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Prescription Opioid Use During Pregnancy

机译：处方阿片类药物在怀孕期间使用

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According to a CDC report for 2019, although the overall prevalence of prescription opioid use during pregnancy was 6.6%, patients younger than age 19 years were the most frequent users of these pain relievers (prevalence rate, 9.6%). The rate of opioid use decreased from 7.5% to 6.5% to 5.5% among pregnant patients aged 20 to 24 years, 25 to 34 years, and 35 years and older, respectively. Approximately 68% of pregnant patients taking prescription opioids received counseling from a healthcare provider (HCP) regarding adverse effects of opioid use on the baby, and although HCPs counseled 69.0% to 71.1% of pregnant patients older than age 25 years, a lesser proportion of patients younger than age 25 years received such counseling. Risk Factors: Educational level appeared to have a relation to opioid use during pregnancy. Pregnant patients with some college education (6.1%) were least likely to use opioids, followed by those who completed or did not complete high school (7.1% and 8.4%, respectively). Prescription-opioid use did not differ between patients who initiated prenatal care during the first or second trimester (6.2% vs. 6.3, respectively). In patients who had behavioral risk factors such as depression (rate of 13.1%) and smoking (rate of 16.2%), the use of prescription opioids during the last 3 months of pregnancy was disproportionately higher than in those who were not depressed (142.6% higher) and did not smoke (174.6% higher).
机译：根据美国疾病控制与预防中心2019年的一份报告，尽管妊娠期间处方阿片类药物使用的总体流行率为6.6%，但19岁以下的患者是这些止痛药的最常使用者（流行率为9.6%）。在20至24岁、25至34岁、35岁及以上的孕妇中，阿片类药物的使用率分别从7.5%降至6.5%至5.5%。大约68%服用处方阿片类药物的孕妇接受了医疗保健提供者（HCP）关于阿片类药物使用对婴儿不利影响的咨询，尽管HCP对年龄在25岁以上的孕妇提供了69.0%至71.1%的咨询，但年龄在25岁以下的患者接受此类咨询的比例较小。危险因素：教育水平似乎与怀孕期间使用阿片类药物有关。受过大学教育的孕妇（6.1%）使用阿片类药物的可能性最低，其次是高中毕业或未毕业的孕妇（分别为7.1%和8.4%）。在妊娠早期或中期开始产前护理的患者之间，处方阿片类药物的使用没有差异（分别为6.2%和6.3%）。在有抑郁（13.1%）和吸烟（16.2%）等行为风险因素的患者中，妊娠最后3个月期间处方阿片类药物的使用比例高于无抑郁（142.6%）和不吸烟（174.6%）的患者。

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  • 来源
    《U. S. pharmacist》 |2021年第3期|共1页
  • 作者

    Somnath Pal;

  • 作者单位

    Professor of Pharmacy Administration College of Pharmacy &

    Health Sciences St. John's University;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 药学;
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