Maternity Care for Pregnant Women with Opioid Use Disorder: A Review.
Abigail H Rizk, Sara E Simonsen, Leissa Roberts and 3 others
PMID 31407485WHAT IT FOUND
Universal screening, brief intervention, and referral to treatment are recommended for pregnant women.
Nurses can monitor newborns for NOWS and use rooming-in, swaddling, and breastfeeding before medication.
Key findings
01Universal SBIRT screening is recommended at the first prenatal visit and periodically throughout pregnancy.
02Integrated maternity and addiction care may improve prenatal care retention, gestational length, and birth weight, and reduce injection risk behaviors and drug-positive urine screens.
03Breastfeeding, swaddling, low stimulation, and rooming-in are associated with shorter NOWS stays and less medication.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a narrative review, not a study with its own methods or primary outcome. The clinical case describes a woman and her newborn, so it does not prove the care plan works. The review summarizes other studies without describing how articles were selected. Urine drug screening is controversial, may miss some opioids, and can create legal reporting concerns. The postpartum checklist evidence is pre- and post-implementation and may not have been powered for birth outcomes.
Declared interests
The authors report no conflicts of interest.
The easy way to misread this
Do not treat the case or the review's recommendations as proof that these maternity care changes work. The paper has no original trial results, and the case describes a woman.