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However, the consequences of exposure to synthetic opioids, particularly BUP, during gestation on fetal neurodevelopment and long\u2010term outcomes are poorly understood. Further, despite the known adverse effects of opioids on maternal care, many preclinical and clinical studies investigating the effects of gestational opioid exposure on offspring outcomes fail to report on maternal care behaviors. Considering that offspring outcomes are heavily dependent upon the quality of maternal care, it is important to evaluate the effects of gestational opioid exposure in the context of the mother\u2212infant dyad. This review compares offspring outcomes after prenatal opioid exposure and after reduced maternal care and integrates this information to potentially identify common underlying mechanisms. We explore whether adverse outcomes after gestational BUP exposure are due to direct effects of opioids in utero, deficits in maternal care, or a combination of both factors. Finally, suggestions for improving preclinical models of prenatal opioid exposure are provided to promote more translational studies that can help to improve clinical outcomes for opioid\u2010dependent mothers.<\/jats:p>","DOI":"10.1002\/dev.22433","type":"journal-article","created":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T04:24:21Z","timestamp":1698121461000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Maternal care behavior and physiology moderate offspring outcomes following gestational exposure to opioids"],"prefix":"10.1002","volume":"65","author":[{"given":"Abigail M.","family":"Myers","sequence":"first","affiliation":[{"name":"Department of Psychology Wayne State University  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott E.","family":"Bowen","sequence":"additional","affiliation":[{"name":"Department of Psychology Wayne State University  Detroit Michigan USA"},{"name":"Translational Neuroscience Program Wayne State University  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8398-767X","authenticated-orcid":false,"given":"Susanne","family":"Brummelte","sequence":"additional","affiliation":[{"name":"Department of Psychology Wayne State University  Detroit Michigan USA"},{"name":"Translational Neuroscience Program Wayne State University  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.expneurol.2021.113621"},{"key":"e_1_2_9_3_1","first-page":"2","article-title":"AGOG committee opinion: Opioid use and opioid use disorder in pregnancy","volume":"711","author":"ACOG","year":"2017","journal-title":"Obstetrics & Gynecology"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nlm.2017.11.013"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroscience.2015.08.015"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2006.12.013"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-013-0357-8"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brainresbull.2017.11.012"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-14-104"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0091-3057(97)00260-8"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-3806(98)00117-5"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-3806(94)90100-7"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1210\/endo.131.6.1332851"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/jnr.24642"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-016777"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1515\/revneuro-2017-0052"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9568.2003.02965.x"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0306-4522(02)00918-1"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/0306-4530(94)90045-0"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.7123227"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwu190"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00441-018-2948-1"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrn2280"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1037\/0735-7044.114.4.797"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-9384(00)00231-6"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yfrne.2017.09.001"},{"key":"e_1_2_9_27_1","first-page":"104","article-title":"Maternal plane of nutrition: Impacts on fetal outcomes and postnatal offspring responses","volume":"4","author":"Canton J. 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