Buprenorphine versus Methadone for Opioid Use Disorder in Pregnancy

Opioid agonists are recommended for opioid use disorder in pregnancy. A large cohort study showed that buprenorphine was associated with lower incidences of neonatal abstinence syndrome and complications at birth than methadone.

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Veröffentlicht in:The New England journal of medicine 2022-12, Vol.387 (22), p.2033-2044
Hauptverfasser: Suarez, Elizabeth A., Huybrechts, Krista F., Straub, Loreen, Hernández-Díaz, Sonia, Jones, Hendrée E., Connery, Hilary S., Davis, Jonathan M., Gray, Kathryn J., Lester, Barry, Terplan, Mishka, Mogun, Helen, Bateman, Brian T.
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container_end_page 2044
container_issue 22
container_start_page 2033
container_title The New England journal of medicine
container_volume 387
creator Suarez, Elizabeth A.
Huybrechts, Krista F.
Straub, Loreen
Hernández-Díaz, Sonia
Jones, Hendrée E.
Connery, Hilary S.
Davis, Jonathan M.
Gray, Kathryn J.
Lester, Barry
Terplan, Mishka
Mogun, Helen
Bateman, Brian T.
description Opioid agonists are recommended for opioid use disorder in pregnancy. A large cohort study showed that buprenorphine was associated with lower incidences of neonatal abstinence syndrome and complications at birth than methadone.
doi_str_mv 10.1056/NEJMoa2203318
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A large cohort study showed that buprenorphine was associated with lower incidences of neonatal abstinence syndrome and complications at birth than methadone.</description><subject>Addiction</subject><subject>Birth weight</subject><subject>Buprenorphine</subject><subject>Buprenorphine - adverse effects</subject><subject>Buprenorphine - therapeutic use</subject><subject>Cesarean section</subject><subject>Cesarean Section - statistics &amp; numerical data</subject><subject>Codes</subject><subject>Cohort Studies</subject><subject>Complications of Pregnancy</subject><subject>Confidence intervals</subject><subject>Drug abuse</subject><subject>Drug addiction</subject><subject>Drug overdose</subject><subject>Emergency medical care</subject><subject>Female</subject><subject>Gestational age</subject><subject>Gynecology</subject><subject>Gynecology General</subject><subject>Hepatitis</subject><subject>Humans</subject><subject>Hypothesis testing</subject><subject>Infant</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Small for Gestational Age</subject><subject>Infants</subject><subject>Live Birth - epidemiology</subject><subject>Low birth weight</subject><subject>Medicaid</subject><subject>Menstruation</subject><subject>Methadone</subject><subject>Methadone - adverse effects</subject><subject>Methadone - therapeutic use</subject><subject>Narcotics</subject><subject>Neonatal abstinence syndrome</subject><subject>Neonates</subject><subject>Neonatology</subject><subject>Observational studies</subject><subject>Obstetrics</subject><subject>Opiate Substitution Treatment - adverse effects</subject><subject>Opiate Substitution Treatment - methods</subject><subject>Opioid-Related Disorders - drug therapy</subject><subject>Opioid-Related Disorders - epidemiology</subject><subject>Opioids</subject><subject>Pediatrics</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - drug therapy</subject><subject>Pregnancy Complications - epidemiology</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>Premature birth</subject><subject>Premature Birth - epidemiology</subject><subject>Prenatal care</subject><subject>Psychiatry</subject><subject>Substance use disorder</subject><subject>United States - epidemiology</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kM1LwzAYh4Mobn4cvUpBPFaT5qPNRdA5v9icB3cOaZtuGWtSk3aw_97I5nAHc3kh78PvffgBcIHgDYKU3b4P38ZWJgnEGGUHoI8oxjEhkB2CPoRJFpOU4x448X4Bw0OEH4MeZoRwgngfDB66xiljXTPXRkUr5Xzno7Fq57K04aOyLpo02uoymnoVPWpvXalcpE304dTMSFOsz8BRJZdenW_nKZg-DT8HL_Fo8vw6uB_FBSG0jVlKUKUyVRSsRBmsOAqWklGaoyzPIcI5I4xBiGlaKSJxCSXHwZhKlDIoET4Fd5vcpstrVRbKtE4uReN0Ld1aWKnF_sbouZjZleBZihPMQ8DVNsDZr075Vixs50xwFklKMKUoSXGg4g1VOOu9U9XuAoLip3Ox13ngL_9q7ejfkgNwvQHq2gujFvU_Qd--eIeI</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>Suarez, Elizabeth A.</creator><creator>Huybrechts, Krista F.</creator><creator>Straub, Loreen</creator><creator>Hernández-Díaz, Sonia</creator><creator>Jones, Hendrée E.</creator><creator>Connery, Hilary S.</creator><creator>Davis, Jonathan M.</creator><creator>Gray, Kathryn J.</creator><creator>Lester, Barry</creator><creator>Terplan, Mishka</creator><creator>Mogun, Helen</creator><creator>Bateman, Brian T.</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8989-7878</orcidid></search><sort><creationdate>20221201</creationdate><title>Buprenorphine versus Methadone for Opioid Use Disorder in Pregnancy</title><author>Suarez, Elizabeth A. ; 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subjects Addiction
Birth weight
Buprenorphine
Buprenorphine - adverse effects
Buprenorphine - therapeutic use
Cesarean section
Cesarean Section - statistics & numerical data
Codes
Cohort Studies
Complications of Pregnancy
Confidence intervals
Drug abuse
Drug addiction
Drug overdose
Emergency medical care
Female
Gestational age
Gynecology
Gynecology General
Hepatitis
Humans
Hypothesis testing
Infant
Infant, Low Birth Weight
Infant, Newborn
Infant, Small for Gestational Age
Infants
Live Birth - epidemiology
Low birth weight
Medicaid
Menstruation
Methadone
Methadone - adverse effects
Methadone - therapeutic use
Narcotics
Neonatal abstinence syndrome
Neonates
Neonatology
Observational studies
Obstetrics
Opiate Substitution Treatment - adverse effects
Opiate Substitution Treatment - methods
Opioid-Related Disorders - drug therapy
Opioid-Related Disorders - epidemiology
Opioids
Pediatrics
Pregnancy
Pregnancy Complications - drug therapy
Pregnancy Complications - epidemiology
Pregnancy Outcome - epidemiology
Premature birth
Premature Birth - epidemiology
Prenatal care
Psychiatry
Substance use disorder
United States - epidemiology
title Buprenorphine versus Methadone for Opioid Use Disorder in Pregnancy
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