Best Clinical Practices for Treating Opioid Use Disorder in Pregnancy and the Postpartum Period*

Credit Available: CE Credit(s): Yes
Designations: AMA PRA Category 1 Credit™, AAPA Category 1 CME, Nursing Contact Hours, Pharmacy CE Credit, Interprofessional Continuing Education (IPCE) Credit

Target Audience(s): Physicians, Nurse Practitioners or other Advanced Practice Nurses, PAs, Pharmacists, Interprofessional Teams, Students, and Educators

Description: Opioid use disorder (OUD) among women who become pregnant is increasing in prevalence in clinical settings. The standard of care is to provide buprenorphine or methadone as a part of a complete treatment approach during pregnancy and beyond the postpartum period. This course reviews the historical and current context of opioid use of women during pregnancy. It compares pharmacological treatment options for OUD and discusses issues with detoxification or medically assisted withdrawal from opioids during pregnancy. Topics related to the treatment of OUD during pregnancy and in the postpartum period for the mother, fetus, and child will also be discussed (e.g., induction, dosing, pain management, neonatal withdrawal and how to reduce its severity). The learner will follow the case study of Ashley during her pregnancy and the birth of her baby, and will engage in reflection and knowledge check questions.

Educational Objectives:

  • Analyze the historical and current context of pregnant women in the opioid crisis
  • Compare and contrast the differing approaches of treating pregnant patients with opioid use disorder (OUD) with medications for opioid use disorder (MOUD) or using medication to initiate withdrawal
  • Demonstrate the risks and benefits of methadone and buprenorphine treatment during pregnancy for the mother and the child
  • Develop a patient-centered plan to provide postpartum care and plan for any neonatal abstinence syndrome (NAS)/neonatal opioid withdrawal syndrome (NOWS) in the infant

Supplemental SUD 101 Core Curriculum Course

This course is a supplemental offering within the SUD 101 Core Curriculum. These virtual presentations include knowledge checks and reflection questions. For more information about the SUD 101 Core Curriculum, please visit the SUD 101 homepage.

Course components:

  • Interactive learning: 30-to-60-minute virtual presentation, with knowledge checks and reflection questions.
  • Resources: Downloadable slide decks, resource links, references, and mentorship opportunities.
  • Team-based takeaway guide: This tool provides important course takeaways from and for specific members of the team. It was designed to help the team learn from and about one another.
  • Accredited CE credits: A certificate following completion of the course
    • Choice of available CE Credit types: AMA PRA Category 1 Credit™, AAPA Category 1 CME, Nursing Contact Hours, Pharmacy CE Credit, Interprofessional Continuing Education (IPCE) Credit.

Completion:

  • CE certificates: After completing each course, learners will receive a CE certificate.

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