S2 Ep2: #13 What to Expect: Managing Opioid Use Disorder in Pregnancy with Dr. TerplanS2 Ep2: #13 What to Expect: Managing Opioid Use Disorder in Pregnancy with Dr. Terplan
The Curbsiders Addiction Medicine Podcast
Dr. Mishka Terplan shares expert advice on managing opioid use disorder in pregnancy, focusing on safe medication options and compassionate care.
58:48•14 Jul 2023
Navigating Pregnancy with Opioid Use Disorder: Expert Advice from Dr. Mishka Terplan
Episode Overview
- Dr. Mishka Terplan emphasizes the importance of initiating medication for opioid use disorder during pregnancy
- Insights into the safety and effectiveness of medications like methadone and buprenorphine
- Advocacy for person-centered care and societal challenges in managing opioid use disorder in pregnancy
- Impact of over-reporting to child welfare systems and the need for supportive policies
- Valuable insights into caring for pregnant individuals with substance use disorders
“We have to stop policing pregnant and parenting peoples and recognize our complicity as health care providers with policing and surveillance systems.”
Pregnancy is a challenging journey on its own, but when opioid use disorder (OUD) is added to the mix, it can feel overwhelming. In this episode of 'The Curbsiders Addiction Medicine Podcast', Dr. Mishka Terplan, a renowned expert in obstetrics, gynecology, and addiction medicine, joins the discussion to offer his invaluable insights. He dives into the importance of initiating medication for OUD during pregnancy, highlighting the safety and effectiveness of options like methadone and buprenorphine. Dr.
Terplan emphasizes the need for compassionate, person-centered care that supports both the mother and the baby. He also tackles the sensitive issue of neonatal abstinence syndrome and provides practical advice for managing it. The conversation doesn't stop at birth; Dr. Terplan explores postpartum care, including breastfeeding considerations and the impact of over-reporting to child welfare systems. This episode is a treasure trove of information for healthcare professionals seeking to improve their care for pregnant individuals with substance use disorders.
With a blend of clinical expertise and heartfelt empathy, Dr. Terplan's advice is both practical and inspiring.

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