Substance Use Disorder in Pregnancy
Link to intrapartum resources
General Information:
OUD in pregnancy presentation OB fac meeting Fall 2020
Dr Atluru presentation for Project Echo : Project ECHO® (Extension for Community Healthcare Outcomes) is a statewide educational, teleECHO initiative that connects clinical experts with primary care providers and medication assisted treatment prescribers across Wisconsin in an effort to reduce substance-related complications. Dr Atluru's presentation is specific to OUD in pregnancy, from 12/21/18
Overview Presentation:
Buprenorphine Induction in Pregnancy - Alyssa Bruehlman, MD; Caitlin Regner, MD
Recording Link: Bup in pregnancy meeting (6/7/22, 4:30 PM, Webex)-20220607 2136-1
Link to slides: https://docs.google.com/presentation/d/1EA6cVIYHNorF20vz6zUc0jMuk-Dvc-7Ca-eP3NjhE0o/edit?usp=sharing_eil_m&invite=CJTktowK&ts=629fd516
OUD in Pregnancy Resources:
UW Addiction Hotline: 608-263-3260
California Perinatal Quality Care Collaborative: https://nastoolkit.org
CA Bridge: https://cabridge.org
SAMHSA guide for care of pregnant people with OUD: https://store.samhsa.gov/product/Clinical-Guidance-for-Treating-Pregnant-and-Parenting-Women-With-Opioid-Use-Disorder-and-Their-Infants/SMA18-5054
Periscope Project https://the-periscope-project.org/
Perinatal Substance Use ECHO: https://www.hennepinhealthcare.org/project-echo/
Kelly et al. Home Induction of Buprenorphine. Obst and Gyn. 2020. https://journals.lww.com/greenjournal/Fulltext/2021/10000/Home_Induction_of_Buprenorphine_for_Treatment_of.19.aspx
Pregnancy and harm reduction toolkit (downloadable pdf available): https://harmreduction.org/issues/pregnancy-and-substance-use-a-harm-reduction-toolkit/
Camden Coalition
Fresh Beginnings Online Baby Shower is quickly approaching!
Please review the information below for more details about which patients
may benefit from a Fresh Beginnings referral and how you can refer your patients.
What: A UnityPoint Health Meriter multidisciplinary class for birthing parents with substance use disorders in pregnancy (specifically opioid use disorder). Topics covered in the Fresh Beginnings online baby shower:
Introduction to care coordination
Welcome from NewStart
Connection to peer recovery with Pregnancy 2 Recovery
Labor education and non-pharmacologic management of pain
Lactation support and guidance
NAS/NOWs and rooming in
Overview of family care in the NICU
Participants will receive a gift bag of baby gifts and diapers for attending.
Who: Any patient can be referred in if they plan to birth at Meriter Hospital. This introductory class is designed for pregnant individuals on medication assisted treatment for opioid use disorder. The class will take place four times per year, and each patient should plan to attend one of our quarterly classes prior to delivery.
Why: To open the lines of communication between our staff and patients. We feel that by allowing patients to meet their care team ahead of their delivery, we can improve outcomes! Our goal is to reduce the stigma surrounding opioid use disorder in pregnancy, increase sensitivity and understanding, and educate patients about their care and the care of babies affected by neonatal abstinence syndrome.
When: If you know of patients that would benefit and may be close to delivery, please send their referral ASAP. The next class is July 27th from 10:00-12:00 via Microsoft Teams
Future 2022 dates include
· 10/26/22
Schedule for 2022-2023 coming soon!
How: In Meriter EPIC, please enter "Amb referral to Center for Perinatal Care" and in the comments/specialty desired, add "Fresh Beginnings Class." You can also fax an order (608-417-6364) or send a message to Dr. Jacquelyn Adams or Leah Matteson in the Center for Perinatal Care.
If you have any questions, please email Dr. Jackie Adams with Maternal Fetal Medicine at jhadams3@wisc.edu.