State strategies to address opioid use disorder among pregnant and postpartum women and infants prenatally exposed to substances, including infants with neonatal abstinence syndrome

What is already known about this topic? Opioid use disorder (OUD) during pregnancy contributes to adverse maternal and infant outcomes, including neonatal abstinence syndrome. In response to the opioid crisis, changes in state-level systems are critical for improving health outcomes. What is added by this report? Multidisciplinary state teams most commonly identified strategies focused on increasing access to and coordination of quality services or improving provider awareness and training to improve outcomes for pregnant and postpartum women with OUD and infants prenatally exposed to substances, including opioids. What are the implications for public health practice? As identified by multidisciplinary state teams, implementing strategies to improve health care quality and training providers are important to addressing the opioid crisis. Future work with states’ teams might focus on increasing surveillance and evaluation, sustaining coverage, and reducing stigma experienced by women and infants.