Opioids and Pregnancy

Opioids and Pregnancy 

Americans are using opioids at an alarming rate, whether through prescriptions or illegal means. Parallel to this problem is the use of opioids during pregnancy. The goal for this course is to present best practices for identifying and managing pregnant women using opioids. 


Hours: 1.50


Certificates provided by accrediting body (10 Match)

California Board of Registered Nursing


Provider approved by the California Board of Registered Nursing, CEP# 13791

Nurses will receive 1.50 contact hours for participating in this course.

District of Columbia Board of Nursing


DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).

Nurses will receive 1.50 contact hours for participating in this course.

Florida Board of Nursing


Florida Board of Nursing CE Provider #: 50-290

Nurses will receive 1.50 contact hours for participating in this course.

American Nurses Credentialing Center


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 1.50 contact hours for participating in this course.

Georgia Board of Nursing


Georgia Board of Nursing CE Provider #: 50-290

Nurses will receive 1.50 contact hours for participating in this course.

Accreditation Council for Continuing Medical Education


Relias LLC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Relias LLC designates this enduring material activity for a maximum of 1.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

South Carolina Board of Nursing


This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-[Custom_Code]

Florida Board of Medicine


Florida Board of Medicine CE Provider #: 50-290

Florida Physician Assistants


West Virginia Board of Registered Nursing


Course Details

Course Code: REL-AC-0-OPPREG
Hours: 1.5
Type: Online Course
Content Expiration Date: 8/31/2021
Learning Objectives:
Describe strategies for managing pain in women with Opioid Use Disorder during pregnancy.
Describe treatment recommendations for opioid use disorder during pregnancy.
Discuss complications related to opioid use disorder during pregnancy and recommendations for management.
Discuss the postpartum recommendations for women with opioid use disorder.
Discuss recommendations for opioid screening during pregnancy.

Section 1: Introduction

About This Course

Learning Objectives

Section 2: Opioid Use Disorder and Pregnancy

Scope of the Problem

What are Opioids?

What is Opioid Use Disorder?


Withdrawal Symptoms

OUD and Co-Occurring Mental Health Conditions

Classifying Opioid Use



Section 3: Screening, Brief Intervention, Referral to Treatment


Validated Screening Tools

Physical Exam

Patient History

Medical Conditions

Prescription Drug Monitoring Program

Toxicology Screening

Brief Intervention

Referral to Treatment



Section 4: Treating OUD in Pregnancy

Medication Assisted Treatment



Medically Supervised Withdrawal




Section 5: Infants Born to Women With OUD

Exposure to Opioids in Utero

NAS Symptoms

NAS Onset and Severity

NAS Scoring

NAS Mimics

Non-pharmacological Interventions

Pharmacological Interventions

Long-Term Outcomes



Section 6: Pain Management

Prenatal Pain Management

Common Contributors to Pain in Pregnancy

Non-opioid Analgesics

Opioid Pain Management

Pain Management During Labor and Delivery

Postpartum Pain Management

Post-discharge Pain Management



Section 7: Postpartum Care


Stress and Psychosocial Support


Evidence-based Prescribing Practices



Section 8: Conclusion


Course Contributors




Expert Reviewer: William Cusick, MD
Dr. Cusick earned his medical degree from the Medical College of Ohio in 1988, before completing his internship, residency and a fellowship at the University of CT School of Medicine / John Dempsey Hospital in 1994. He is board certified with the American Board of Obstetrics and Gynecology in both Obstetrics and Gynecology and Maternal Fetal Medicine. Dr. Cusick has special expertise and interest in perinatal ultrasound, fetal Down syndrome screening, 1st trimester ultrasound screening, and perinatal safety. His contributions to the medical literature include dozens of original peer reviewed article, medical textbook contributions, and presentations at national medical meetings.

Dr. Cusick is a member of the American College of Obstetrics and Gynecology, the Society for Maternal-Fetal Medicine, the American Institute of Ultrasound in Medicine and the Ascension Health System Perinatal Safety Committee. He serves as a board member on the Fetal Medicine Foundation USA.

He is the Director of Maternal Medicine Services for St Vincent's Medical Center and The Western Connecticut Health Network. In addition to his clinical MFM practice, Dr. Cusick serves as Chairperson for the Dept of Obstetrics and Gynecology at St Vincent's Medical Center.[Cusick, William MD]  He is an Associate Professor in Obstetrics and Gynecology at The University of Connecticut School of Medicine and the Frank Netter School of Medicine at Quinnipiac University where he also serves as the Clinical Chairperson for the department.

Disclosure: William Cusick, MD has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Staff Writer: Rebecca Smallwood, MBA, RN
Rebecca Smallwood, MBA, RN, has over 25 years of experience across a spectrum of healthcare settings including: rural and urban acute care hospitals, public health, ambulatory surgery center, higher education, and commercial organizations. Her roles have included: medical/surgical, ED, and OR staff nurse and charge nurse positions; director of health services / school nurse for PK-12th grades; public health epidemiology and bioterrorism preparedness professional; Infection control practitioner; quality management specialist; organizational development specialist; and educator. Prior to joining Relias Learning as a SME and Content Writer, she provided clinical and healthcare learning and development consultation to Swank Healthcare and was the Director of Education Services for Health.edu, a division of Texas Tech University Health Sciences Center. She has authored over 100 live and web-based educational presentations and articles on clinical, patient safety, regulatory, leadership, patient experience, and performance improvement topics. Rebecca earned a diploma in nursing from Methodist Hospital School of Nursing in Lubbock, Texas in 1989 and an MBA in Healthcare Administration from Wayland Baptist University in 2010. Disclosure: Rebecca Smallwood, MBA, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: entry level Alcohol and Drug Counselors; Nurses; Physician Assistants; Physicians; in the following settings: Acute Care Facility.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.