Opioid Dependence in Pregnancy
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Managing opioid dependence in pregnancy is a challenging task. Pregnancy makes opioid-dependent women highly motivated to modify their behaviour and engage in treatment for drug dependence that will benefit her and her unborn child . We describe a case of opioid dependence in pregnancy. Specific issues that need discussion include the choice of opioid substitution therapy and neonatal abstinence syndrome.
A 30-year-old female G3P2L0 presented to OPD at 6-month amenorrhoea with history of opioid (heroin in the form of smack orally) dependence since 12 years. Discussing her obstetric history, her previous deliveries were conducted at home. She had one stillbirth (cause not known) and one live birth with uneventful neonatal period. According to the patient, baby did not show withdrawal symptoms or require intensive neonatal care. She lost her child at 2 years of age due to accidental fall during her intoxication. She was concerned that continuing heroin would affect her pregnancy...
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Conflict of interest
All authors declare that they have no conflict of interest.
Informed Consent in Studies with Human Subjects
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5). Informed consent was obtained from patient for being included in the study.
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