The speed of opioid use dysfunction (OUD) is excessive in Medicaid-enrolled pregnant girls, they usually have a excessive fee of extreme maternal morbidity (SMM), in response to a examine revealed in JAMA Community Open.
Samantha G. Auty, Ph.D., from the Boston College Faculty of Public Well being, and colleagues recognized 96,309 pregnant girls with OUD enrolled in Medicaid in 47 states with 108,975 deliveries in a cross-sectional examine to estimate the charges of SMM.
The researchers discovered that throughout states, the imply fee of OUD amongst pregnant girls enrolled in Medicaid was 324.8 per 10,000 dwell births. On this group, the imply unadjusted fee of SMM, excluding blood transfusions, amongst these with OUD was 292.1 per 10,000 dwell births, with substantial variation seen throughout states from 101.0 to 682.2 per 10,000 dwell births in South Dakota and California, respectively.
The estimated fee of SMM was not meaningfully altered with adjustment for enrollee traits and comorbidities. With decreased durations of Medicaid enrollment, charges of SMM usually elevated.
“State Medicaid programs are uniquely positioned to implement strategies that address the burden of SMM among pregnant people with OUD,” the authors write. “Doing so will require early identification of pregnant Medicaid enrollees with OUD and implementation of targeted strategies to increase engagement with perinatal care and SUD treatment.”
Extra info:
Samantha G. Auty et al, Extreme Maternal Morbidity Amongst Pregnant Individuals With Opioid Use Dysfunction Enrolled in Medicaid, JAMA Community Open (2025). DOI: 10.1001/jamanetworkopen.2024.53303
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Extreme maternal morbidity up in Medicaid-enrolled pregnant girls with opioid habit (2025, January 8)
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