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Abstract
Undertreated opioid use disorder (OUD) during pregnancy contributes to poor maternal and neonatal outcomes and worsening maternal mortality in the United States, and rates of opioid use in Oregon has increased over the last few years. Guidelines are lacking on non-pharmacologic treatment options and support specific to the challenges of postpartum. A survey was sent to maternity care providers, pediatric providers, social workers, and nurses statewide to better characterize current practices and barriers for discharge planning and support in the postpartum period for patients with OUD during pregnancy. Most providers were utilizing resources available to them for this population and were providing guideline-based care, but there are still significant barriers and inconsistencies working with this population. Inpatient providers play an important role in safely discharging postpartum dyads, but creative solutions should come from inside and outside of the healthcare system to best care for patients. Further work should focus on patient perspectives to improve the quality of care and work towards decreasing maternal morbidity and mortality in Oregon.