Module 2: A Timeline for Starting Buprenorphine During Pregnancy
In this module, Dr. Katherine Callaghan reviews how you can collaborate with patients and care team members when prescribing and administrating buprenorphine. She covers the importance of tailoring buprenorphine treatment to individualized patient needs by educating patients on risks and benefits, following detailed preparation regimens, determining an appropriate induction method, and managing precipitated withdrawal.
Module Learning Objectives
Upon completion of this module, participants should be able to...
- Describe the process for incorporating buprenorphine prescribing in an obstetrical practice
- Explain the effects, risks, and challenges of buprenorphine in observed and unobserved initiations
- Apply best practices to problem-solve induction challenges and tailor treatment based on patient needs
Katherine Callaghan, MD, is the founder and director of UMass Memorial’s Karen W. Green Clinic for Pregnancy and Recovery. This multidisciplinary clinic provides comprehensive prenatal care and addiction treatment to women with a variety of substance use disorders. “The Green Clinic” seeks to optimize and integrate obstetrical & postpartum care, medication for opioid use disorder (MOUD), psychiatric services, peer support, and social work support to women in recovery, seeking recovery, or actively using substances. Since joining the OB/GYN Department at UMass Memorial in 2014, Dr. Callaghan has led a committee of nurses, pharmacists, addiction specialists, and administrators in drafting, finalizing, and implementing in-patient protocols for initiating MOUD in the pregnant patient, including both a methadone protocol and a buprenorphine protocol. These protocols have both improved and streamlined the process, making MOUD a readily available option for pregnant patients seeking care.
Weitzman Institute Disclosure Statement
It is the policy of the Weitzman Institute to ensure that Continuing Education (CE) activities are independent and free of commercial bias. To ensure educational content is objective, balanced, and guarantee content presented is in the best interest of its learners' and the public, the Weitzman Institute requires that everyone in a position to control educational content disclose all financial relationships with ineligible companies within the prior 24 months. An ineligible company is one whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients. Examples can be found at accme.org.
Faculty participating in a Weitzman Institute-sponsored activity must disclose to the planning committee and audience all financial or other relationship(s) with ineligible companies.
In support of improving patient care, this activity was planned and implemented by Yale School of Medicine and Moses/Weitzman Health System Inc. and its Weitzman Institute and is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), American Psychological Association (APA), and the American Nurses Credential Center (ANCC) to provide continuing education for the healthcare team.
By completing this activity, you provide Moses/Weitzman Health System Inc. the permission to share completion data with the ACCME and the certifying board(s).
- 0.75 AAPA Category I CMEThrough Joint Accreditation, Moses/Weitzman Health Center, Inc./Weitzman Institute is able to provide American Academy of PAs (AAPA) credit to physician assistants at its activities. Participants should only claim commensurate credit with the extent of their participation in the activity.
- 0.75 AMA PRA Category 1 Credit™Through Joint Accreditation, Moses/Weitzman Health Center, Inc./Weitzman Institute is able to provide AMA PRA Category 1 Credit™ to physicians at its activities via Accreditation Council for Continuing Medical Education (ACCME).
- 0.75 ANCCThrough Joint Accreditation, Moses/Weitzman Health Center, Inc./Weitzman Institute is able to provide American Nurses Credentialing Center (ANCC) nursing credit to nurses at its activities.
- 0.75 APAThrough Joint Accreditation, Moses/Weitzman Health Center, Inc./Weitzman Institute is able to provide American Psychological Association (APA) credit to psychologists at its activities.
- 0.75 Participation Hour(s)If you are not able to utilize any of the above credit types, you are able to download an unaccredited Participation Certificate for your records.