Perinatal Opioid Use

  1. Recent guidance (Nov. 2022)
    1. CDC's Treatment for Opioid Use Disorder Before, During, and After Pregnancy Contains sections: Medication for Opioid Used Disorder (MOUD) During Pregnancy; Treatment for an Infant Affected by Neonatal Opioid Withdrawal Syndrome (NOWS); Management of NOWS with the Use of Medication; Breastfeeding; After Hospital Discharge; Plans of Safe Care; Treatment for People with Opioid Use Disorder after Delivery; Screening for Other Mental Health Conditions.
    2. CDC's About Opioid Use During Pregnancy

      General information. Imbedded links to ACOG bulletin, CDC guidelines for pain.

  2. Older guidance that contains useful information
    1. Clinical Guidance for Treating Pregnant and Parenting Women with Opioid Use Disorder and Their Infants.

      Prenatal Care :8 factsheets, including prenatal screenings, therapy initiation, changing pharmacotherapy, polysubstance use, peripartum pain relief.

      Infant care :5 factsheets, including Neonatal Abstinence Syndrome, breastfeeding, developmental assessment.

      Maternal Postnatal Care :3 factsheets, including pharmacotherapy, relapse.

    2. American College of Obstetricians and Gynecologists Bulletin 771, Aug 2017 Opioid Use and Opioid Use Disorder in Pregnancy
    3. Neonatal Opioid Withdrawal Syndrome

      Patrick, S.W., Barfield, W.D., Poindexter, B.B. er al., American Academy of Pediatrics, 2020, 146(5).

      OUD in Pregnancy and NOWS, Assessment and Clinical Presentation, Clinical Presentation of NOWS in Neonate, Screening and Testing, Diagnosis and Treatment, Clinical Management of NOWS, Pharmacotherapy, Preparing for Discharge

    4. CDC Polysubstance Use in Pregnancy

      Contains information and additional links to information regarding polysubstance use during pregnancy.