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Opioid Dependence in Pregnancy

  • Sunesh Kumar
  • Venus Dalal
  • J. B. Sharma
  • Rakesh Chadda
  • Ramesh Agarwal
  • K. K. Roy
Case Report
  • 49 Downloads

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 [1]. 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.

Case

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...

Notes

Compliance with Ethical Standards

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.

References

  1. 1.
    ACOG Committee on Health Care for Underserved Women, American Society of Addiction Medicine. ACOG Committee Opinion No. 524: opioid abuse, dependence, and addiction in pregnancy. Obstet Gynecol. 2012;119(5):1070–6.CrossRefGoogle Scholar
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    Laslo J, Brunner J-M, Burns D, et al. An overview of available drugs for management of opioid abuse during pregnancy. Matern Health Neonatol Perinatol. 2017;3:4.CrossRefPubMedPubMedCentralGoogle Scholar
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    Höflich AS, Langer M, Jagsch R, et al. Peripartum pain management in opioid dependent women. Eur J Pain Lond Engl. 2012;16(4):574–84.CrossRefGoogle Scholar
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    Raffaeli G, Cavallaro G, Allegaert KK, Wildschut ED, Fumagalli M, Agosti M, et al. Neonatal abstinence syndrome: update on diagnostic and therapeutic strategies. Pharmacotherapy. 2017.Google Scholar

Copyright information

© Federation of Obstetric & Gynecological Societies of India 2017

Authors and Affiliations

  • Sunesh Kumar
    • 1
  • Venus Dalal
    • 1
  • J. B. Sharma
    • 1
  • Rakesh Chadda
    • 2
  • Ramesh Agarwal
    • 3
  • K. K. Roy
    • 1
  1. 1.Obstetrics and Gynaecology DepartmentAll India Institute of Medical Sciences, AIIMSNew DelhiIndia
  2. 2.Psychiatry DepartmentAll India Institute of Medical Sciences, AIIMSNew DelhiIndia
  3. 3.Paediatrics DepartmentAll India Institute of Medical Sciences, AIIMSNew DelhiIndia

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