Through the Safe Deliveries Roadmap initiative, the Washington State Hospital Association (WSHA) and our partners at the Department of Health (DOH) aim to improve birthing person and infant outcomes by establishing and promoting best practices for care.
Pregnancy is a unique time to address the complex and challenging health needs of people with a substance use disorder (SUD). It’s an opportunity to provide interventions that can improve maternal and child health well beyond the perinatal period. Hospitals play a critical role in providing evidence-informed services and linkages to treatment.
In their most recent legislative report, the WA State Maternal Mortality Review Panel found that one of the leading underlying causes of pregnancy-related deaths were behavioral health conditions including suicide and overdose; and opioids were involved in most of the pregnancy-associated accidental overdose.
Making systems changes and improving our care practices for people who are pregnant or postpartum and have a substance use disorder is one of the most impactful initiatives you can be involved in that improves outcomes and reduces maternal deaths in Washington State.
Each topic area has step-by-step instructions to help you implement changes and improve care for people who are pregnant and have a substance use disorder. These instructions are suggestions of how to proceed, however, we recognize that each hospital’s needs are unique. Utilize what will work best for your team. Additionally, the steps are iterative not meant to be completed in a linear manner, rather, you may find that you can work on multiple steps at the same time.
Developed by the WA State Safe Delivery’s Roadmap and adapted from resources provided by the California, Colorado, Illinois, and Florida Perinatal Care Quality Collaboratives.
KEY COMPONENTS OF SUD CARE
1. FOUNDATIONAL PRINCIPLES
- Stigma, Language & Implicit Bias
- Trauma Informed Care
- Provider Wellness
2. SCREENING & BRIEF INTERVIEW
- Screening & Brief Interview
- Birth Parent with Opioid Use Disorder
- Medication for Opioid Use Disorder (MOUD)
- Naloxone Distribution
- Newborn with Intrauterine Opioid Exposure
- New Lactation & Substance Use Guidance – Washington State Department of Health, June 2023
- Lactation Guidance and Patient Education – Washington State Department of Health
- Lactation Guidelines for Patient with SUD – Webinar Recording 12.8.2022
- Washington State DOH Updates on Lactation and Substance Use Guidelines – Webinar Recording 07.13.2023
- Extended Stay: “Compassion Stay”
- Multidisciplinary Team
5. LINKAGE TO COMMUNITY RESOURCES
- Linkage to Community Services
- Patient Education and Empowerment
SUPPLEMENTAL PROGRAM RESOURCES
- Program Guide
- Data Entry Guide-MDC users
- Data Entry Guide-Non-MDC users
- 30-60-90 Planner Template-pdf