Table 1.

Recommendations for health care systems to provide to pregnant women with opioid use disorder

o Access to opioid agonist treatment options  Methadone or buprenorphine o Access to obstetric care  Recovery-affirming and trauma-informed  Comprehensive obstetric and addiction medicine services   Group prenatal care as an option o Access to psychiatry consultation: assessment and treatment options for co-occurring disorders o Access to behavioral health counseling: weekly individual or group counseling o Resource guides for community-based relapse prevention  Mutual aid support groups  Mothers-in-recovery groups o Development of enhanced postpartum care: program development to intensify recovery support potentially utilizing peer supports  Close follow-up (<2 weeks from delivery)  Allow for multiple postpartum visits   Consider visits every 2 weeks for 3–6 visits  Breastfeeding/lactation support  Screening/treatment for postpartum depression  Transition to a primary care provider familiar with opioid use disorder and its treatment