moms+ toolkit

The maternal death rate in Colorado nearly doubled from 2008 to 2013, from 24.3 deaths per 100,000 live births to 46.2 deaths. Suicides and overdoses continue to be the top two causes for nonpregnancy-related maternal death, and the overwhelming majority of overdose deaths were attributed to opioids. 80% of these deaths were determined preventable - through better medical care, mental health care or substance- abuse treatment. The latest Maternal Mortality Review Committee (MMRC) reported that from 2014 to 2016, there were 94 maternal deaths in Colorado; the second highest cause of “non-medical” pregnancy-associated death was unintentional overdose (n=13). As COVID-19 has occupied the nation’s attention, the opioid overdose crisis has continued to accelerate in pregnant and postpartum people.

Colorado Alliance for Innovation on Maternal Health:
Substance Use Disorder Learning Collaborative (CO AIM: SUD)

is a cohort-based learning collaborative where hospital teams learn alongside peer labor and delivery units to implement quality improvement approaches focused on improving screening and referral rates for substance use disorder (SUD) and perinatal mood and anxiety disorders (PMADs). CO AIM: SUD hospitals participate in a collaborative setting alongside other L&D units to lay the groundwork for universal, patient-centered verbal screening for perinatal substance use disorder in order to identify those patients most in need of SUD care. MOMs+ takes a deeply customized approach to preparing your individual L&D unit to begin patients on medication for opioid use disorder (MOUD) and create bridges to outpatient treatment after a patient has screened positive for SUD.

The MOMs+ Program

The MOMs+ team of clinicians will provide support through a hospital needs assessment, gap analysis, order set review, staff education, implementation plan, quality improvement help, community outreach and referral, and other technical assistance.

Treatment protocols

Inpatient and outpatient order sets, dosing considerations and Subjective Opioid Withdrawal Scale (SOWS) details.

The MOms Initiative

Our goal is for 100% of hospital-based obstetric, labor and delivery, perinatal, and neonatal units to provide overdose education and naloxone distribution to at-risk pregnant and postpartum patients and families.

Patients

Find educational handouts, facts and treatment, risks and prevention, marketing posters

Clinicians

View training on Stigma and Bias, Treatment and Recovery, Harm Reduction and Naloxone, as well as Toxicology Guidelines. Learn more about Naloxone take home kits and how to have successful conversations with moms.

Finding Treatment

Find physicians and treatment programs providing medications (methadone, buprenorphine, suboxone, vivitrol, antabuse, naltrexone, naloxone, narcan) for the treatment of opioid addiction in Colorado counties.

— our mission –

TO HELP ALL HOSPITAL-BASED LABOR AND DELIVERY AND PERINATAL UNITS PLACE NALOXONE — A LIFESAVING MEDICATION — IN THE HANDS OF AT-RISK PATIENTS AND THEIR FAMILIES PRIOR TO DEPARTURE FROM THE HOSPITAL.

This resource has been developed by the MOMs+ interdisciplinary team based on published evidence and expert opinion. This material should not be reproduced or disseminated without prior permission from MOMs+ or Stader Opioid Consultants, LLC. 

This resource should never be used as a substitute for clinical judgment. Providers are responsible for assessing the unique circumstances and needs of each case. Adherence to this guideline will not ensure successful treatment in every situation. Developed in collaboration with Stader Opioid Consultants, LLC.