A decade of DOVE: multidisciplinary experience from an obstetric addiction clinic
To review a decade of attendances at an obstetric addiction clinic and compare with the general hospital population.
Retrospective study of activity between 2009 and 2018. Metrics were reviewed and compared with outcomes for the entire Rotunda Hospital population. Linear regression analyses and Chi square analyses were used as appropriate.
The rate of attendance has remained stable over the decade studied, 12/1000births. Opioid addiction has significantly (p=0.04) declined and other addictions have increased (p<0.001). Comparing the addiction and non-addiction populations, caesarean section rates are equivalent while unassisted birth is higher (62.2% vs 49.9%, p<0.0001) and instrumental birth is lower (7.4% vs 17.4%, p<0.0001). Prematurity & Fetal growth restriction are more common in the population with addiction. Neonatal abstinence syndrome (NAS) and positive maternal virology have fallen over the decade.
This limited retrospective review of women with addiction in pregnancy identifies a changing profile of attendances. It acknowledges the important role of the drug liaison midwife. It highlights increased risks for this population regarding prematurity and growth restriction, and it is important that these are reflected in care pathways and patient education. Further prospective multivariate analysis is advised to drive responsive service planning to optimise care of pregnant women with addiction.
CommentsThe original article is available at www.imj.ie
Published CitationEogan M. et al. A decade of DOVE: multidisciplinary experience from an obstetric addiction clinic. Ir Med J. 2021;114(5):352
Publication DateMay 2021
- Obstetrics and Gynaecology
- School of Pharmacy and Biomolecular Sciences
PublisherIrish Medical Association
- Published Version (Version of Record)