Evidence map›Paper›PMID 39929991›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2025

Outpatient tapering of buprenorphine in opioid use disorder pregnancies may improve neonatal outcomes.

Darshan Shah, Rakesh Adelli, Alyson Chroust, Nicole Lewis, Martin Olsen

Abstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Darshan ShahDepartment of Pediatrics, Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA. shahd@etsu.edu.ORCID http://orcid.org/0000-0002-0319-5048
Rakesh AdelliDepartment of Public Health, East Tennessee State University, Johnson City, TN, USA.ORCID http://orcid.org/0009-0005-4516-7626
Alyson ChroustDepartment of Psychology, East Tennessee State University, Johnson City, TN, USA.
Nicole LewisDepartment of Medical Education, Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA.
Martin OlsenDepartment of Obstetrics and Gynecology, Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe main objective of the study was to compare neonatal outcomes: the incidence of NOWS, length of hospital stay (LOS), admission to neonatal intensive care (NICU), birth weight, treatment with morphine, and head circumference between newborns of mothers who had tapering of buprenorphine (T group) during pregnancy to non-tapering of buprenorphine (NT group). STUDY

designIt was a prospective, pilot, case-control trial of pregnant women done in North-East Tennessee in pregnancy with opioid use disorder (OUD) in the tapered (T) group as a part of clinical care while the NT group did not taper medication.

resultsSignificant differences were observed among neonatal outcomes; average birth weight and head circumference (p < 0.05) and admission to NICU (p < 0.05) between the two groups by t-test, and in maternal buprenorphine doses, 1.47 versus 7.6 (p < 0.0001).

conclusionComprehensive outpatient buprenorphine tapering can be done in OUD pregnancy with improved neonatal outcomes after careful discussion with providers of the risks and benefits.

Indexed as

BuprenorphineNarcotic AntagonistsNeonatal Abstinence SyndromeOpiate Substitution TreatmentOpioid-Related DisordersPregnancy ComplicationsAdultAnalgesics, OpioidBirth WeightCase-Control StudiesFemaleHumansInfant, NewbornIntensive Care Units, NeonatalLength of StayPilot ProjectsAnalgesics, OpioidBuprenorphineNarcotic Antagonists

Identifiers

PMID39929991
PMCPMC12069089

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.