{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T05:50:43Z","timestamp":1791438643280,"version":"4.3.3"},"reference-count":42,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pregnancy"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Substance use complicates upward of 10% of US pregnancies. The Society for Maternal\u2010Fetal Medicine, the American College of Obstetricians and Gynecologists, and the American Society of Addiction Medicine have jointly recommended universal screening for substance use during pregnancy using a validated tool, without recommending universal biological testing. Despite this recommendation, racial and ethnic differences in substance use screening and biological testing occur, representing disparate care and a quality gap. This Special Statement from the Society for Maternal\u2010Fetal Medicine introduces a comprehensive strategy, grounded in principles of quality improvement, to address racial and ethnic disparities in substance use screening, with an emphasis on equitable and respectful care. Additionally, we propose a quality metric expressed as the percentage of patients who were screened for a substance use disorder using a validated tool during birth hospitalization, stratified by race, ethnicity, preferred language, and payor status. This quality metric and other related metrics could serve as the basis for quality improvement projects aimed at reducing racial disparities in substance use screening.<\/jats:p>","DOI":"10.1002\/pmf2.70441","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T05:02:16Z","timestamp":1791435736000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Society for Maternal\u2010Fetal Medicine Special Statement: Guidance to reduce racial disparities in substance use screening and biological testing in pregnancy at the delivery admission"],"prefix":"10.1002","volume":"2","author":[{"name":"Society for Maternal\u2010Fetal Medicine (SMFM)","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7349-6460","authenticated-orcid":false,"given":"Jennifer J. M.","family":"Cate","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel T.","family":"Bauer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niraj R.","family":"Chavan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9991-3042","authenticated-orcid":false,"given":"Marc","family":"Parrish","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3708-1794","authenticated-orcid":false,"given":"Jessica","family":"Peterson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dena","family":"Goffman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6143-9442","authenticated-orcid":false,"given":"Christina","family":"Davidson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"SMFM Patient Safety and Quality Committee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"National Institute on Drug Abuse.TAPS: Tobacco Alcohol Prescription Medication and Other Substance Use Tool. Accessed July 6 2026.https:\/\/nida.nih.gov\/taps2\/."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/ftd.0000000000000485"},{"key":"e_1_2_11_4_1","volume-title":"NSDUH Series H\u201048, HHS Publication No. (SMA) 14\u20104863","author":"Substance","year":"2014"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40352\u2010015\u20100015\u20105"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995\u2010010\u20100594\u20107"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0376\u20108716(93)90001\u20107"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.03.022"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.14078"},{"key":"e_1_2_11_10_1","volume-title":"Care for Pregnant and Postpartum People With Substance Use Disorder","author":"Alliance for Innovation on Maternal Health","year":"2023"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995\u2010021\u201003258\u20105"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2021.100419"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2021.100453"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0000000000002235"},{"key":"e_1_2_11_15_1","unstructured":"Centers for Disease Control and Prevention.2024.Treatment of Substance Use Disorders. Updated April 25 2024. Accessed July 6 2026.https:\/\/www.cdc.gov\/overdose\u2010prevention\/treatment\/index.html."},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.11.127"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2018.07.020"},{"key":"e_1_2_11_18_1","unstructured":"Substance Abuse and Mental Health Administration.2021 NSDUH Annual National Report. Accessed July 6 2026.https:\/\/www.samhsa.gov\/data\/report\/2021\u2010nsduh\u2010annual\u2010national\u2010report."},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2020.8606"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2023.0441"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2006.0070"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008\u20103525"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2023.100913"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.06.038"},{"issue":"2","key":"e_1_2_11_25_1","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1097\/AOG.0000000000004657","article-title":"What Obstetrician\u2010Gynecologists Should Know About Substance Use Disorders in the Perinatal Period","volume":"139","author":"Smid M. C.","year":"2022","journal-title":"Obstetrics and Gynecology"},{"key":"e_1_2_11_26_1","unstructured":"Carpenter D. H. A. A.Cillufo K.Finklea A.Hegji J. R.Lampe Z. T.Neuhofer I. A.Nicchitta et\u00a0al.2022.The Evolution of Marijuana as A Controlled Substance and the Federal\u2010State Policy Gap. Report. R44782. April 7 2022.https:\/\/www.congress.gov\/crs\u2010product\/R44782."},{"key":"e_1_2_11_27_1","unstructured":"Amdt H.332 to H.R. 2578\u2014114th Congress (2015\u20132016). Accessed August 7 2026.https:\/\/www.congress.gov\/amendment\/114th\u2010congress\/house\u2010amendment\/332\/text."},{"key":"e_1_2_11_28_1","unstructured":"Aspinwall C.2023.These States Are Using Fetal Personhood to Put Women Behind Bars. The Marshall Project. Updated July 25 2023. Accessed August 7 2026.https:\/\/www.themarshallproject.org\/2023\/07\/25\/pregnant\u2010women\u2010prosecutions\u2010alabama\u2010oklahoma."},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018\u20101889"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002354"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31820a6216"},{"issue":"7","key":"e_1_2_11_32_1","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2019.6471","article-title":"Self\u2010Reported Daily, Weekly, and Monthly Cannabis Use Among Women Before and During Pregnancy","volume":"2","author":"Young\u2010Wolff K. C.","year":"2019","journal-title":"JAMA Network Open"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100039\u20101696719"},{"issue":"5","key":"e_1_2_11_34_1","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1111\/add.15253","article-title":"Changes in Delta\u20109\u2010Tetrahydrocannabinol (THC) and Cannabidiol (CBD) Concentrations in Cannabis Over Time: Systematic Review and Meta\u2010Analysis","volume":"116","author":"Freeman T. P.","year":"2021","journal-title":"Addiction"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1021\/tx700275p"},{"issue":"6","key":"e_1_2_11_36_1","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2023.17138","article-title":"Association of Mandatory Warning Signs for Cannabis Use During Pregnancy With Cannabis Use Beliefs and Behaviors","volume":"6","author":"Roberts S. C.","year":"2023","journal-title":"JAMA Network Open"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40429\u2010021\u201000404\u20105"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2023.01.036"},{"key":"e_1_2_11_39_1","unstructured":"Institute for Healthcare Improvement.Quality Improvement Essentials Toolkit. Accessed July 6 2026.https:\/\/www.ihi.org\/resources\/tools\/quality\u2010improvement\u2010essentials\u2010toolkit."},{"key":"e_1_2_11_40_1","unstructured":"Society for Maternal\u2010Fetal Medicine.Primer on Patient Safety and Healthcare Quality for Maternal\u2010Fetal Medicine Fellows. Accessed July 7 2026.https:\/\/assets.noviams.com\/novi\u2010file\u2010uploads\/smfm\/Clinical_Guidance\/Patient_Safety_and_Quality_Resources\/Primer_on_Patient_Safety_and_Healthcare_Quality_for_Fellows_2023\u2010ebaeccd1.pdf."},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp090477"},{"key":"e_1_2_11_42_1","volume-title":"CPT 2026: Professional Edition","author":"American Medical Association","year":"2025"},{"key":"e_1_2_11_43_1","unstructured":"Centers for Disease Control and Prevention National Center for Health Statistics.ICD\u201010\u2010CM. Accessed August 7 2026.https:\/\/www.cdc.gov\/nchs\/icd\/icd\u201010\u2010cm\/index.html."}],"container-title":["Pregnancy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmf2.70441","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmf2.70441","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmf2.70441","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T05:02:19Z","timestamp":1791435739000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/pmf2.70441"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,7]]},"references-count":42,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1002\/pmf2.70441"],"URL":"https:\/\/doi.org\/10.1002\/pmf2.70441","archive":["Portico"],"relation":{},"ISSN":["2997-9684","2997-9684"],"issn-type":[{"value":"2997-9684","type":"print"},{"value":"2997-9684","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,7]]},"assertion":[{"value":"2026-08-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70441"}}