Expand Steps to Minimize Substance Use During Pregnancy or Pregnancy During Substance Use

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Return to Opioid Top-Level Strategy Map or Zoom Map (Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy During Opioid Use) or Zoom Map (Improve Treatment & Enable Recovery for People with SUDs) View Minimize Babies Born with Opioid Addictions  or ZOOM MAP - Expand Harm Reduction Practices Associated with Opioid Misuse


Key Information

Help Women Overcome Obstacles to Treatment, Family Planning and Prenatal Care

Women who are misusing opioids or who have OUD may have many obstacles to getting treatment, family planning or prenatal care. A strategy to minimize unintentional pregnancies for these women should include plans to help them overcome obstacles to receiving these services. The obstacles include:
  • Transportation
  • Childcare
  • Employment conflicts
  • Unsupportive Living Environments
  • Unstable Living Environments
  • Homelessness
  • Partner with a Substance Use Disorder
  • Stigma and/or Guilt
  • Fear of losing the child
  • Fear of incarceration
  • Fear of being discovered about misusing substances (by family, employer, etc.)

Relevant Research

Impactful Federal, State, and Local Policies

Promising Practices

Draft Driver Diagram

The Public Health Foundation worked with the Department of Public Health at the University of Tennessee Knoxville to create a Driver Diagram for improving perinatal care and reducing Neonatal Abstinence Syndrome (NAS). This format is different from a strategy map, but has useful ideas that could be integrated into this strategy map template.

Increase Access to Contraception

The National Preconception Health and Health Care Initiative provides educational resources to clinicians and their patients, and coordinates outreach and social media campaigns related to improving preconception health, including reducing substance use and treating substance use disorders before pregnancy.

Available Tools and Resources

TR - Expand Steps to Minimize Opioid Use During Pregnancy