Obstetrician–gynecologists’ practice patterns related to opioid use during pregnancy and postpartum—United States, 2017
Objective To describe obstetrician–gynecologists’ practices and attitudes related to opioid use among pregnant and postpartum women. Study design A 2017 cross-sectional survey assessed U.S. obstetrician–gynecologists’ ( N = 462; response rate = 34%) practices (management) and attitudes (knowledge,...
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| Veröffentlicht in: | Journal of perinatology 2020-03, Vol.40 (3), p.412-421 |
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| container_issue | 3 |
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| container_title | Journal of perinatology |
| container_volume | 40 |
| creator | Ko, Jean Y. Tong, Van T. Haight, Sarah C. Terplan, Mishka Snead, Carrie Schulkin, Jay |
| description | Objective
To describe obstetrician–gynecologists’ practices and attitudes related to opioid use among pregnant and postpartum women.
Study design
A 2017 cross-sectional survey assessed U.S. obstetrician–gynecologists’ (
N
= 462; response rate = 34%) practices (management) and attitudes (knowledge, preparedness, confidence, barriers, and resources needed) related to opioid use among pregnant and postpartum women. Modified Poisson regression determined adjusted prevalence ratios (aPR) for advising medication-assisted therapy (MAT) for pregnant women with opioid use disorder (OUD) by knowledge, confidence, and preparedness.
Results
Of respondents, 33% always or usually advised MAT to pregnant women with OUD. Confidence in treating pregnant women who use opioids (aPR: 1.3, 95% CI: 1.0–1.8) and knowledge that substance use services were covered under the Affordable Care Act (aPR: 1.4, 95% CI: 1.1–1.8) were associated with advising MAT.
Conclusion
Evidence suggests that efforts are needed to enhance physician confidence to manage pregnant and postpartum patients who use opioids, which may increase optimal care of this patient population. |
| doi_str_mv | 10.1038/s41372-019-0535-2 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7047516</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A618258132</galeid><sourcerecordid>A618258132</sourcerecordid><originalsourceid>FETCH-LOGICAL-c596t-ec405f94441da82935708110e72f0ee93bc0d8610921d9141ba856de98d692103</originalsourceid><addsrcrecordid>eNp9kt9qFDEUxgdR7Fp9AG9kQPDKqcnkz2RuhFLUFgq90F6HbHJmNmU2GZOMsBfCvoPe-Hr7JGbY2nZBJReBc37fl5PDVxQvMTrBiIh3kWLS1BXCbYUYYVX9qFhg2vCKMUoeFwvUUFIJQvlR8SzGG4TmZvO0OCKYY44YXhTfr5YxQQpWW-V22x_9xoH2g-9tTHG3_VWOQelkNZSjSgmCi2WAQSUwZfKlH623ppwilGYK1vUZh94ppzelcqYcfUyjCmla77Y_r52dZZ9TVse3ZY1w87x40qkhwovb-7i4_vjhy9l5dXn16eLs9LLSrOWpAk0R61pKKTZK1C1hDRIYI2jqDgG0ZKmRERyjtsamxRQvlWDcQCsMzyVEjov3e99xWq7BaHApqEGOwa5V2EivrDzsOLuSvf8mG0Qbhnk2eH1rEPzXCWKSN34KLs8s63mnlCIh_ksRTlom8tT3VK8GkNZ1Pj-p1zZqecqxqJnApM7UyV-ofAysrfYOOpvrB4I3DwQrUENaRT9MyXoXD0G8B3XwMQbo7vaAkZxzJfe5kjlXcs6VnDWvHi7wTvEnSBmo90Ac5xxAuP_6v11_A5Bh2dk</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2363958811</pqid></control><display><type>article</type><title>Obstetrician–gynecologists’ practice patterns related to opioid use during pregnancy and postpartum—United States, 2017</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Ko, Jean Y. ; Tong, Van T. ; Haight, Sarah C. ; Terplan, Mishka ; Snead, Carrie ; Schulkin, Jay</creator><creatorcontrib>Ko, Jean Y. ; Tong, Van T. ; Haight, Sarah C. ; Terplan, Mishka ; Snead, Carrie ; Schulkin, Jay</creatorcontrib><description>Objective
To describe obstetrician–gynecologists’ practices and attitudes related to opioid use among pregnant and postpartum women.
Study design
A 2017 cross-sectional survey assessed U.S. obstetrician–gynecologists’ (
N
= 462; response rate = 34%) practices (management) and attitudes (knowledge, preparedness, confidence, barriers, and resources needed) related to opioid use among pregnant and postpartum women. Modified Poisson regression determined adjusted prevalence ratios (aPR) for advising medication-assisted therapy (MAT) for pregnant women with opioid use disorder (OUD) by knowledge, confidence, and preparedness.
Results
Of respondents, 33% always or usually advised MAT to pregnant women with OUD. Confidence in treating pregnant women who use opioids (aPR: 1.3, 95% CI: 1.0–1.8) and knowledge that substance use services were covered under the Affordable Care Act (aPR: 1.4, 95% CI: 1.1–1.8) were associated with advising MAT.
Conclusion
Evidence suggests that efforts are needed to enhance physician confidence to manage pregnant and postpartum patients who use opioids, which may increase optimal care of this patient population.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-019-0535-2</identifier><identifier>PMID: 31616051</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/1537 ; 692/699/476/5 ; 692/700/478/2772 ; Analgesics, Opioid - therapeutic use ; Attitude of Health Personnel ; Attitudes ; Care and treatment ; Clinical Competence ; Cross-Sectional Studies ; Drug addiction ; Drug use ; Female ; Gynecologists ; Gynecology ; Health Care Surveys ; Health Knowledge, Attitudes, Practice ; Humans ; Medicine ; Medicine & Public Health ; Mothers ; Narcotics ; Obstetricians ; Obstetrics ; Opioids ; Patient Protection and Affordable Care Act ; Pediatric Surgery ; Pediatrics ; Poisson Distribution ; Postpartum ; Postpartum Period ; Practice ; Practice Patterns, Physicians' - statistics & numerical data ; Pregnancy ; Pregnant women ; Resource management ; Substance use ; Surveys ; United States</subject><ispartof>Journal of perinatology, 2020-03, Vol.40 (3), p.412-421</ispartof><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2019</rights><rights>COPYRIGHT 2020 Nature Publishing Group</rights><rights>2019© The Author(s), under exclusive licence to Springer Nature America, Inc. 2019</rights><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2019.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c596t-ec405f94441da82935708110e72f0ee93bc0d8610921d9141ba856de98d692103</citedby><cites>FETCH-LOGICAL-c596t-ec405f94441da82935708110e72f0ee93bc0d8610921d9141ba856de98d692103</cites><orcidid>0000-0003-0961-9793</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41372-019-0535-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41372-019-0535-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31616051$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ko, Jean Y.</creatorcontrib><creatorcontrib>Tong, Van T.</creatorcontrib><creatorcontrib>Haight, Sarah C.</creatorcontrib><creatorcontrib>Terplan, Mishka</creatorcontrib><creatorcontrib>Snead, Carrie</creatorcontrib><creatorcontrib>Schulkin, Jay</creatorcontrib><title>Obstetrician–gynecologists’ practice patterns related to opioid use during pregnancy and postpartum—United States, 2017</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>Objective
To describe obstetrician–gynecologists’ practices and attitudes related to opioid use among pregnant and postpartum women.
Study design
A 2017 cross-sectional survey assessed U.S. obstetrician–gynecologists’ (
N
= 462; response rate = 34%) practices (management) and attitudes (knowledge, preparedness, confidence, barriers, and resources needed) related to opioid use among pregnant and postpartum women. Modified Poisson regression determined adjusted prevalence ratios (aPR) for advising medication-assisted therapy (MAT) for pregnant women with opioid use disorder (OUD) by knowledge, confidence, and preparedness.
Results
Of respondents, 33% always or usually advised MAT to pregnant women with OUD. Confidence in treating pregnant women who use opioids (aPR: 1.3, 95% CI: 1.0–1.8) and knowledge that substance use services were covered under the Affordable Care Act (aPR: 1.4, 95% CI: 1.1–1.8) were associated with advising MAT.
Conclusion
Evidence suggests that efforts are needed to enhance physician confidence to manage pregnant and postpartum patients who use opioids, which may increase optimal care of this patient population.</description><subject>692/1537</subject><subject>692/699/476/5</subject><subject>692/700/478/2772</subject><subject>Analgesics, Opioid - therapeutic use</subject><subject>Attitude of Health Personnel</subject><subject>Attitudes</subject><subject>Care and treatment</subject><subject>Clinical Competence</subject><subject>Cross-Sectional Studies</subject><subject>Drug addiction</subject><subject>Drug use</subject><subject>Female</subject><subject>Gynecologists</subject><subject>Gynecology</subject><subject>Health Care Surveys</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mothers</subject><subject>Narcotics</subject><subject>Obstetricians</subject><subject>Obstetrics</subject><subject>Opioids</subject><subject>Patient Protection and Affordable Care Act</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Poisson Distribution</subject><subject>Postpartum</subject><subject>Postpartum Period</subject><subject>Practice</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>Pregnancy</subject><subject>Pregnant women</subject><subject>Resource management</subject><subject>Substance use</subject><subject>Surveys</subject><subject>United States</subject><issn>0743-8346</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kt9qFDEUxgdR7Fp9AG9kQPDKqcnkz2RuhFLUFgq90F6HbHJmNmU2GZOMsBfCvoPe-Hr7JGbY2nZBJReBc37fl5PDVxQvMTrBiIh3kWLS1BXCbYUYYVX9qFhg2vCKMUoeFwvUUFIJQvlR8SzGG4TmZvO0OCKYY44YXhTfr5YxQQpWW-V22x_9xoH2g-9tTHG3_VWOQelkNZSjSgmCi2WAQSUwZfKlH623ppwilGYK1vUZh94ppzelcqYcfUyjCmla77Y_r52dZZ9TVse3ZY1w87x40qkhwovb-7i4_vjhy9l5dXn16eLs9LLSrOWpAk0R61pKKTZK1C1hDRIYI2jqDgG0ZKmRERyjtsamxRQvlWDcQCsMzyVEjov3e99xWq7BaHApqEGOwa5V2EivrDzsOLuSvf8mG0Qbhnk2eH1rEPzXCWKSN34KLs8s63mnlCIh_ksRTlom8tT3VK8GkNZ1Pj-p1zZqecqxqJnApM7UyV-ofAysrfYOOpvrB4I3DwQrUENaRT9MyXoXD0G8B3XwMQbo7vaAkZxzJfe5kjlXcs6VnDWvHi7wTvEnSBmo90Ac5xxAuP_6v11_A5Bh2dk</recordid><startdate>20200301</startdate><enddate>20200301</enddate><creator>Ko, Jean Y.</creator><creator>Tong, Van T.</creator><creator>Haight, Sarah 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practice patterns related to opioid use during pregnancy and postpartum—United States, 2017</title><author>Ko, Jean Y. ; Tong, Van T. ; Haight, Sarah C. ; Terplan, Mishka ; Snead, Carrie ; Schulkin, Jay</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c596t-ec405f94441da82935708110e72f0ee93bc0d8610921d9141ba856de98d692103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>692/1537</topic><topic>692/699/476/5</topic><topic>692/700/478/2772</topic><topic>Analgesics, Opioid - therapeutic use</topic><topic>Attitude of Health Personnel</topic><topic>Attitudes</topic><topic>Care and treatment</topic><topic>Clinical Competence</topic><topic>Cross-Sectional Studies</topic><topic>Drug addiction</topic><topic>Drug use</topic><topic>Female</topic><topic>Gynecologists</topic><topic>Gynecology</topic><topic>Health Care Surveys</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mothers</topic><topic>Narcotics</topic><topic>Obstetricians</topic><topic>Obstetrics</topic><topic>Opioids</topic><topic>Patient Protection and Affordable Care Act</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Poisson Distribution</topic><topic>Postpartum</topic><topic>Postpartum Period</topic><topic>Practice</topic><topic>Practice Patterns, Physicians' - statistics & numerical data</topic><topic>Pregnancy</topic><topic>Pregnant women</topic><topic>Resource management</topic><topic>Substance use</topic><topic>Surveys</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ko, Jean Y.</creatorcontrib><creatorcontrib>Tong, Van T.</creatorcontrib><creatorcontrib>Haight, Sarah C.</creatorcontrib><creatorcontrib>Terplan, Mishka</creatorcontrib><creatorcontrib>Snead, 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Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ko, Jean Y.</au><au>Tong, Van T.</au><au>Haight, Sarah C.</au><au>Terplan, Mishka</au><au>Snead, Carrie</au><au>Schulkin, Jay</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obstetrician–gynecologists’ practice patterns related to opioid use during pregnancy and postpartum—United States, 2017</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>40</volume><issue>3</issue><spage>412</spage><epage>421</epage><pages>412-421</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><abstract>Objective
To describe obstetrician–gynecologists’ practices and attitudes related to opioid use among pregnant and postpartum women.
Study design
A 2017 cross-sectional survey assessed U.S. obstetrician–gynecologists’ (
N
= 462; response rate = 34%) practices (management) and attitudes (knowledge, preparedness, confidence, barriers, and resources needed) related to opioid use among pregnant and postpartum women. Modified Poisson regression determined adjusted prevalence ratios (aPR) for advising medication-assisted therapy (MAT) for pregnant women with opioid use disorder (OUD) by knowledge, confidence, and preparedness.
Results
Of respondents, 33% always or usually advised MAT to pregnant women with OUD. Confidence in treating pregnant women who use opioids (aPR: 1.3, 95% CI: 1.0–1.8) and knowledge that substance use services were covered under the Affordable Care Act (aPR: 1.4, 95% CI: 1.1–1.8) were associated with advising MAT.
Conclusion
Evidence suggests that efforts are needed to enhance physician confidence to manage pregnant and postpartum patients who use opioids, which may increase optimal care of this patient population.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>31616051</pmid><doi>10.1038/s41372-019-0535-2</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-0961-9793</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Journal of perinatology, 2020-03, Vol.40 (3), p.412-421 |
| issn | 0743-8346 1476-5543 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7047516 |
| source | MEDLINE; SpringerLink Journals |
| subjects | 692/1537 692/699/476/5 692/700/478/2772 Analgesics, Opioid - therapeutic use Attitude of Health Personnel Attitudes Care and treatment Clinical Competence Cross-Sectional Studies Drug addiction Drug use Female Gynecologists Gynecology Health Care Surveys Health Knowledge, Attitudes, Practice Humans Medicine Medicine & Public Health Mothers Narcotics Obstetricians Obstetrics Opioids Patient Protection and Affordable Care Act Pediatric Surgery Pediatrics Poisson Distribution Postpartum Postpartum Period Practice Practice Patterns, Physicians' - statistics & numerical data Pregnancy Pregnant women Resource management Substance use Surveys United States |
| title | Obstetrician–gynecologists’ practice patterns related to opioid use during pregnancy and postpartum—United States, 2017 |
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