Nonfatal Overdoses Among Pregnant Individuals With Opioid Use Disorder

被引:3
作者
Charles, Jasmin E.
Baylis, Jacob
Smid, Marcela C.
Cochran, Gerald
机构
[1] Univ Utah Hlth, Dept Obstet & Gynecol, Div Maternal Fetal Med, Salt Lake City, UT USA
[2] Univ Utah, Sch Med, Program Addict Res Clin Care Knowledge & Advocacy, Div Epidemiol,Dept Internal Med, Salt Lake City, UT USA
关键词
D O I
10.1097/AOG.0000000000005129
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Little is understood about overdose history among pregnant individuals with opioid use disorder (OUD). We performed a cross-sectional secondary analysis of data from the OPTI-Mom 2.0 (Optimizing Pregnancy and Treatment Interventions for Moms 2.0) study (NCT03833245), a multi-site randomized controlled trial of patient navigation and usual care. We summarized participant demographics, overdose history, and substances involved in most recent overdose. Of the 102 participants with severe OUD included, 64.7% (95% CI 54.8-73.4%) had a reported a history of an overdose event and 41.2% (95% CI 31-52%) reported at least one overdose within the past year. In the most recent overdose, 81.8% (95% CI 70.4-89.5%) reported using opioids and 30.3% (95% CI 20.3-42.6%) reported using sedatives. These findings suggest need for heightened awareness of overdose-reduction and harm-reduction strategies in this population.
引用
收藏
页码:961 / 963
页数:3
相关论文
共 14 条
[1]  
American Psychiatric Association, 2013, DIAGN STAT MAN MENT, Vfifth
[2]   Associations between elevated depressive symptoms and substance use, prescription opioid misuse, overdose history, pain, and general health among community pharmacy patients prescribed opioids [J].
Brown, Jennifer L. ;
Cochran, Gerald ;
Bryan, M. Aryana ;
Charron, Elizabeth ;
Winhusen, T. John .
SUBSTANCE ABUSE, 2022, 43 (01) :1110-1115
[3]   Enhancing Reviews and Surveillance to Eliminate Maternal Mortality [J].
Callahan, Tegan ;
Zaharatos, Julie ;
St Pierre, Amy ;
Merkt, Peter T. ;
Goodman, David .
JOURNAL OF WOMENS HEALTH, 2021, 30 (08) :1068-1073
[4]   Non-fatal overdose as a risk factor for subsequent fatal overdose among people who inject drugs [J].
Caudarella, Alexander ;
Dong, Huiru ;
Milloy, M. J. ;
Kerr, Thomas ;
Wood, Evan ;
Hayashi, Kanna .
DRUG AND ALCOHOL DEPENDENCE, 2016, 162 :51-55
[5]   A pilot multisite study of patient navigation for pregnant women with opioid use disorder [J].
Cochran, Gerald ;
Smid, Marcela C. ;
Krans, Elizabeth E. ;
Bryan, M. Aryana ;
Gordon, Adam J. ;
Lundahl, Brad ;
Silipigni, John ;
Haaland, Benjamin ;
Tarter, Ralph .
CONTEMPORARY CLINICAL TRIALS, 2019, 87
[6]   Optimizing Pregnancy Treatment Interventions for Moms (OPTI-Mom): A Pilot Study [J].
Cochran, Gerald T. ;
Hruschak, Valerie ;
Abdullah, Walitta ;
Krans, Elizabeth ;
Douaihy, Antoine B. ;
Bobby, Stephanie ;
Fusco, Rachel ;
Tarter, Ralph .
JOURNAL OF ADDICTION MEDICINE, 2018, 12 (01) :72-79
[7]   Alcohol and Drug Overdose and the Influence of Pain Conditions in an Addiction Treatment Sample [J].
Fernandez, Anne C. ;
Bush, Christopher ;
Bonar, Erin E. ;
Blow, Frederic C. ;
Walton, Maureen A. ;
Bohnert, Amy S. B. .
JOURNAL OF ADDICTION MEDICINE, 2019, 13 (01) :61-68
[8]   Evaluation of Increases in Drug Overdose Mortality Rates in the US by Race and Ethnicity Before and During the COVID-19 Pandemic [J].
Friedman, Joseph R. ;
Hansen, Helena .
JAMA PSYCHIATRY, 2022, 79 (04) :379-+
[9]   Accelerated Overdose Deaths Linked With COVID-19 [J].
Kuehn, Bridget M. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2021, 325 (06) :523-523
[10]  
National Harm Reduction Coalition, PREGN SUBST USE HARM