A national survey investigating methadone treatment for pregnant opioid dependent women

We investigated the management and treatment of pregnant opioid users by Drug Treatment Services by region across England and Wales. A postal survey was conducted among 223 Community Drug Treatment Services (CDTS) across England and Wales. Sixtysix percent CDTS responded (n=154/233) to the survey. Over half CDTS (55.3%) provided a maintenance methadone dose lower than that recommended for non-pregnant drug users. There were significant variations across regions and how professionals approached the management of pregnant opioid users. CDTS with an addiction specialist were significantly more likely (p<.01) to advocate high doses of methadone whereas those with a midwife, obstetrician or social worker involved were more likely (p<.05) to suggest low dose methadone and/or detoxification. Service provision for pregnant opioid users is reliable and comprehensive but there is still variability in some aspects of the treatment received and the way in which methadone is prescribed is not always optimal.