Determining the Initiation of Opiate Misuse Resulting in Opioid Use Disorder in Pregnant Women

Zachary W. Walker, Abigail R. Vinson, Dean Babcock, Tara Benjamin, David Haas

Research output: Contribution to journalArticle

Abstract

The aim of this study was to explore the “opiate misuse footprint” made by obstetrics and gynecology physicians in prescribing opioid medications for postpartum pain control that led to opioid misuse and opioid use disorder. Data were collected using intake information and anonymous surveys administered to pregnant women at local methadone clinics in Indianapolis, Indiana, in 2016–2017. Results from this study revealed that 40% of the 33 participants stated that the first drug they became addicted to was prescription opioids; 71% stated that the first opiate they became addicted to was a prescription pain medication. Prescription opioids were mainly obtained from emergency medicine physicians and friends. Reported use of opioids within the past four months was high, with the most commonly used drugs being methadone (57.6%) and heroin (42.4%). A majority of participants also endorsed a history of sexual and physical abuse, recent incarceration, and mental health disorders. As a large number of pregnant women with opioid use disorder reported their initial drug of misuse as prescription pain medications, it is important to avoid overprescribing opioids in reproductive-age women.

Original languageEnglish (US)
JournalJournal of Psychoactive Drugs
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Opiate Alkaloids
Opioid Analgesics
Pregnant Women
Prescriptions
Methadone
Pain
Prescription Drug Misuse
Physicians
Emergency Medicine
Heroin
Sex Offenses
Gynecology
Mental Disorders
Pharmaceutical Preparations
Postpartum Period
Obstetrics
Mental Health

Keywords

  • Initiation
  • misuse
  • opioid
  • pregnant

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychology(all)

Cite this

Determining the Initiation of Opiate Misuse Resulting in Opioid Use Disorder in Pregnant Women. / Walker, Zachary W.; Vinson, Abigail R.; Babcock, Dean; Benjamin, Tara; Haas, David.

In: Journal of Psychoactive Drugs, 01.01.2018.

Research output: Contribution to journalArticle

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