Managing Opioid Misuse Disorder in Pregnancy and Neonatal Care
As a result of completing this activity, the participant will be better able to:
- Identify the specific problems encountered by women using opioids during pregnancy
- Evaluate pregnant patients with a history of maternal opioid use
- Differentiate between maintenance options for opioid treatment during pregnancy
- Assess when it is appropriate for a pregnant patient to undergo medically-supervised withdrawal from heroin.
- Educate patients with opioid dependence who are considering pregnancy so that they can be referred for appropriate services
- Determine the initial post-delivery treatment plan for an infant exposed to maternal methadone during pregnancy
- Educate patients on appropriate ways of feeding an infant at risk of opioid withdrawal
- Appropriately assess at-risk infants by describing the symptoms of neonatal opioid withdrawal
- Determine appropriate discharge expectations for an at-risk infant not needing pharmacologic treatment for withdrawal
About the Authors
Marc Ellsworth, MD
Dr. Ellsworth is a practicing neonatologist in Phoenix, Arizona. He completed a Pediatric residency and Neonatal Medicine fellowship at the Mayo Clinic in Rochester, MN. Dr. Ellsworth has made contributions to a number of publications with an interest in QT prolongation and pulmonary hypertension.
Disclosure: Dr. Ellsworth states that he does not have any financial arrangements that could constitute a conflict of interest.
Madison Hustedt, MD
Dr. Hustedt is a Junior Fellow of the American College of Obstetricians and Gynecologists and will soon be a practicing obstetrician-gynecologist in the Phoenix, Arizona area. She is currently a chief resident in the University of Arizona College of Medicine – Phoenix Obstetrics and Gynecology program. She has clinical and research interests in shoulder dystocia, salpingectomy with hysterectomy, and maternal fetal medicine topics.
Disclosure: Dr. Hustedt states that she does not have any financial arrangements that could constitute a conflict of interest.
About the Reviewers/Editors
Daniel Derksen, MD
Dr. Derksen is the Walter H. Pearce Endowed Chair and Director of the University of Arizona (UA) Center for Rural Health (AzCRH). He is also Professor in the Public Health Policy and Management Program at UA's Mel and Enid Zuckerman College of Public Health. As AzCRH Director, he oversees the State Office of Rural Health (AzSORH), the Rural Hospital Flexibility Program (AzFlex), the Small Rural Hospital Improvement Program (AzSHIP), and the AzCRH Navigator Consortium.
Barbara Ianni, DO
Dr. Ianni is a practicing neonatologist in Phoenix, Arizona. She is also Clinical Associate Professor of Child Health at the University of Arizona College of Medicine - Phoenix, Chief of Pediatrics, and Sub-Section Chief of Neonatology. She completed a fellowship in Neonatology at Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine. She has practiced as a clinical assistant professor of pediatrics as well as director of the neonatal intensive care unit. She is a fellow of both the American Academy of Pediatrics and the American College of Osteopathic Pediatricians (ACOP). She serves as Chairman of the 2001 ACOP Perinatal Meeting. Dr. Ianni has made contributions to a number of publications with an interest in neonatal infection and fetal nutrition.
Disclosure: Dr. Ianni states that she does not have any financial arrangements that could constitute a conflict of interest.
Randa Kutob, MD
Dr. Kutob is an Associate Professor of Family and Community Medicine at the University of Arizona College of Medicine-Tucson and Director of the Office of Continuing Medical Education. She is a board-certified Family Medicine physician and Diplomate of the American Board of Obesity Medicine with extensive teaching, clinical work, and research in the arena of cross-cultural care and chronic disease prevention and treatment.
Disclosure: Dr. Kutob states that she does not have any financial arrangements that could constitute a conflict of interest.
Roman Starikov, MD FACOG
Dr. Starikov is a practicing obstetrician-gynecologist in Phoenix, Arizona. He completed a fellowship in Maternal Fetal Medicine at Women and Infants Hospital of Rhode Island, Brown University School of Medicine. Dr. Starikox has made contributions to a number of publications on subjects with significant research in to the effect of diabetes in pregnancy.
Disclosure: Dr. Starikov states that he does not have any financial arrangements that could constitute a conflict of interest.
1.00 AMA PRA Category 1 Credit(s)TM
ACCME/AMA PRA Accreditation Statement
The University of Arizona College of Medicine - Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The University of Arizona College of Medicine - Tucson designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CME Office Contact Information and CME Disclosure
The University of Arizona College of Medicine - Tucson
Office of Continuing Medical Education
The following University of Arizona College of Medicine - Tucson CME Reviewers, Activity Directors, or Planning Committee Members have no relevant financial relationships with commercial interests that could constitute a conflict of interest with the proposed activity:
Robert Amend, M.Ed.
Randa Kutob, MD
- 1.00 AMA PRA Category 1 Credit™
This course is offered through Virtual Lecture Hall. To take this course you will be redirected to Virtual Lecture Hall's website. You must have an account with Virtual Lecture Hall in order to complete this activity.
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