Lessons from Maternal Mortality Reviews. How Addiction Care Providers can help improve Outcomes for Pregnant, Postpartum, and Parenting people.

Marcela C Smid, Charles W Schauberger, Mishka Terplan, Tricia E Wright

Journal: Substance use & misuse 2025;60(3):446-451

PMID: 39663576

Abstract

BACKGROUND

Drug-related deaths, including accidental and intentional overdose and other drug-related causes, are among the leading causes of maternal mortality in the United States.

ANALYSIS

Addiction care providers can contribute to efforts to decrease maternal mortality related to substance use disorder. In this report, we review current research to inform the care of pregnant and parenting people with substance use disorder (SUD) to address rising drug-related deaths.

CONCLUSIONS AND RELEVANCE

A multidisciplinary approach to the care of pregnant people with SUD should include prioritizing SUD and mental health treatment, helping them access services such as housing, transportation, and nutrition programs, and providing extended care for at least the year after end of a pregnancy. Efforts to improve care for childbearing people promote health and well-being for everyone.

Address: Addiction Medical Services, Onalaska, WI, USA.; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, Utah.; Friends Research Institute, Baltimore, MD, USA.; Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California-San Francisco, San Francisco, California.

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