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Obstetrics and Gynecology International
Volume 2012, Article ID 195954, 6 pages
http://dx.doi.org/10.1155/2012/195954
Review Article

Opioid Dependent and Pregnant: What Are the Best Options for Mothers and Neonates?

Department of Psychiatry and Psychotherapy, University Hospital of Vienna, 1090 Vienna, Austria

Received 7 September 2011; Revised 30 October 2011; Accepted 30 October 2011

Academic Editor: Gideon Koren

Copyright © 2012 Annemarie Unger et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pregnancy in opioid-dependent women is a major public health issue. Women who are afflicted by opioid addiction are a highly vulnerable group of patients frequently becoming pregnant unplanned and at risk of adverse pregnancy outcomes and peri-natal complications. Opioid agonist maintenance treatment is the best option for the majority of women. Ideally, early and closely monitored treatment in an interdisciplinary team approach including social workers, nurses, psychologists, psychiatrists, gynecologists, anesthesiologists, and pediatricians should be provided. The treatment of comorbid psychiatric conditions, the resolution of financial, legal, and housing issues, and the psychosocial support provided have a significant effect on optimizing pregnancy outcomes. This paper aims to update health professionals in the field of gynecology and obstetrics on the latest optimal treatment approaches for mothers suffering from opioid dependence and their neonates.