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In this video, MACS Consultant Katrina Mark, MD, FACOG, FASAM, discusses key considerations for addressing substance use disorders during pregnancy. The video emphasizes the importance of nonjudgmental communication when disclosing a positive pregnancy test and providing options for counseling. Dr. Mark highlights the risks of substance use during pregnancy while stressing that engagement in prenatal care and early intervention can significantly improve outcomes for both mother and baby. The discussion covers safe medications for SUD treatment during pregnancy, harm reduction strategies, and the need for tailored, person-centered care. Providers are encouraged to address stigma, screen for intimate partner violence, and provide comprehensive resources for all pregnancy outcomes. This video serves as a valuable resource for healthcare professionals supporting pregnant individuals with SUD.
Relevant Reviews & Research Articles
Substance Use Disorder in Pregnancy: Improving Outcomes for Families
Buprenorphine versus Methadone for Opioid Use Disorder in Pregnancy
Effect of maternal adverse child experiences and cannabis use on pregnancy outcomes
Article in Archives of Women's Mental Health
Association of State Child Abuse Policies & Reporting w Prenatal/Postpartum Care
Association of Mental Health Burden with Prenatal Cannabis Exposure
MMRA Pregnancy Related Deaths Data MMRCs 2017-2019
GAO - Screen & Treat Mental Health in Perinatal and Postpartum TRICARE
Geographic barriers to prenatal care access and their consequences
Article in American Journal of Obstetrics and Gynecology Maternal-Fetal Medicine
Impact of prenatal substance use policies on commercially insured women w/ OUD
In Press Article in Journal of Substance Abuse Treatment
Pregnant & Postpartum People w/ SUDs: The Obstetrical Care Provider’s Roles
Article in Maternal and Child Health Journal
MACS for MOMs in the News
New call-in line in Maryland helps doctors treat pregnant women with addictions
The Baltimore Sun interviewed MACS for MOMs' consultants Katie Mark, MD, FACOG and Chris Welsh, MD to emphasize the importance and availability of MACS for MOMs' services for providers.
The Maryland Addiction Consultation Service is administered by the University of Maryland School of Medicine and funded by the Maryland Department of Health, Behavioral Health Administration.