Sheila Kaufman, Patricia D Suplee, Damali M Campbell-Oparaji, Julie Blumenfeld
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引用次数: 0
摘要
药物使用障碍(SUD)筛查是产前护理的重要组成部分。筛查的最佳实践要求在孕早期使用有效的工具来识别高危人群,并为他们提供咨询和治疗。在许多医疗系统和医疗实践中,尿液毒理学检测被错误地用作 SUD 筛查工具,尽管一直有反对常规使用该工具的建议。其结果往往被误解为对药物滥用的诊断,并可能对孕妇和分娩者造成有害的下游影响。本临床讨论回顾了在孕期保健中进行循证 SUD 筛查的可用工具、尿液毒理学检测的误区,以及助产护理在孕期保健中实施循证筛查实践的有利条件。
Implementing Best Practice When Screening Birthing People for a Substance Use Disorder.
Screening for substance use disorder (SUD) is an essential part of antepartum care. Best practice for screening requires the use of a validated tool early in pregnancy to identify those at risk and to connect them with counseling and treatment. In many health systems and practices, urine toxicology testing is erroneously employed as a SUD screening tool despite consistent recommendations against its routine use. The results are often misinterpreted as diagnostic of SUD and can have harmful downstream effects for pregnant and birthing people. This Clinical Rounds reviews the tools available for evidence-based SUD screenings in pregnancy care, pitfalls of urine toxicology testing, and ways in which midwifery care is well-positioned to implement evidence-based screening practices in pregnancy care.