The following resources provide examples of how jurisdictions have developed policy and protocols in working with pregnant women affected by opioid use disorders, their infants and families.
The Treatment of Opioid Dependence in Pregnancy: Vermont Guidelines. These best practice guidelines were written as a collaborative effort between the division of Alcohol and Drug Abuse Programming at the Vermont Department of Health, the Maternal Fetal Medicine Department at Fletcher Allen Health Care and the Neomedical Follow-up Department at Fletcher Allen Health Care. The obstetrical and pediatric guidelines were written for use in Vermont after a decade of work with the population of substance dependent pregnant women and their children. They are intended for clinical providers to review and use as a template, if desired. http://www.uvm.edu/medicine/vchip/documents/ICONFULLTREATMENTGUIDELINESFINAL.pdf (PDF 1.3 MB)
Opioid Use in Pregnancy: A Community’s Approach, The Children and Recovery Mothers (CHARM) Collaborative Webinar and Case Study. These resources describe a collaborative approach in working with pregnant women with opioid use disorders. Contact the NCSACW for the case study. Facilitated as part of a webinar series – see the textbox, National Center on Substance Abuse and Child Welfare: Webinar Series for a complete listing. The webinar is available at https://www.youtube.com/watch?v=4-OJYK8N0GQ
The Snuggle ME Project: Embracing Drug Affected Babies and their Families in the First Year of Life To Improve Medical Care and Outcomes. Collaborative initiative between various service providers in the State of Maine. The collaborative seeks to improve outcomes for pregnant women with substance use disorders and their infants.
The Snuggle ME Project: Draft of Evidence Based Recommendations for Care of Mom, Newborn and Families Affected by Perinatal Addiction. This document provides recommendations for screening for substance use during pregnancy, care of pregnant women with opioid dependency, and treatment of newborns with prenatal substance exposure. It includes sample hospital policy guidelines and patient education handouts. https://www1.maine.gov/dhhs/mecdc/documents/SnuggleME-Project.pdf (PDF 1.0 MB)
Maternal Opiate Medical Support (MOMS) Care Coordination Model: Collaborative initiative seeking to improve outcomes for mothers and infants affected by opioid and other substance use disorders.
2013 Iowa Medicaid Birth Certificate Match Report: Neonatal Abstinence Syndrome, Factors Associated with Neonatal Abstinence Syndrome. A project supported by an inter-departmental agreement between the Iowa Department of Human Services and the Iowa Department of Public Health/Bureaus of Family Health and Health Statistics. The report summarizes recommendations to address risk factors, including tobacco use, among pregnant women with opioid use disorders. http://idph.iowa.gov/Portals/1/Files/HealthStatistics/2013_medicaid_neonatal.pdf (PDF 2.6 MB)
Community Care of North Carolina
State of Washington