Now we will discuss the issue of Substance Use Disorders specifically in pregnant women. The nationwide trends toward greater use of opioids, both prescribed and illicit, have inadvertently affected women of childbearing age. Substance use during pregnancy seems to reach peak numbers during the adolescent years, occurring in approximately 16% of pregnant teens. Between the years 2000 and 2012 national rates of maternal opioid use during pregnancy increased five-fold.

Substance use during pregnancy can lead to multiple health and social problems for both mother and child. Pregnancy may be an opportunity for women with Substance Use Disorders to seek treatment. However, pregnant women who are using substances face enormous personal guilt and are often stigmatized by health care providers. In this sense, pregnancy is both a motivator and barrier for seeking treatment. We will talk more about interventions in the later modules of this course.