The purpose of this project is to identify women with opioid misuse and Opioid Use Disorder early in pregnancy. Timely identification will allow for early interventions, ongoing support and monitoring along with appropriate referrals to support agencies. The newly released AIM bundle, Obstetric Care for Women with Opioid Use Disorder, will serve as the process improvement guide.  Data collection may include identification practices, length of engagement, types of referrals, and use of outside agencies. Recommendations will then be put forward to standardize care in the State to ensure that the best care is provided to these women and their families. Members may include obstetricians, maternal-fetal medicine specialists, midwives, family medicine physicians, nursing staff from prenatal clinics, labor and delivery and postpartum units, pharmacists, child welfare and public health workers, lay members, social services, and anyone else with an interest in improving pregnancy outcomes. Persons with quality improvement skills or experience would be an asset.

Key Activities:

  1. Provider/Birthing Hospital Survey
  2. Letter of interest re Bundle to Birthing Hospitals
  3. Bundle Implementation
  4. Resource pool including treatment facilities


  1. Improve outcomes for Pregnant Women with Substance Use Disorder and their infants
  2. Standard of Care for assessment, interventions, support, referral to treatment, and treatment
  3. Single Site for Referral Resources


Shannon Miles BSN, RN│Coordinator Community Outreach & Perinatal Nurse Navigation
Kimberly Simcox, D.O. | Obstetrics and Gynecology Physician 

Current Research 

National Partnership for Maternal Safety Consensus Bundle on Obstetric Care for Women With Opioid Use Disorder


Substance Abuse Disorder in Pregnancy/NAS, Dr. Jenny Fox, Dr. Jon Swanson, Kimberly Simcox, and Shannon Miles