• Clinics in perinatology · Sep 2013

    Review

    Chronic opioid use during pregnancy: maternal and fetal implications.

    • Todd J Stanhope, Lisa A Gill, and Carl Rose.
    • Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Mayo Clinic, 200 First Street SW, Rochester, MN 55902, USA.
    • Clin Perinatol. 2013 Sep 1; 40 (3): 337-50.

    AbstractCurrent trends in the United States suggest that chronic narcotic use has increased in reproductive aged women over the past 10 years. Regular exposure to such substances during pregnancy has maternal and fetal implications. Appropriate prenatal care is critical to optimizing outcomes. Management options for narcotic dependence should be patient-specific and may include discontinuation of narcotics with careful observation, limitation of prescription dispensing, or substitution therapy with methadone or buprenorphine. A multidisciplinary, collaborative approach is highly recommended. This review discusses usage of narcotic medications, associated maternal and fetal risks, and management strategies for the antepartum, intrapartum, and postpartum periods.Copyright © 2013 Elsevier Inc. All rights reserved.

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