Treating Pregnant People for Opioid Use Disorder: Clinical Challenges-Presentation

Video Transcription

Video Summary

In this video, Dr. Hendrée Jones discusses the treatment of pregnant individuals with opioid use disorder. Dr. Jones explains her background as a professor at UNC Chapel Hill and the director of the UNC Horizons program, which provides care for pregnant and parenting individuals with substance use disorders. The video's target audience is healthcare professionals, and the educational objectives include understanding the impact of the opioid crisis on pregnant individuals, comparing the risks and benefits of medication-assisted treatment and detoxification, evaluating the use of methadone and buprenorphine during pregnancy, and identifying factors for reducing neonatal abstinence syndrome.<br /><br />Dr. Jones presents an outline for the video, covering topics such as the historical context of opioid use disorder, defining neonatal abstinence syndrome, comparing treatment options, and summarizing the current evidence. She discusses the importance of trust and establishing open communication with pregnant patients, as well as addressing their specific needs and preferences. Dr. Jones emphasizes the benefits of medication-assisted treatment with methadone and buprenorphine during pregnancy and highlights the safety and efficacy of these medications.<br /><br />She also mentions the potential use of naltrexone during pregnancy and the ongoing research in this area. Dr. Jones stresses the need for individualized treatment plans, considering factors such as pain management, breastfeeding, and the postpartum period. She touches on the significance of language and using person-first and recovery-oriented terms when discussing substance use disorders.<br /><br />Dr. Jones concludes by addressing the importance of addressing structural discrimination and systemic issues that affect pregnant individuals, such as access to care and child protective services. She encourages healthcare professionals to provide comprehensive care, support breastfeeding, and focus on the overall well-being of both the pregnant person and their child. The video provides numerous references and resources for further reading.

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Keywords

Dr. Hendrée Jones

pregnant individuals

opioid use disorder

medication-assisted treatment

neonatal abstinence syndrome

methadone

buprenorphine

naltrexone

individualized treatment plans