Outline:
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?

Intoxication

Withdrawal Symptoms

OUD and Co-Occurring Mental Health Conditions

Classifying Opioid Use

Review

Summary

Section 3: Screening, Brief Intervention, Referral to Treatment

Screening

Validated Screening Tools

Physical Exam

Patient History

Medical Conditions

Prescription Drug Monitoring Program

Toxicology Screening

Brief Intervention

Referral to Treatment

Review

Summary

Section 4: Treating OUD in Pregnancy

Medication Assisted Treatment

Methadone

Buprenorphine

Medically Supervised Withdrawal

Naloxone

Review

Summary

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

Review

Summary

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

Review

Summary

Section 7: Postpartum Care

Breastfeeding

Stress and Psychosocial Support

Contraception

Evidence-based Prescribing Practices

Review

Summary

Section 8: Conclusion

Summary

Course Contributors

Resources

References

 

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.

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.