Doctor of Nursing Practice (DNP)
Mary Ellen Wikosz
Preconception care, Prescribed opiods
The landmark 2015 report from the Center for Disease Control (CDC) posited that too many women of reproductive age received prescribed opioids. This is significant because fetal exposure to a known teratogen can have catastrophic outcomes. Furthermore, women are often ambivalent about birth control and many pregnancies are unplanned. Fortunately, women identify interactions with health care providers as acceptable cues for preconception decision making. Data has shown that Medicaid populations are disproportionately prescribed opioids compared to insured populations. However, the CDC defines reproductive status by age only. Therefore, the purpose of this research project was to identify women’s actual risk for pregnancy as defined by presence or absence of menopause, sterilization, or long-acting, reversible birth control (LARC).
Norwick, Rebecca-Maria, "Preconception Care of Women on Prescribed Opioids" (2017). Doctoral Projects. 60.