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Mothers and Newborns Affected by Opioids – OB

Implementing System-Wide Protocols and Clinical Culture Changes to Reduce Risk and Improve Outcomes for Every Pregnant or Postpartum Woman with Opioid Use Disroder (OUD)

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10x

The increase in pregnancy-associated deaths from opioid poisonings in IL between 2008 and 2017.

37.5%

The increase in average percent of women with OUD on MAT between 2018 and 2019.

100

The number of hospitals participating in the MNO-OB Initiative.

65%

The percentage of sample deliveries in Illinois screened for Opioid Use Disorder on Labor & Delivery in September 2019.

Transforming Care to Save Mothers from Overdose Death

In 2018, the Illinois Perinatal Quality Collaborative (ILPQC) launched a statewide obstetric initiative to improve care for pregnant and postpartum women with OUD by implementing American College of Obstetricians and Gynecologists and the Alliance for Innovation on Maternal Health guidelines.

Working with hospital-based teams ILPQC supported:

  • Implementation of screening, treatment algorithms, checklists and local resource mapping
  • Clinical culture change using OB provider education, debriefs of OUD cases to identify missed opportunities to improve care, and regular data reviews

These efforts have reduces risk and improved outcomes for every pregnant or postpartum woman with OUD.

Objectives

  1. Screen every pregnant patient for OUD with a validated screening tool
  2. Assess readiness for and starting Medication-Assisted Treatment (MAT) and linking to Recovery Treatment Programs
  3. Complete an OUD Clinical Care Checklist, which includes providing Naloxone (Narcan) counseling and prescription
  4. Reduce stigma and bias across the clinical team
  5. Empower mothers through education to use non-pharmacologic care for their newborns exposed to opioids

MNO – OB Clinical Leadership

  • Barb Parilla
  • Jaye Shyken
  • David Ouyang
  • Ann Borders

Resources

Our goal is to keep you informed and equipped with evidence-based resources that advance maternal and infant health. We invite you to explore our updates and share in the work of improving outcomes for all families.

Stay engaged. Stay informed. Together, we make care better.

View Webinars and MNO Toolkit