{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T17:27:06Z","timestamp":1775064426755,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,1,29]],"date-time":"2019-01-29T00:00:00Z","timestamp":1548720000000},"content-version":"vor","delay-in-days":28,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Perinatal opioid use disorder (OUD) represents a maternal\u2010child health crisis in the United States. Untreated, OUD is associated with maternal and neonatal morbidity due to infectious disease, polysubstance use, co\u2010occurring mental health conditions, prematurity, neonatal opioid withdrawal, and maternal mortality from overdose. Although national guidelines exist to optimize perinatal care for women with OUD, wide variation persists in health care providers\u2019 experience caring for this population and in the quality of care delivered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Process<\/jats:title><jats:p>We conducted a pilot study to determine whether the use of a checklist summarizing best practice could improve perinatal care for women with OUD. Implementation was supported by a learning collaborative of maternity care providers at 8 diverse sites across Vermont, New Hampshire, and Maine. Outcomes before and after implementation were compared to determine whether practice change occurred.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes<\/jats:title><jats:p>Data were collected from the records of 223 women with OUD who received prenatal care at pilot sites. All sites endorsed use of the checklist as a practice guide, and it was integrated in 78% of records reviewed. Across sites, significant improvement occurred in key elements of care, including increasing the proportion of women with access to the lifesaving drug naloxone (10.9% vs 36.3%, <jats:italic>P<\/jats:italic> &lt; .001), receiving counseling about the benefits of breastfeeding (50.9% vs 72.0%, <jats:italic>P<\/jats:italic> &lt; .01), and treating with nicotine replacement when indicated (9.1% vs 26.8%, <jats:italic>P<\/jats:italic> = .01). No significant change occurred in rates of prematurity, low birth weight, or breastfeeding at hospital discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Implementation of a checklist to facilitate best practice in the care of pregnant women with OUD is feasible, acceptable to maternity care providers, and represents a promising approach to improving quality of care for this vulnerable population. Additional research is needed to determine whether improvement in quality can transform perinatal outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jmwh.12943","type":"journal-article","created":{"date-parts":[[2019,1,30]],"date-time":"2019-01-30T00:41:28Z","timestamp":1548808888000},"page":"104-111","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Feasibility and Acceptability of a Checklist and Learning Collaborative to Promote Quality and Safety in the Perinatal Care of Women with Opioid Use Disorders"],"prefix":"10.1111","volume":"64","author":[{"given":"Daisy","family":"Goodman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra B.","family":"Zagaria","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Flanagan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farrah Sheehan","family":"Deselle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda R.","family":"Hitchings","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renee","family":"Maloney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Themarge A.","family":"Small","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Autumn Versace","family":"Vergo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha L.","family":"Bruce","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-4070"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002054"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2008.70"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7210933"},{"key":"e_1_2_8_6_1","unstructured":"Maine Department of Health and Human Services. DHHS to announce the expansion of Medication\u2010Assisted Treatment services statewide [press release]. Maine state government website.http:\/\/www.maine.gov\/tools\/whatsnew\/index.php?topic=Portal+News&id=726499&v=article-2016. Published December 19 2016. 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Council on Patient Safety in Women's Health Care website.https:\/\/safehealthcareforeverywoman.org\/patient-safety-bundles\/obstetric-care-for-women-with-opioid-use-disorder\/. Published 2017. Accessed November 21 2018."},{"key":"e_1_2_8_19_1","volume-title":"Vermont Guidelines for Medication Assisted Treatment (MAT) for Pregnant Women","year":"2018"},{"key":"e_1_2_8_20_1","volume-title":"Clinical Guidance for Treating Pregnant and Parenting Women with Opioid Use Disorder and Their Infants","author":"Substance Abuse and Mental Health Services Administration","year":"2018"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-015-0205-5"},{"key":"e_1_2_8_22_1","volume-title":"How to Implement Evidence\u2010Based Healthcare","author":"Greenhalgh T.","year":"2018"},{"key":"e_1_2_8_23_1","volume-title":"Developing and Running a Primary Care Practice Facilitation Program: A How\u2010To Guide","author":"Knox L","year":"2011"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2017.1144"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-015-0319-9"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2016-000241"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa061115"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-012-0395-z"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzq039"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61440-9"},{"key":"e_1_2_8_31_1","volume-title":"The Breakthrough Series: IHI's Collaborative Model for Achieving Breakthrough Improvement","year":"2003"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1624"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e31812da80e"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-017-0230-8"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000310"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000200"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1080\/15504263.2010.540772"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/milq.12016"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/HMR.0b013e31822af831"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2015-004411"},{"key":"e_1_2_8_41_1","first-page":"1","volume-title":"Perspectives on Context","author":"Bate P","year":"2014"}],"container-title":["Journal of Midwifery &amp; Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjmwh.12943","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.12943","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T08:30:15Z","timestamp":1694680215000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jmwh.12943"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":40,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1111\/jmwh.12943"],"URL":"https:\/\/doi.org\/10.1111\/jmwh.12943","archive":["Portico"],"relation":{},"ISSN":["1526-9523","1542-2011"],"issn-type":[{"value":"1526-9523","type":"print"},{"value":"1542-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1]]},"assertion":[{"value":"2018-08-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}