A Retrospective Cohort Study of Obstetric Outcomes in Opioid-Dependent Women Treated with Implant Naltrexone, Oral Methadone or Sublingual Buprenorphine, and Non-Dependent Controls
被引:20
作者:
Kelty, Erin
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Univ Western Australia, Sch Psychiat & Clin Neurosci, Sir Charles Gairdner Hosp, Nedlands, WA 6009, Australia
Univ Western Australia, Sch Populat & Global Hlth, Crawley, WA 6009, AustraliaUniv Western Australia, Sch Psychiat & Clin Neurosci, Sir Charles Gairdner Hosp, Nedlands, WA 6009, Australia
Kelty, Erin
[1
,2
]
Hulse, Gary
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Univ Western Australia, Sch Psychiat & Clin Neurosci, Sir Charles Gairdner Hosp, Nedlands, WA 6009, AustraliaUniv Western Australia, Sch Psychiat & Clin Neurosci, Sir Charles Gairdner Hosp, Nedlands, WA 6009, Australia
Hulse, Gary
[1
]
机构:
[1] Univ Western Australia, Sch Psychiat & Clin Neurosci, Sir Charles Gairdner Hosp, Nedlands, WA 6009, Australia
[2] Univ Western Australia, Sch Populat & Global Hlth, Crawley, WA 6009, Australia
Background Opioid pharmacotherapies play an important role in the treatment of opioid-dependent women; however, very little is known about the safety of naltrexone in pregnant patients. Objective This study examined the obstetric health of opioid-dependent women who were treated with implant naltrexone during pregnancy, and compared them with women treated with methadone and/or buprenorphine and a cohort of non-opioid-dependent controls. Methods Women treated with implant naltrexone, oral methadone or sublingual buprenorphine between 2001 and 2010, along with a cohort of age-matched controls, were linked with records from midwives, hospital and emergency departments (EDs) and the death registry to identify pregnancy and health events that occurred during pregnancy and in the post-partum period. Results Overall rates of pregnancy loss (requiring hospital or ED attendance) were significantly elevated in naltrexone-treated women compared with buprenorphine-treated women (p = 0.018) and controls (p < 0.001); however, they were not statistically different to methadone-treated women (p = 0.210). Birth rates in women on naltrexone implant treatment were significantly higher than in all three comparison groups (p < 0.001). Rates of hospital and ED attendance during pregnancy in the naltrexone-treated women were not statistically different to those of either the methadone or buprenorphine groups, and neither were overall complications during pregnancy and labour. Overall rates of complications during pregnancy were significantly higher in the naltrexone-treated women than in the controls. Conclusion Opioid-dependent women treated with naltrexone implant had higher rates of birth than the other three groups (methadone- or buprenorphine-treated women, or age-matched controls). Overall rates of complications during pregnancy were elevated in naltrexone-treated women when compared with the control group, but were generally not significantly different to rates in methadone- or buprenorphine-treated women.
机构:
Royal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, EnglandRoyal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, England
Al-Azemi, Majedah
Refaat, Bassem
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Royal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, EnglandRoyal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, England
Refaat, Bassem
Amer, Saad
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Univ Nottingham, Sch Med, Derby City Gen Hosp, Derby, EnglandRoyal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, England
Amer, Saad
Ola, Bolarinde
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Royal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, EnglandRoyal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, England
Ola, Bolarinde
Chapman, Neil
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Royal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, EnglandRoyal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, England
Chapman, Neil
Ledger, William
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Royal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, EnglandRoyal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, England
机构:
Univ New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW 2052, Australia
Brown Univ, Alpert Med Sch, Providence, RI 02912 USAUniv New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW 2052, Australia
Larney, Sarah
Kimber, Jo
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Univ New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW 2052, Australia
London Sch Hyg & Trop Med, Ctr Res Drugs & Hlth Behav, London WC1, EnglandUniv New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW 2052, Australia
Kimber, Jo
Farrell, Michael
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Univ New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW 2052, AustraliaUniv New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW 2052, Australia
Farrell, Michael
Hall, Wayne
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Univ Queensland, Ctr Youth Subst Abuse Res, Brisbane, Qld, Australia
Kings Coll London, Natl Addict Ctr, London, EnglandUniv New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW 2052, Australia
机构:
Univ Western Australia, Sch Anim Biol, Nedlands, WA 6009, Australia
Univ Western Australia, Sch Psychiat & Clin Neurosci, Nedlands, WA 6009, AustraliaUniv Western Australia, Sch Anim Biol, Nedlands, WA 6009, Australia
Farid, W. O.
Dunlop, S. A.
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Univ Western Australia, Sch Anim Biol, Nedlands, WA 6009, Australia
Univ Western Australia, Western Australian Inst Med Res, Nedlands, WA 6009, AustraliaUniv Western Australia, Sch Anim Biol, Nedlands, WA 6009, Australia
Dunlop, S. A.
Tait, R. J.
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Univ Western Australia, Sch Psychiat & Clin Neurosci, Nedlands, WA 6009, AustraliaUniv Western Australia, Sch Anim Biol, Nedlands, WA 6009, Australia
Tait, R. J.
Hulse, G. K.
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Univ Western Australia, Sch Psychiat & Clin Neurosci, Nedlands, WA 6009, AustraliaUniv Western Australia, Sch Anim Biol, Nedlands, WA 6009, Australia
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Univ Western Australia, Sch Psychiat & Clin Neurosci, Queen Elizabeth II Med Ctr, Nedlands, WA 6009, AustraliaUniv Western Australia, Sch Psychiat & Clin Neurosci, Queen Elizabeth II Med Ctr, Nedlands, WA 6009, Australia
Hulse, Gary K.
Morris, Noella
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Univ Western Australia, Sch Psychiat & Clin Neurosci, Queen Elizabeth II Med Ctr, Nedlands, WA 6009, AustraliaUniv Western Australia, Sch Psychiat & Clin Neurosci, Queen Elizabeth II Med Ctr, Nedlands, WA 6009, Australia
Morris, Noella
Arnold-Reed, Diane
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Univ Western Australia, Sch Psychiat & Clin Neurosci, Queen Elizabeth II Med Ctr, Nedlands, WA 6009, AustraliaUniv Western Australia, Sch Psychiat & Clin Neurosci, Queen Elizabeth II Med Ctr, Nedlands, WA 6009, Australia
Arnold-Reed, Diane
Tait, Robert J.
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Univ Western Australia, Sch Psychiat & Clin Neurosci, Queen Elizabeth II Med Ctr, Nedlands, WA 6009, AustraliaUniv Western Australia, Sch Psychiat & Clin Neurosci, Queen Elizabeth II Med Ctr, Nedlands, WA 6009, Australia
机构:
Royal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, EnglandRoyal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, England
Al-Azemi, Majedah
Refaat, Bassem
论文数: 0引用数: 0
h-index: 0
机构:
Royal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, EnglandRoyal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, England
Refaat, Bassem
Amer, Saad
论文数: 0引用数: 0
h-index: 0
机构:
Univ Nottingham, Sch Med, Derby City Gen Hosp, Derby, EnglandRoyal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, England
Amer, Saad
Ola, Bolarinde
论文数: 0引用数: 0
h-index: 0
机构:
Royal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, EnglandRoyal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, England
Ola, Bolarinde
Chapman, Neil
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Royal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, EnglandRoyal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, England
Chapman, Neil
Ledger, William
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Royal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, EnglandRoyal Hallamshire Hosp, Acad Unit Reprod & Dev Med, Sheffield S10 2SF, S Yorkshire, England
机构:
Univ New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW 2052, Australia
Brown Univ, Alpert Med Sch, Providence, RI 02912 USAUniv New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW 2052, Australia
Larney, Sarah
Kimber, Jo
论文数: 0引用数: 0
h-index: 0
机构:
Univ New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW 2052, Australia
London Sch Hyg & Trop Med, Ctr Res Drugs & Hlth Behav, London WC1, EnglandUniv New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW 2052, Australia
Kimber, Jo
Farrell, Michael
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Univ New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW 2052, AustraliaUniv New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW 2052, Australia
Farrell, Michael
Hall, Wayne
论文数: 0引用数: 0
h-index: 0
机构:
Univ Queensland, Ctr Youth Subst Abuse Res, Brisbane, Qld, Australia
Kings Coll London, Natl Addict Ctr, London, EnglandUniv New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW 2052, Australia
机构:
Univ Western Australia, Sch Anim Biol, Nedlands, WA 6009, Australia
Univ Western Australia, Sch Psychiat & Clin Neurosci, Nedlands, WA 6009, AustraliaUniv Western Australia, Sch Anim Biol, Nedlands, WA 6009, Australia
Farid, W. O.
Dunlop, S. A.
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Univ Western Australia, Sch Anim Biol, Nedlands, WA 6009, Australia
Univ Western Australia, Western Australian Inst Med Res, Nedlands, WA 6009, AustraliaUniv Western Australia, Sch Anim Biol, Nedlands, WA 6009, Australia
Dunlop, S. A.
Tait, R. J.
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机构:
Univ Western Australia, Sch Psychiat & Clin Neurosci, Nedlands, WA 6009, AustraliaUniv Western Australia, Sch Anim Biol, Nedlands, WA 6009, Australia
Tait, R. J.
Hulse, G. K.
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Univ Western Australia, Sch Psychiat & Clin Neurosci, Nedlands, WA 6009, AustraliaUniv Western Australia, Sch Anim Biol, Nedlands, WA 6009, Australia
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Univ Western Australia, Sch Psychiat & Clin Neurosci, Queen Elizabeth II Med Ctr, Nedlands, WA 6009, AustraliaUniv Western Australia, Sch Psychiat & Clin Neurosci, Queen Elizabeth II Med Ctr, Nedlands, WA 6009, Australia
Hulse, Gary K.
Morris, Noella
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Univ Western Australia, Sch Psychiat & Clin Neurosci, Queen Elizabeth II Med Ctr, Nedlands, WA 6009, AustraliaUniv Western Australia, Sch Psychiat & Clin Neurosci, Queen Elizabeth II Med Ctr, Nedlands, WA 6009, Australia
Morris, Noella
Arnold-Reed, Diane
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Univ Western Australia, Sch Psychiat & Clin Neurosci, Queen Elizabeth II Med Ctr, Nedlands, WA 6009, AustraliaUniv Western Australia, Sch Psychiat & Clin Neurosci, Queen Elizabeth II Med Ctr, Nedlands, WA 6009, Australia
Arnold-Reed, Diane
Tait, Robert J.
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Univ Western Australia, Sch Psychiat & Clin Neurosci, Queen Elizabeth II Med Ctr, Nedlands, WA 6009, AustraliaUniv Western Australia, Sch Psychiat & Clin Neurosci, Queen Elizabeth II Med Ctr, Nedlands, WA 6009, Australia