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Friday, December 8 • 2:20pm - 2:40pm
Interventions to Address Pregnancy-Associated Deaths Due to Overdoses

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Pregnancy-associated deaths due to overdoses have significantly increased over the past decade, and there has been a progressive increase in pregnancy-associated mortality due to psychostimulants and synthetic opioids including fentanyl. A study on pregnancy-associated deaths from 2017-2020 revealed that 16.3% of these deaths were overdose related and associated with a mortality rate of 8.35 per 100,000 [1]. Pregnancy-associated overdose mortality gradually increased over the study period, with increases in overdose mortality in 2020 being more pronounced than increases in any previous year [1].For countless women with substance use disorders, the ED is the first point of care. Clinicians play a key role in impacting outcomes in this maternal health crisis [2]. There are several factors that contribute to the increase in pregnancy-associated overdoses including disparities that lead to challenges in accessing drug treatment services and difficulties in achieving timely harm reduction [1]. These disparities disproportionately affect BIPOC and have persisted despite advancements in medical care [3]. Treatment strategies require a multidisciplinary coordinated approach that focuses on not only the mother but also the infant.In our talk, we will discuss time-sensitive ways through which clinicians can address pregnancy-associated overdose mortality in the EP setting. We will discuss the importance of early universal screening, brief interventions, counseling and education in the ED, and referral to support services [4]. We will also discuss identifying withdrawal symptoms in the mother and infant, pain control strategies, and modifying elements of prenatal care for women with OUD.

Learning Objectives:
  1. Understand trends in pregnancy-associated overdose deaths.
  2. Learn time-sensitive ways to help clinicians address pregnancy-associated overdose mortality in the EP setting.
  3. Learn how to modify elements of prenatal care to best care for women with OUD in the prenatal and post-partum period.
Speakers
avatar for Muna Telsem, MD, MBA

Muna Telsem, MD, MBA

Interventions to Address Pregnancy-Associated Deaths Due to Overdoses, University of Missouri Hospital-Columbia
Dr. Muna Telsem is a psychiatry resident at the University Hospital in Columbia, MO. She completed her undergraduate degree in Gender, Sexuality, and Women's Studies at Virginia Commonwealth University in Richmond, Virginia. She also earned an MBA degree from Davenport University... Read More →
avatar for Monica Sadhu, MD, MPH

Monica Sadhu, MD, MPH

Resident Psychiatrist, University of Missouri Columbia
Monica Sadhu is currently a second year Psychiatry Resident at the University of Missouri - Columbia. She completed her undergraduate studies in Molecular Biology at UC Berkeley, and obtained her MD/MPH at the University of Arizona - Phoenix.

Interventions to Address Pregnancy Associated Deaths Due to Overdoses pdf
Friday December 8, 2023 2:20pm - 2:40pm PST
Vendôme A
  Substance Use Disorder Track