The Pregnancy Recovery Center: A women-centered treatment program for pregnant and postpartum women with opioid use disorder

Krans, Elizabeth E.; Bobby, Stephanie; England, Michael; Gedekoh, Robert H.; Chang, Judy C.; Maguire, Bawn; Genday, Patty; English, Dennis

doi:10.1016/j.addbeh.2018.05.016

Cited by 54 publications

(39 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Eight studies were identified that sought to examine ways to improve breastfeeding rates for this population of women (Table ). Two studies examined the use of treatment programs that included breastfeeding education, and one additional study examined breastfeeding education alone . Three studies compared the implementation of new, breastfeeding‐friendly policies with prior policies, and one study described the management of NAS, including breastfeeding recommendations, in Canadian neonatal intensive care units (NICUs) .…”

Section: Resultsmentioning

confidence: 99%

“…Finally, one of the studies evaluated multiple daily dosing of methadone in pregnancy and included breastfeeding as an outcome of interest . All of the studies were retrospective chart reviews, except one study that used a survey to describe the array of NAS management practices in Canada …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Krans et al compared breastfeeding rates between women on opioid maintenance therapy who received care in a woman‐centered substance abuse program versus a standard program . The women‐centered substance abuse program involved numerous interventions, such as pregnancy‐specific methadone dosing, childcare during appointments, breastfeeding education, and group support . The authors reported that, although breastfeeding was more common for initiation of breastfeeding among the women in the intervention arm compared with women in the standard care arm (55.4% vs 54.2% respectively; P = .83) and decreased less at discharge (48.6% vs 40.7% respectively; P = .26), these differences were not statistically significant .…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Breastfeeding in Women on Opioid Maintenance Therapy: A Review of Policy and Practice

Clark

2019

J Midwife Womens Health

View full text Add to dashboard Cite

Introduction:Opioid use is epidemic in the United States. Opioid use disorder (OUD) in pregnancy, as well as neonatal abstinence syndrome, has quadrupled in the last decade, and opioid maintenance therapy is recommended for pregnant women with OUD. Breastfeeding is an important means of improving outcomes for these vulnerable women and newborns. The purpose of this study was to review current policy on breastfeeding and opioid maintenance therapy, the rates of breastfeeding among women in this population, and facilitators and barriers to implementing policy recommendations.Methods: CINAHL, PubMed, the Cochrane Database of Systematic Reviews, Embase, and Web of Science were searched. Inclusion criteria included publication between 2013 and 2018, English language, human only, and original data (except for policy statements). Studies were excluded if they did not report original data and did not examine breastfeeding for women on opioid maintenance therapy.Results: Eight policy statements and 17 original research studies were identified that met the search criteria. All the policy statements support breastfeeding for women who are stable on opioid maintenance therapy and do not have HIV. Despite this, rates of breastfeeding among women receiving opioid maintenance therapy remain low compared with women in the general population. Results of qualitative research indicates that women on opioid maintenance therapy face numerous barriers to breastfeeding, including misinformation from health care professionals. Quantitative research has only begun to identify interventions to improve breastfeeding outcomes in this population. Research was conducted primarily with white women receiving care at urban health care centers. Discussion:Practice lags behind policy in terms of supporting breastfeeding in women receiving opioid maintenance therapy. There is a need for more research that includes African American and rural women on opioid maintenance therapy, as well as quantitative research that uses findings from qualitative research to identify the best possible interventions for improving breastfeeding outcomes for women on opioid maintenance therapy and their newborns. One significant need is for health care provider education regarding these policies as well as best practices for providing breastfeeding education and support to this population. 545 RESULTSA total of 558 results were found, 154 duplicates were removed, and 404 titles and abstracts were screened. Of the 404 articles, 344 were excluded for failing to meet inclusion 546

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Breastfeeding in Women on Opioid Maintenance Therapy: A Review of Policy and Practice

Clark

2019

J Midwife Womens Health

View full text Add to dashboard Cite

show abstract

“…If resources are limited in OUD treatment settings, prenatal and postpartum contraceptive counseling by OUD treatment providers and improved postpartum care coordination with obstetric and primary care providers who provide contraceptive services may also improve postpartum contraceptive use among women with OUD. [25] Further evaluations are also warranted to examine contraceptive counseling approaches, patient preferences and additional barriers to contraceptive use relevant for women with OUD.…”

Section: Discussionmentioning

confidence: 99%

Prenatal intent and postpartum receipt of long-acting reversible contraception among women receiving medication-assisted treatment for opioid use disorder

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

Stressful life events and prescription opioid use during pregnancy: findings from the 2019 pregnancy risk assessment monitoring system

Testa

Crawford

Jackson

et al. 2022

Soc Psychiatry Psychiatr Epidemiol

View full text Add to dashboard Cite

The Pregnancy Recovery Center: A women-centered treatment program for pregnant and postpartum women with opioid use disorder

Cited by 54 publications

References 24 publications

Breastfeeding in Women on Opioid Maintenance Therapy: A Review of Policy and Practice

Breastfeeding in Women on Opioid Maintenance Therapy: A Review of Policy and Practice

Prenatal intent and postpartum receipt of long-acting reversible contraception among women receiving medication-assisted treatment for opioid use disorder

Stressful life events and prescription opioid use during pregnancy: findings from the 2019 pregnancy risk assessment monitoring system

Contact Info

Product

Resources

About