Alice Ordean

Alice Ordean
St. Joseph's Health Centre, Toronto | stjoe · Department of Family Medicine

MD, CCFP, MHSc, FCFP, DABAM, FASAM

About

30
Publications
4,712
Reads
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625
Citations
Education
September 1994 - June 2004
University of Toronto
Field of study
  • Medicine

Publications

Publications (30)
Article
Introduction: Non-medical cannabis use and anxiety disorders are highly prevalent among Canadian women; however, the direction of this assocation remains controversial. The objective of this article is to provide an evidencebased update regarding the effect of non-medical cannabis on anxiety symptoms in women. Methods: A literature search was condu...
Article
Cannabis is the most commonly used psychoactive substance in Canada. The prevalence of cannabis use both during pregnancy and in the postpartum period has been estimated at 5% of the population. Women who use the drug during lactation place their infants at risk of exposure to cannabis and its metabolites in breast milk. This article provides a sys...
Article
Full-text available
Objectives: Prenatal alcohol and cigarette smoking are associated with numerous adverse pregnancy outcomes. Screening, Brief Intervention, and Referral to Treatment (SBIRT) represents a standardized approach; however, implementation in routine pregnancy care remains a challenge. The purpose of the study was to determine current practices, barriers...
Article
Substance use during pregnancy has important implications for health care providers, policy makers, and can negatively impact a woman's health and the health of her children. Understanding trends, patterns of use and outcomes are critical to prevention campaigns, building awareness, and providing effective care. This review will discuss the current...
Article
Substance use during pregnancy has important implications for health care providers and policymakers and can negatively affect a woman's health and the health of her children. Understanding trends, patterns of use, and outcomes are critical to developing prevention campaigns, building awareness, and providing effective care. This review critically...
Article
Objectifs Accroître la sensibilisation à la consommation problématique de substances psychoactives pendant la grossesse et les connaissances à ce sujet, et formuler des recommandations factuelles relatives à la prise en charge de cet épineux problème clinique à l'intention de l'ensemble des fournisseurs de soins. Options La présente directive clin...
Poster
Full-text available
A comparison of 2 models of management of Morphine delivery to neonate who are suffering from opioid withdrawal
Article
Objective: To describe obstetrical and neonatal outcomes including neonatal abstinence syndrome (NAS) in a Canadian cohort of methadone-maintained pregnant women. Methods: We conducted a retrospective chart review at three integrated care programs in Vancouver, Toronto, and Montreal. Pregnant women on methadone maintenance treatment (MMT) who at...
Article
Full-text available
Alice Ordean,1 Brian C Chisamore21Department of Family Medicine, 2Department of Pediatrics, St Joseph's Health Centre, and University of Toronto, Toronto, ON, CanadaAbstract: Exposure to prescription medications and illicit drug use during pregnancy has been associated with neonatal abstinence syndrome. The clinical presentation consists of neurolo...
Article
The aim of this paper is to provide a systematic review of the evidence regarding the safety of cannabis exposure during lactation and recommendations for clinical practice. PubMed and OVID Medline search was performed using pregnancy, breastfeeding, cannabis, and marijuana. Articles were limited to human studies and English language. Animal studie...
Article
To describe the characteristics of a national cohort of pregnant women on methadone maintenance treatment (MMT) and to provide treatment outcome data for integrated care programs. Retrospective chart review. Three different integrated care programs in geographically distinct cities: the Toronto Centre for Substance Use in Pregnancy in Toronto, Ont;...
Article
Full-text available
Ontario's clinical practice guidelines for neonatal abstinence syndrome (NAS) provide evidence-informed recommendations that address the needs of substance using pregnant women and newborns at risk of NAS. NAS is a complex and multifaceted issue that is escalating along with rapidly rising opioid use in Ontario. Reducing the incidence and impact of...
Article
The sixth Ivey Chair Symposium, held at the University of Western Ontario in October 2011, was dedicated to an update on the complex issues surrounding opioid dependent mothers and their newborns. The day commenced with Loretta Finnegan who provided a historical overview of the complex issues surrounding the addicted mother and her baby suffering f...
Article
Full-text available
Substance use during pregnancy is a substantial public health problem and a risk factor for poor neonatal outcomes. Prenatal care is often provided in high-risk pregnancy units, separate from addiction treatment. To provide comprehensive prenatal care and addiction treatment in a family medicine setting. The Toronto Centre for Substance Use in Preg...
Article
A pocket guide on management of substance use during pregnancy was developed by a group of Canadian care providers. One hundred and fifteen family medicine residents in 6 Canadian teaching sites were randomized to receive either the pocket guide or a paper summary on similar clinical topics, based on UpToDate, a comprehensive Web-based resource. At...
Article
SOGC clinical practice guidelines: Substance use in pregnancy: no. 256, April 2011. Wong S, Ordean A, Kahan M; Society of Obstetricians and Gynecologists of Canada. Int J Gynaecol Obstet. 2011 Aug;114(2):190-202
Article
To improve awareness and knowledge of problematic substance use in pregnancy and to provide evidence-based recommendations for the management of this challenging clinical issue for all health care providers. This guideline reviews the use of screening tools, general approach to care, and recommendations for clinical management of problematic substa...
Article
To improve awareness and knowledge of problematic substance use in pregnancy and to provide evidence-based recommendations for the management of this challenging clinical issue for all health care providers. This guideline reviews the use of screening tools, general approach to care, and recommendations for clinical management of problematic substa...
Article
Accroître la sensibilisation à la consommation problématique de substances psychoactives pendant la grossesse et les connaissances à ce sujet, et formuler des recommandations factuelles pour la prise en charge de ce difficile problème clinique à l’intention de tous les fournisseurs de soins de santé
Article
Full-text available
To review the use of buprenorphine for opioid-addicted patients in primary care. The MEDLINE database was searched for literature on buprenorphine from 1980 to 2009. Controlled trials, meta-analyses, and large observational studies were reviewed. Buprenorphine is a partial opioid agonist that relieves opioid withdrawal symptoms and cravings for 24...
Article
To assess participant perception of an integrated model of care for substance abuse in pregnancy. Focus groups were employed for this qualitative study. Two Family Medicine Units, 1 in Toronto and 1 in Montreal, where integrated care for licit and illicit substance abuse in pregnancy is provided by a team of doctors, nurses, nurse practitioners, an...
Article
Full-text available
To evaluate patient outcomes in an addiction shared care program that is managed by family physicians working in a primary care setting. Prospective cohort study. The addiction shared care program at St Joseph's Health Centre in Toronto, Ont, which is staffed by a nurse clinician, an addiction therapist, a clinical fellow, and 6 family physicians i...
Article
Full-text available
Empirical evidence is needed to guide adequate postpartum pain relief of methadone and buprenorphine stabilized patients. To first determine the adequacy of pain control using non-opioid and opioid medication in participants stabilized on buprenorphine or methadone before a vaginal delivery. Second, to compare the amount of non-opioid and opioid me...
Article
To assess: (1) physicians' knowledge and clinical confidence regarding problematic substance use in pregnancy compared to folic acid, and (2) physicians' desire for education in this area and their preferred learning modalitiestools. Self-administered survey. Family Medicine Forum 2004 in Toronto, Canada. Physicians attending Family Medicine Forum...
Article
Medical education has not always kept abreast of the growing body of empirical evidence supporting the contention that early intervention programs are effective. Early intervention(EI) programs have been designed to serve infants and young children who are at risk for developmental delay. The aim of EI is usually to provide the child with opportuni...

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