{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T06:16:35Z","timestamp":1791958595921,"version":"4.3.4"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:00:00Z","timestamp":1740182400000},"content-version":"vor","delay-in-days":0,"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":[[2025,7]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Unintentional overdose is the leading cause of pregnancy\u2010associated death in Maryland and is preventable. Stigma contributes to birthing peoples\u2019 disengagement with the health care system, and health care professionals may participate in stigmatizing processes. We aimed to develop and evaluate a training on stigma and bias related to substance use disorder (SUD) for maternal health care professionals in Maryland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used a community\u2010engaged process to develop a training on stigma and bias related to SUD in pregnancy and implemented it with Maryland maternal health care professionals employed in birth hospital settings. We conducted a multimethod pre\u2010post training evaluation, using a quantitative analysis of implementation reach, a pre\u2010post knowledge test, a satisfaction survey, and a qualitative analysis of hospital facilitation meeting logs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The training was completed by 1145 health care professionals. Knowledge test scores increased significantly after training, with the greatest change noted in the safety of medications for opioid use disorder during pregnancy. Over 90% of participants found the training relevant and planned to actively use what they learned. Qualitative feedback indicated the training may increase empathy with the patient population and contribute to practice changes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Our evaluation suggests that this training is valuable, effective at increasing knowledge, and a potential catalyst for practice change among health care professionals working with pregnant and postpartum patients with SUD.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jmwh.13744","type":"journal-article","created":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T05:19:41Z","timestamp":1740201581000},"page":"651-657","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Managing Bias in the Care of Pregnant and Parenting People with Substance Use Disorder"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1639-7493","authenticated-orcid":false,"given":"Briana E.","family":"Kramer","sequence":"first","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Warren","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing  Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mishka","family":"Terplan","sequence":"additional","affiliation":[{"name":"Friends Research Institute  Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreea A.","family":"Creanga","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland"},{"name":"Johns Hopkins Medicine  Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly M.","family":"Bower","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing  Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,22]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"MMR Committee.Maryland Maternal Mortality Review : 2022 Annual Report.Maryland Department of Health;2022. Accessed November 11 2024.https:\/\/health.maryland.gov\/phpa\/mch\/Documents\/MMR\/2022%20MMR%20Report.pdf"},{"key":"e_1_2_8_3_1","unstructured":"Substance use and co\u2010occurring mental disorders. National Institute of Mental Health website. Accessed November 11 2024.https:\/\/www.nimh.nih.gov\/health\/topics\/substance\u2010use\u2010and\u2010mental\u2010health"},{"key":"e_1_2_8_4_1","unstructured":"TrostSL BeauregardJ NjieF et al.Pregnancy\u2010Related Deaths: Data from Maternal Mortality Review Committees in 36 US States 2017\u20132019.Atlanta GA: Centers for Disease Control and Prevention US Department of Health and Human Services;2022. 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