A National Survey Investigating Methadone Treatment for Pregnant Opioid Dependent Women in England and Wales

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Abstract

We investigated the management and treatment of pregnant opioid users by Drug Treatment Services in England and Wales. A postal survey was conducted among 223 Community Drug Treatment Services (CDTS) across England and Wales. Sixty-six percent CDTS responded (n = 154/233) to the survey. Over half CDTS (55.3 %) provided a maintenance methadone dose lower than that recommended for non-pregnant drug users. There were significant variations on how professionals approached the management of pregnant opioid users. CDTS with an addiction specialist were significantly more likely (p < 0.01) to advocate high doses of methadone whereas those with a midwife, obstetrician or social worker involved were more likely (p < 0.05) to suggest low dose methadone and/or detoxification. Service provision for pregnant opioid users is reliable and comprehensive but there is still variability in some aspects of the treatment received and the way in which methadone is prescribed is not always optimal.
Original languageEnglish
Pages (from-to)693-702
Number of pages10
JournalInternational Journal of Mental Health and Addiction
Volume11
Issue number6
DOIs
Publication statusPublished - 1 Dec 2013

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