The Management of Opioid Dependence During Pregnancy in Rural and Remote Settings

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Key Points:
• Nonmedical use of prescription opioids during pregnancy is becoming
more common, and members of Canada’s Aboriginal population are
disproportionately affected.
• Methadone maintenance therapy has logistic limitations in rural and
remote settings, but buprenorphine and slow-release morphine
maintenance therapies are feasible alternatives.
• Opioid detoxification in pregnancy is associated with high rates of
relapse and should only be offered if a comprehensive rehabilitation
program is available.
• Treatment of opioid dependence and rehabilitation services should be
provided to all women during pregnancy and the postpartum period.

Related Topics

  • Cultural Competency/Adaptations
  • Behavioral Health
  • Medications for Addiction Treatment (MAT)
  • Medical Care
  • Treatment Models