000010108 001__ 10108
000010108 005__ 20240125143603.0
000010108 0247_ $$2DOI$$a10.6083/dj52w561j
000010108 037__ $$aIR
000010108 245__ $$aImproving postpartum discharge planning for Oregonians with opioid use disorder
000010108 260__ $$bOregon Health and Science University
000010108 269__ $$a2023
000010108 336__ $$aCapstone
000010108 502__ $$gMedicine (Undergraduate Medical Education)
000010108 502__ $$bM.D.
000010108 520__ $$aUndertreated opioid use disorder (OUD) during pregnancy contributes to poor maternal and neonatal outcomes and worsening maternal mortality in the United States, and rates of opioid use in Oregon has increased over the last few years. Guidelines are lacking on non-pharmacologic treatment options and support specific to the challenges of postpartum. A survey was sent to maternity care providers, pediatric providers, social workers, and nurses statewide to better characterize current practices and barriers for discharge planning and support in the postpartum period for patients with OUD during pregnancy. Most providers were utilizing resources available to them for this population and were providing guideline-based care, but there are still significant barriers and inconsistencies working with this population. Inpatient providers play an important role in safely discharging postpartum dyads, but creative solutions should come from inside and outside of the healthcare system to best care for patients. Further work should focus on patient perspectives to improve the quality of care and work towards decreasing maternal morbidity and mortality in Oregon.
000010108 540__ $$fCC BY
000010108 650__ $$aPostpartum Period$$036216
000010108 650__ $$aOpioid-Related Disorders$$022689
000010108 650__ $$aSubstance Withdrawal Syndrome$$026527
000010108 650__ $$aPregnancy$$024523
000010108 650__ $$aMaternal Health Services$$021877
000010108 650__ $$aInfant, Newborn$$020782
000010108 651__ $$aOregon$$041094
000010108 691__ $$aSchool of Medicine$$041369
000010108 7001_ $$aWallace, Jessica$$10000-0002-0336-7903$$uOregon Health and Science University$$041354
000010108 7201_ $$aPilliod, Rachel$$uOregon Health and Science University$$041354$$7Personal$$eMentor
000010108 8564_ $$9fdfc2e52-07da-47bc-be0c-b69be9c8b8fa$$s1914481$$uhttps://digitalcollections.ohsu.edu/record/10108/files/Wallace.Jessica.2023.pdf
000010108 905__ $$a/rest/prod/dj/52/w5/61/dj52w561j
000010108 909CO $$ooai:digitalcollections.ohsu.edu:10108$$pstudent-work
000010108 980__ $$aScholarly Project Capstones