Opioid Use Disorder in Pregnancy

Updated 3/20/2019

Provider Education for OUD in Pregnancy

Pregnancy provides an important opportunity to identify and treat women with opioid use disorder. Early universal screening, brief intervention, and referral for treatment of pregnant women with opioid use disorder improves maternal and infant outcomes.

This provider education bundle was developed by a multidisciplinary group of women’s health care providers, including obstetricians and gynecologists, to improve the quality and safety of care provided to pregnant women with OUD. This bundle builds upon the work of many dedicated professionals across the state. It is designed to facilitate implementation of best practices addressing the care of this vulnerable population with the goal of effectively and compassionately supporting pregnant women with OUD and their newborns.

This education is part one in a series of provider resources being developed. This education will also be implemented and tested at select hospital pilot sites across NYS. Providers may choose to utilize the bundle in its entirety or individual sections during various teaching/educational opportunities. Additional resources will be added here as they are developed. 

Opioid Use Disorder in Pregnancy 

OUD in Pregnancy Speaker Notes - Available upon request


Managing OUD in Pregnancy Webinar - March 15, 2019
Presentation by: Leah Kaufman, MD, FACOG & David Garry, DO, FACOG

This education has been made possible through funding from the New York State Health Foundation (NYSHealth). ACOG District II would like to thank the Opioid Use Disorder in Pregnancy Task Force, co-chaired by Leah Kaufman, MD, FACOG and David Garry, DO, FACOG for their time and expertise spent developing this educational content. 

Questions, comments, or if you are interested in having ACOG District II faculty present at your hospital on this topic, please contact: Kelly Gilchrist, Manager, Medical Education at

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OUD in Pregnancy: A Collaborative Effort of ACOG District II (New York) Webinar hosted by National Center on Substance Abuse and Child Welfare

OUD in Pregnancy: A Collaborative Effort of ACOG District II Webinar

New York State Opioid Use Disorder in Pregnancy and Neonatal Abstinence Syndrome Project

AIM Patient Safety Bundle Resources: Obstetric Care for Women with Opioid Use Disorder

OUD in Pregnancy Webinar Recording hosted by ACOG District II & NYSDOH’s NYSPQC
Faculty: Leah Kaufman, MD, FACOG & David Garry, DO, FACOG

The NYSDOH's Office of Drug User Health officially launched a new online, free "Buprenorphine for Opioid Use Disorder" Enduring Program for prescribers who have completed a buprenorphine waiver training. This video presentation offers 2.0 AMA PRA Category 1 Credit(s)TM.  Access the program here:

Opioid Summit

ACOG District II hosted an educational summit on April 27, 2017 at SUNY Upstate Medical University to provide multidisciplinary stakeholders from across the state with an opportunity to collaborate with their colleagues on potential recommendations and solutions to the issue of opioid use disorder in pregnancy.

Opioid Summit Presentations: The Role of Experts Caring for Opioid Use Disorder in Pregnancy

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Training Opportunities & Courses

ASAM Buprenorphine Waiver Training

Upcoming Live Courses

NYCDOHMH Buprenorphine Trainings (throughout all five boroughs)

For further information, contact:

For details about upcoming Medication-Assisted Treatment (MAT) trainings, please visit

NYSDOH Buprenorphine Trainings:

For information, contact the AIDS Institute, Office of Drug User Health, or 1-800-692-8528

Practice Guidelines

ACOG Committee Opinion Number 711: Opioid Use and Opioid Use Disorder in Pregnancy

ACOG Committee Opinion Number 736: Optimizing Postpartum Care

ACOG Committee Opinion Number 742: Postpartum Pain Management

ACOG Patient Safety Bundle: Obstetric Care for Women with Opioid Use Disorder

Best Practices/Model Programs

Caring for Pregnant Opioid Abusers in Vermont: A Potential Model for Non-Urban Areas

Center for Court Innovation Patient Navigator program

Maternal Opiate Medical Support (MOMS) Care Coordination Model

Northern New England Perinatal Quality Improvement Network: A Toolkit for the Perinatal Care of Women with Opioid Use Disorders

NYS OASAS has Certified Recovery Peer Advocates (CRPA)

SAMHSA Collaborative Approach to the Treatment of Pregnant Women with Opioid Use Disorders

SBIRT Oregon

Vermont Oxford Network: Improving Outcomes for Infants and Families Affected by Neonatal Abstinence Syndrome (NAS) – A Universal Training Program

Zero to Three

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Relevant Articles & Resources

A Roadmap to CHARM Implementation in New York

Chronic Opioid Use During Pregnancy: Fetal & Maternal Implications

Clinical, Ethical, and Legal Considerations Pregnant Women with Opioid Abuse

COWS Scale

Neonatal Abstinence Syndrome and Ethical Approaches to the Identification of Pregnant Women Who Use Drugs

Non-medical Opioid Use & Sources of Opioids Among Pregnant & Non-pregnant Reproductive-aged Women

OCFS Plan of Safe Care

Office of Children and Family Services (OCFS) Memo Plan of Safe Care Forms

Opioid Use Disorder in Pregnancy Health Policy & Practice in the Midst of an Epidemic

Prescription Drug Monitoring Programs: A Guide for Healthcare Providers

Rural & Urban Differences in NAS and Maternal Opioid Use

Patient Testimonials & Educational Videos

NYS OASAS Combat Heroin & Prescription Drug Abuse: Real Stories

External Web Links

American Society of Addiction Medicine (ASAM)

Centers for Disease Control and Prevention Prescription Drug Monitoring Program

Children and Family Futures

Governor Cuomo’s Task Force to Combat Heroin

HANYS The Opioid Epidemic: Keeping Babies Safe webinar, presented on February 13, 2018
Dr. Leah Kaufman & Dr. Michelle Bode from the District II OUD Task Force featured during this event

HANYS Substance Abuse Screening Billing Webinar; Recording from presentation 

HANYS Q/A from 5/15 SBIRT Coding Webinar

Implementing Tobacco Cessation Programs in Substance Use Disorder Treatment Settings

NYSDOH AIDS Institute Office of Drug User Health

NYSDOH AIDS Institute Online Provider Directory


NYS OASAS Treatment Availability Dashboard


Providers’ Clinical Support System

Screening, Brief Interventions and Referral to Treatment (SBIRT) materials - including reimbursement resource

Substance Abuse Confidentiality Regulations for Health Information Exchanges

Substance Abuse and Mental Health Services Administration (SAMHSA)

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American College of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188
Mailing Address: PO Box 96920, Washington, DC 20024-9998