Maternal Buprenorphine Dose at Delivery and Its Relationship to Neonatal Outcomes.

Abstract:

BACKGROUND/AIMS:To determine whether there is a dose-response relationship between maternal dose of buprenorphine at delivery and neonatal outcomes. METHODS:This retrospective cohort study of 155 maternal-infant dyads exposed to buprenorphine during pregnancy examines the relationship between maternal dose of buprenorphine at delivery and gestational age, birthweight, method of delivery, Apgar scores at 1 and 5 min, duration of infant hospital stay, peak neonatal abstinence syndrome (NAS) score, duration of NAS and incidence of pharmacologic treatment of NAS. RESULTS:Analyses failed to support any relationship between maternal dose of buprenorphine at delivery and any of the 9 clinical outcomes (all p values >0.093). CONCLUSIONS:This study failed to provide any evidence to support limiting or reducing maternal dose of buprenorphine during pregnancy in order to reduce possible adverse outcomes to the infant. Findings suggest that healthcare providers can focus medication decisions on maternal opioid cravings to reduce the risk of relapse to illicit opioid use rather than out of concern for adverse infant outcomes.

journal_name

Eur Addict Res

authors

O'Connor AB,O'Brien L,Alto WA

doi

10.1159/000441220

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

127-30

issue

3

eissn

1022-6877

issn

1421-9891

pii

000441220

journal_volume

22

pub_type

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