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Peer-Reviewed Publication
Anesthesiol Clin2026;44(3):395-410.September 1, 2026Journal Article

Peripartum Management for Patients Receiving Medication for Opioid Use Disorder.

Henry Paiste1, Brendan Lynch2, Grace Lim3
1Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh School of Medicine, UPMC Magee Women's Hospital, 300 Halket Street, Pittsburgh, PA 15213, USA. Electronic address: paistehj@upmc.edu.
2Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh School of Medicine, UPMC Magee Women's Hospital, 300 Halket Street, Pittsburgh, PA 15213, USA.
3Department of Anesthesiology, Perioperative and Pain Medicine, University of Utah, HELIX Building 505030 North Mario Capecchi Drive, Salt Lake City, UT 84112, USA.

Abstract

This review discusses the rising impact of opioid use disorder (OUD) on peripartum care, highlighting the maternal and neonatal risks, including neonatal abstinence syndrome. It traces the US opioid crisis from aggressive 1990s prescribing to 2016 Center for Disease Control guidelines and notes enduring regional disparities in opioid prescriptions. The text distinguishes OUD from opioid-induced hy…

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