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        Dahlgren L, Emmelin M, Winkvist A. ACOG Committee Opinion No. In-depth interviews were conducted by the first author (DF), in They were conducted in an isolated room at the PrEPVacc study site.
Pediatric staff should be notified of all infants exposed to opioids to ensure appropriate screening for neonatal abstinence syndrome.
Such meetings should involve FSWs so as to challenge popularly held stigmatized notion of sex work and highlight how health care workers could change their attitudes towards FSWs. Unlike methadone, which may be administered only through tightly controlled programs, buprenorphine may be prescribed for the treatment of opioid use disorder by trained and U.
—A health care professional assesses a patient for risky substance use behaviors using standardized screening tools.
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Neonatal consultation, if available, can be considered prenatally to discuss postdelivery care of the infant. Martinez (CA): The Born Free Project, Contra Costa County Department of Health Services; 1990. More research is needed to assess safety (particularly regarding maternal relapse), efficacy, and long-term outcomes of medically supervised withdrawal.
Recent evidence supports the use of buprenorphine for opioid use disorder treatment during pregnancy.
The influence of peers, families and partners on unintended pregnancy was also explored. Review of the assessment and management of neonatal abstinence syndrome. Public policy statement on the use of naloxone for the prevention of opioid overdose deaths. 2026;8(8):e68855. The lack of autonomy to insist on consistent condom use underscores the need for dual contraception among FSWs, particularly long acting reversible contraceptives. There is evidence that the available SRH services are not tailored to meet the specific needs of FSWs [, ].
The Prescription Drug Monitoring Program is a valuable resource to determine whether patients have received prior opioid prescriptions or other high-risk medications such as benzodiazepines, and should be consulted when patients request opioid pain medication or when opioid misuse is suspected. An example of moving from text, open codes and selective codes to the category are given in Fig. Collectively, FSWs should be empowered to discuss health care workers’ actions they consider improper. In spite of the above limitations, there are several strengths to this study.
Opioid treatment program directory. “I did not plan to have a baby.
Understanding experiences of unintended pregnancy and contraceptive use among female sex workers is important for informing appropriate interventions to address their SRH needs.
First, generalization of the findings to other contexts may be limited because of the specific urban setting as well as the fact that the qualitative study was conducted within a vaccine preparedness cohort study. With the exception of buprenorphine, it is currently illegal for a physician to write a prescription for any other opioids, including methadone, for the treatment of opioid use disorder outside of a licensed opioid treatment program (where medications are dispensed). Thereafter, the interview tool was revised based on the inputs from the team. Obstet Gynecol 2026;130:e81–94. Consequently, by the time participants were interviewed, some had terminated their pregnancy, some were still pregnant (one woman was at term) and some had already given birth.
Before initiating opioid therapy for chronic pain for reproductive-aged women, clinicians should discuss family planning and how long-term opioid use might affect care during a future pregnancy.