Vashist Motkur, Aniket Bharadwaj, Nimalesh Yogarajah
Is online objective structured clinical examination teaching an acceptable replacement in post-COVID-19 medical education in the United Kingdom?: a descriptive study
Journal of educational evaluation for health professions
opioid use disorder oud pregnancy presents significant risk maternal fetal neonatal health increasing likelihood adverse events maternal overdose pregnancy loss stillbirth preterm birth low birth weight neonatal abstinence syndrome order reduce risk outcomes standard care oud pregnancy many jurisdictions within united states canada opioid agonist therapy oat oat refers prescription medications alleviate eliminate opioid withdrawal symptoms opioid use managed safely although oat recognized safe option pregnant people oud many jurisdictions treatment guidelines regarding pharmacological options dosing recommendations side effect management individual preferences currently lack systematic evidence impacts different oat regimens pregnancy outcomes aim evaluate impacts specific oat agents pregnancy outcomes inform recommendations practitioners treating pregnant people oud medline embase cinahl psycinfo databases searched published quantitative studies assessing pregnancy outcomes individuals oat given substantially increased risk preterm birth low birth weight small gestational age stillbirth among pregnant people oud four end points comprise primary outcomes database searches restricted date conference abstracts restricted past 2 years titles abstracts fulltext articles independently screened 2 reviewers data extracted independently duplicate using data extraction form reduce risk reviewer bias risk bias within individual studies assessed using appropriate casp critical appraisal skills programme checklists studies consider research questions interventions outcomes metaanalyses conducted synthesize pooled effect size event studies cannot compared directly results synthesized narrative account betweenstudy heterogeneity measured using 2 statistic 10 studies available pooling publication bias evaluated using egger regression test january 2023 total 3266 abstracts identified screening data extraction expected commence february 2023 topic oat effect pregnancy understudied area potential improve health outcomes clinical practice education community advocacy results review used inform clinical practice guidelines improve health outcomes pregnant people findings disseminated diverse groups stakeholders including policy makers clinicians community partners individuals lived experience drug use prospero crd42022332082 httpstinyurlcom2p94pkx5 derr110219642417