Opioid-Use Disorders in Pregnancy Management Guidelines for Improving Outcomes

This book will help readers gain vital guidance and support when treating the high-risk, high-reward population of women confronting (or battling) opioid-use disorders during pregnancy. Large numbers of pregnant women are dependent on opioids and require comprehensive non-judgemental care to replace traditional approaches of incarceration and child welfare involvement that worsen outcomes for both mother and infant. Invaluable and comprehensive, this toolkit provides the key to non-judgemental care for both mother and baby, throughout labor, delivery management and postpartum care. It bridges the important treatment gap through evidence-based, caring approach; standardizing exceptional care, for obstetricians, pediatricians, addictionists, and anyone caring for pregnant women with opioid-use disorders. Edited by a Board-certified expert in obstetrics, gynecology and addiction medicine, and a team of internationally-acclaimed leaders in women's health, this guide provides high-quality advice, guidelines and vital skills to tackle a currently expanding opioid epidemic.

Part I. Substance Use Disorders in Women and Pregnancy: 1. The opioid epidemic and pregnant women Tricia E. Wright; 2. Screening, brief intervention and referral to treatment for opioid use disorders in pregnancy Tricia E. Wright; 3. Substance use assessment during pregnancy Jacqueline Starrer and Carl Christenson; 4. Co-occurring mental health conditions in pregnant women with opioid use disorders Alexis S. Hammond and Margaret S. Chisolm; 5. Trauma and post-traumatic stress disorder in women with opioid use disorder in pregnancy Soraya Asadi; 6. Intimate partner violence, pregnancy and substance use disorder Rich Soper and Hendree Jones; 7. Medical comorbidities in women with opioid-use disorders in pregnancy Kaylin A. Klie; 8. Harm reduction principles in women with opioid use disorder in pregnancy Lauren Owens and Mishka Terplan; Part II. Antepartum and Intrapartum Care: 9. Prenatal care in substance-using pregnant women Charles Schauberger; 10. Treatment approaches in women with substance use disorders who become pregnant Hendree Jones; 11. Medication assisted treatment for opioid use disorder during pregnancy Lawrence Leeman and Jacqueline Starer; 12. Labor and delivery management in women with substance use disorder Marjorie Meyer and Tricia Wright; Part III. Postpartum: 13. Postpartum care for women with substance use disorders Elizabeth E. Krans, Sebastian T. Tong and Mishka Terplan; Part IV. The Newborn: 14. Neonatal abstinence syndrome Karol Kaltenbach and Loretta Finnegan; 15. Breastfeeding and the substance-exposed dyad Lauren M. Jansson and Stephen W. Patrick.

Tricia E. Wright is an Associate Professor of Obstetrics, Gynecology and Women's Health at the University of Hawaii, and founder of Waikiki Health PATH Clinic, providing addiction care for women. She is also past President of the Women's Action Group of the American Society of Addiction Medicine and the Chair of the Opioids Task Force, for the American College of Obstetrics and Gynecology. She has authored multiple research papers on women with substance use disorders.