Opioid use disorder incidence and treatment among incarcerated pregnant women in the United States: results from a national surveillance study.

Addiction
Carolyn SufrinJennifer G Clarke

Abstract

The established standard care in pregnancy is medication for opioid use disorder (MOUD); however, many institutions of incarceration do not have MOUD available. We aimed to describe the number of incarcerated pregnant women with opioid use disorder (OUD) in the United States and jails' and prisons' MOUD in pregnancy policies. Epidemiological surveillance study of 6 months of outcomes of pregnant, incarcerated women with OUD and cross-sectional survey of institutional policies. United States. Twenty-two state prison systems and six county jails. The number of pregnant women with OUD admitted and treated with methadone, buprenorphine or withdrawal; policies on provision of MOUD and withdrawal in pregnancy. Twenty-six per cent of pregnant women admitted to prisons and 14% to jails had OUD. One-third were managed through withdrawal. The majority who were prescribed MOUD were on methadone (78%, prisons; 81%, jails), not buprenorphine. While most sites (n = 18 prisons, n = four jails) continued pre-incarceration MOUD in pregnancy, very few initiated in custody (n = four prisons; n = two jails). Two-thirds of prisons and three-quarters of jails providing MOUD in pregnancy discontinued it postpartum. In this sample of US prisons and ja...Continue Reading

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Citations

Aug 10, 2020·Obstetrics and Gynecology·Chris AhlbachRebecca Shlafer
Apr 13, 2021·American Journal of Obstetrics and Gynecology·Davida M SchiffTimothy E Wilens
Jun 9, 2021·International Review of Psychiatry·Carolyn B Sufrin, Andrea Knittel
Jul 6, 2021·Journal of Substance Abuse Treatment·Jennifer K BelloSarah Skiöld-Hanlin

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