Maintenance therapy with synthetic opioids within a multidisciplinary program - A stabilizing necessity for pregnant opioid dependent women

Autor(en): R. Jagsch, S. Kasper
Abstrakt: Aims: Drug addiction in females requires special attention when the woman is pregnant. In opioid dependent pregnant addicts early intervention during the prenatal period is highly desirable for maintaining the health of the woman, the fetus, and her infant after birth. The aim of our study was to perform an analysis of different variables to determine which factors are responsible for stabilizing the mother so that she could keep the child. Design: Ninety-eight pregnant opioid dependent women who were seeking treatment in our multiprofessional treatment program were investigated. Setting: The addicts were treated during pregnancy and then after delivery for an investigational period of 36 months at the University Drug Addiction Out-patient Clinic. Participants: Pregnant women who met DSM-IV criteria for opioid dependence (DSM-IV 304.0) or polysubstance dependence (DSM-IV 304.8) were included; 82 children were born during this time-frame. Intervention: All patients received oral opioid maintenance therapy (methadone, slow-release morphine, buprenorphine) and had access to the same psychosocial and psychotherapeutical treatment. Measurements: Length of treatment period, duration of maintenance therapy, type of maintenance therapy as well as attendance of psychotherapy were used to evaluate which of these parameters are predictors of whether the child can live with its own mother or had to be placed elsewhere. Findings: At the end of our investigation period, 59% (n = 48) of the children were still raised by their mothers. Duration of involvement in a maintenance program with replacement opioids (p = 0.002), as well as early intervention (p = 0.03) had a significant influence towards retaining custody of the child. In addition to successful pharmacological treatment, psychosocial and psychotherapeutical services influenced the outcome in respect of mothers keeping the child. Conclusion: Early intervention and effective multiprofessional treatment approaches facilitated a better outcome for this population at risk with respect to mothers retaining custody of their child.
Organisation(en): Institut für Klinische und Gesundheitspsychologie
Externe Organisation(en): Medizinische Universität Wien
Journal: Archives of Women's Mental Health
Band: 1
Seiten: 109-116
Anzahl der Seiten: 8
ISSN: 1434-1816
DOI: https://doi.org/10.1007/s007370050014
Publikationsdatum: 01-1998
Peer-reviewed: Ja
ÖFOS 2012: 501002 Angewandte Psychologie
Schlagwörter
ASJC Scopus Sachgebiete: Obstetrics and Gynaecology, Psychiatry and Mental health
Sustainable Development Goals: SDG 3 – Gesundheit und Wohlergehen
Link zum Portal: https://ucrisportal.univie.ac.at/de/publications/06301b3c-ac7e-4c9b-926b-9091f088d4d9