Cultural Impact
True or false, an opiate is only a "street drug"
FALSE. Many opioids are prescribed daily for pain relief, and are often used in labor and delivery.
What is NAS?
Neonatal abstinence syndrome (NAS) is a cluster of symptoms found in newborns exposed to opioids in utero.
What are some community based programs?
Project RESPECT out of BMC which is specifically for pregnant women dealing with OUD and provides well rounded care
What kind of treatment should a nurse provide?
Non-judgemental care
What is OUD?
Opioid use disorder: A pattern of opioid use characterized by tolerance, craving, inability to control use, and continued use despite adverse consequences.
What are symptoms of NAS?
Seizures, excessive high-pitched crying, poor feeding, increased respiratory rate, fever, insomnia, vomiting, and diarrhea.
What is MAT?
Medication Assisted Treatment - the use of medications to provide treatment for substance use disorder
What are some goals of treatment?
Building patient rapport, cessation of opiate use, preparing for what to expect after delivery. (possible NAS)
Which mothers should be screened for opiate use at prenatal visits?
Everyone. Treatment begins with recognizing that everyone has a unique personal history.
When do newborn withdrawal symptoms typically begin to appear?
approximatley 72 hours after birth
True or False - Methadone dosage may need to be adjusted during pregnancy to avoid withdrawal symptoms
True
What are some barriers to treatment?
Access to treatment, insurance limitations, stigma & Fear, Transportation
List at least 3 complications from opioid use in pregnancy.
Maternal death, poor fetal growth, preterm birth, stillbirth, birth defects, and neonatal abstinence syndrome.
This is a screening tool for NAS
What is the Finnegan Neonatal Abstinence Scoring Tool
True or False - Breastfeeding is not considered beneficial in women taking MAT
False - breasfeeding has been associated with decreased NAS symptoms, less need for medications and shorter hospital stay for infant
These medications are used for pregnant women with OUD
Methadone and Bupernorphrine