Archives of Women's Mental Health

, Volume 17, Issue 6, pp 529–539

Characteristics and quality of life of opioid-dependent pregnant women in Austria

  • Verena E. Metz
  • Sandra D. Comer
  • Johanna Wuerzl
  • Anna Pribasnig
  • Gabriele Fischer
Original Article

Abstract

This study investigated pregnant opioid-dependent women undergoing maintenance therapy, applying a multidisciplinary, case-management approach at the Addiction Clinic of the Medical University of Vienna, Austria. It aimed at characterizing the patients’ basic demographic and clinical parameters and evaluating their overall quality of life (QoL) prepartum and postpartum. Three hundred ninety women were treated between 1994 and 2009 with buprenorphine (n = 77), methadone (n = 184), or slow-release oral morphine (SROM) (n = 129) on an outpatient basis throughout their pregnancy and postpartum period. All patients were subject to standardized prepartum and postpartum medical and psychiatric assessments, including QoL assessments using a German adaptation of the Lancashire QoL Profile (Berliner Lebensqualitaetsprofil), and regular supervised urine toxicologies. No medication group differences were revealed regarding basic demographic or clinical data. Mean maintenance doses (SD) at time of delivery were as follows: 64 mg (36 mg) methadone, 10 mg (6 mg) buprenorphine, 455 mg (207 mg) SROM. However, buprenorphine-medicated women showed significantly less concomitant benzodiazepine consumption than methadone- or SROM-maintained women (p = 0.005), and significantly less concomitant opioid consumption than methadone-maintained women (p = 0.033) during the last trimester. Overall QoL was good prepartum and postpartum in all measured domains except “finances” and “prospect of staying in the same housing situation,” and no differences were observed in QoL among the three medication groups (p = 0.177). QoL improved significantly after delivery in most of the domains (p < 0.001). Although opioid-dependent pregnant women face high-risk pregnancies and show variability in addiction severity, they report good QoL independent of the medication administered. These results show that individually tailored treatment interventions are effective for this patient population and suggest a QoL improvement after delivery.

Keywords

Opioid dependence Pregnancy Opioid maintenance treatment Quality of life 

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Copyright information

© Springer-Verlag Wien 2014

Authors and Affiliations

  • Verena E. Metz
    • 1
    • 2
  • Sandra D. Comer
    • 1
  • Johanna Wuerzl
    • 2
  • Anna Pribasnig
    • 2
  • Gabriele Fischer
    • 2
    • 3
  1. 1.Department of PsychiatryColumbia University and NYSPINew YorkUSA
  2. 2.Department of Psychiatry and PsychotherapyMedical University of ViennaViennaAustria
  3. 3.Center for Public HealthMedical University of ViennaViennaAustria

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