To identify effective prenatal interventions for opioid use disorder (OUD) and promote evidence-based approaches, including medication for opioid use disorder (MOUD), in clinical practice.
Key Findings:
31 intervention studies were included after reviewing 1,381 articles.
45% of studies had over 75% non-Hispanic white participants.
55% of interventions focused on individual-level clinical care and education.
Community-level interventions showed potential for broader impact on maternal health outcomes.
Interpretation:
While access to medication for opioid use disorder (MOUD) is vital, community-based interventions that address social determinants may enhance maternal health outcomes more effectively.
Limitations:
Exclusion of non-English studies and those conducted outside the U.S. may limit the generalizability of findings.
Limited to studies published from 2013 to 2023, potentially missing earlier relevant interventions.
Conclusion:
A diverse range of prenatal OUD interventions exists, highlighting the need for comprehensive approaches that integrate community and societal factors to improve maternal health outcomes.
by Amanda L. Elmore, Mirine Richey, Dewan S. Tahsin, Gabriella Hinks, William Velez-Jimenez, Allison M. Howard, Tanner Wright, Anthony Kendle, Cheryl Vamos
Researchers evaluated perioperative and postdischarge factors associated with opioid refill prescriptions during the first 90 days after inpatient otolaryngology–head and neck surgery.