancy-Related Heart FailureStudy Debunks Notion That Epidurals Prolong Labor3-D Ultrasound IDs Late-Onset Fetal Growth RestrictionMaternal Multivitamin Use Tied to Lower Risk of Child ASDAntibody Injections in Pregnancy Might Shield Fetus From ZikaSame Pregnancy Meds Can Cost $200 -- or $11,000Tdap Given in Pregnancy Protects Infants From PertussisStudy Questions Practice of Placenta Eating by New MomsWhooping Cough Shot Works, But Many Moms-to-Be Skip It: CDCHigh Blood Pressure in Pregnancy May Boost Child's Obesity RiskIUD Won't Interfere With Breast-FeedingPost-C-Section Cephalexin, Metronidazole Cuts SSI RateCGM Use in Pregnancy Improves Neonatal OutcomesEarly Onset of Pregnancy Complication May Raise Heart RisksPanic Disorder, GAD Not Linked to Adverse Pregnancy OutcomesDoes Mother's Mental Health Affect Pregnancy?Is an Occasional Drink OK During Pregnancy?Risk of Prematurity, SGA Up for Women on Antiepileptic DrugsCould Folic Acid Fight a Cause of Autism?Researchers Find Genes Linked to Preterm BirthHealth Tip: Suggestions for New MomsMom-to-Be's Cellphone May Not Harm Fetal BrainDoes Immune System Hold Clues to Preterm Births?Clinicians Urged to Heighten Alert for Perinatal Suicide Risk1 in 5 Moms Mum About Post-Pregnancy BluesSuicide a Danger for Some Women During Pregnancy: StudyAnti-Vaccine Info in Pregnancy May Delay Infant ImmunizationZika Hijacks Pregnant Woman's Immune SystemSmoking During Pregnancy Up Among Women With Depression
Questions and AnswersLinksBook ReviewsSelf-Help Groups
Related Topics

ACOG: Opioid Agonist Rx First Choice in Affected Pregnancies


HealthDay News
Updated: Jul 28th 2017

new article illustration

FRIDAY, July 28, 2017 (HealthDay News) -- While opioid agonist pharmacotherapy continues to be the recommended therapy for pregnant women with an opioid use disorder, medically supervised withdrawal can be considered under the care of a physician experienced in perinatal addiction treatment and with informed consent, according to a committee opinion published in the August issue of Obstetrics & Gynecology.

Maria A. Mascola, M.D., M.P.H., and colleagues from the American College of Obstetrics and Gynecology Committee on Obstetric Practice and the American Society of Addiction Medicine present ways to address opioid use in pregnancy, which has escalated dramatically in recent years.

The authors note that pregnancy offers an opportunity to identify and treat women with substance use disorders. Substance use screening should be universal, form part of comprehensive obstetric care, and be performed at the first prenatal visit. Opioid agonist pharmacotherapy is recommended for pregnant women with opioid use disorder, and is preferable to medically supervised withdrawal. The authors note there may be a select group of women who make an informed choice of medically supervised withdrawal, which should be under the care of an experienced physician and include long-term follow-up and support to help prevent relapse. Pediatric care providers should monitor infants born to women who used opioids during pregnancy for neonatal abstinence withdrawal syndrome.

"Medication-assisted treatment improves adherence to prenatal care and addiction treatment programs and has been shown to reduce the risk of pregnancy complications," Mascola said in a statement.

Abstract/Full Text