{"id":1037,"date":"2024-11-06T20:07:17","date_gmt":"2024-11-06T20:07:17","guid":{"rendered":"https:\/\/injurycenter.umich.edu\/michigan-safer-opioid-prescribing-toolkit\/?page_id=1037"},"modified":"2026-05-12T16:31:50","modified_gmt":"2026-05-12T20:31:50","slug":"pregnant-women","status":"publish","type":"page","link":"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/special-populations\/pregnant-women\/","title":{"rendered":"Pregnant Women"},"content":{"rendered":"<div class=\"gb-container gb-container-1833a59d contained\">\n\n<h1 class=\"gb-headline gb-headline-469dc558 gb-headline-text\">Managing Pain in Pregnant Patients<\/h1>\n\n\n\n<p class=\"gb-headline gb-headline-b100a93d gb-headline-text\"><strong>*** This resource will focus on pain management and&nbsp;not the evaluation of the potential cause of the pregnant patient\u2019s pain.***<\/strong><\/p>\n\n<\/div>\n\n<div class=\"gb-container gb-container-9d9a14dc contained\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-22eecd73\">\n<div class=\"gb-grid-column gb-grid-column-43b529fd\"><div class=\"gb-container gb-container-43b529fd\">\n\n<h2 class=\"gb-headline gb-headline-5d2b7aba gb-headline-text\">Non-medication and non-opioid options should be considered first<\/h2>\n\n\n\n<p class=\"gb-headline gb-headline-13cdc597 gb-headline-text\">Pain management in pregnant patients requires an individualized approach that is holistic and multimodal. Non-pharmacologic options should be prioritized followed by non-opioid analgesics. Non-Pharmacologic interventions such as exercise, physical therapy, behavioral approaches, and massage can all be helpful. Short courses of opioids only when necessary should be considered.&nbsp;<\/p>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-ff285e70\"><div class=\"gb-container gb-container-ff285e70 border-radius container-padded bg-maize\">\n\n<p class=\"wp-block-paragraph\"><strong>Pain is common in pregnancy. Areas of pain in pregnancy include:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Low Back Pain (impacts approximately half of pregnancies)<\/li>\n\n\n\n<li>Pelvic Girdle Pain<\/li>\n\n\n\n<li>Abdominal and Chest Wall Pain<\/li>\n\n\n\n<li>Hip Pain<\/li>\n\n\n\n<li>Arthritis<\/li>\n\n\n\n<li>Headache<\/li>\n<\/ul>\n\n<\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-0ae54658 contained\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-66c796e2\">\n<div class=\"gb-grid-column gb-grid-column-cc76b60d\"><div class=\"gb-container gb-container-cc76b60d container-blue-outline\">\n\n<h3 class=\"gb-headline gb-headline-034267a5 gb-headline-text type-loop-title\">Acetaminophen is considered the drug of choice for mild\/moderate pain during pregnancy.<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Acetaminophen 650 to 1,000 mg every 4 to 6 hours (maximum 4 g\/day) is considered a safe dosing regimen.<\/p>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-9c4a1142\"><div class=\"gb-container gb-container-9c4a1142 container-blue-outline\">\n<div class=\"gb-container gb-container-55881424\">\n\n<h3 class=\"gb-headline gb-headline-1a207718 gb-headline-text type-loop-title\">A short course (3-5 days) of NSAIDs may be considered during the second trimester in consultation with an OB-GYN physician<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Ibuprofen 400 mg every 4 to 6 hours is considered a safe dosing regimen. Topical diclofenac gel can be considered for localized musculoskeletal pain.<\/p>\n\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-45451367\"><div class=\"gb-container gb-container-45451367 container-blue-outline\">\n<div class=\"gb-container gb-container-541cfdc5\">\n\n<h3 class=\"gb-headline gb-headline-f17dfe42 gb-headline-text type-loop-title\">Several other pain-relieving medications can be considered<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Topical 4% or 5% lidocaine patch, EMLA cream, and capsaicin cream can also be considered. Trigger point injections with a local anesthetic can provide temporary relief of myofascial pain. For headache, 1mg IV Magnesium can be considered.<\/p>\n\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-53fef597 contained\">\n\n<h2 class=\"gb-headline gb-headline-8dacb18f gb-headline-text\">If opioids are needed, the lowest effective dose should be used and the course of treatment should not be longer than the expected duration of severe pain<\/h2>\n\n\n<div class=\"gb-container gb-container-9c494404\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-115b668e\">\n<div class=\"gb-grid-column gb-grid-column-8eb04dd3\"><div class=\"gb-container gb-container-8eb04dd3 rounded-block\">\n\n<p class=\"gb-headline gb-headline-fd94a4f3 gb-headline-text\">If a pregnant patient has uncontrolled pain with the above non-opioid medications and interventions, the Centers for Disease Control and Prevention (CDC) and American College of Obstetricians and Gynecologists (ACOG) recommend using <strong>the lowest effective dose of <\/strong><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0146000525000515?via%3Dihub\"><strong>opioids<\/strong><\/a><strong> for the shortest duration<\/strong> when treating acute pain in pregnant persons. Pregnancy should not be a reason to avoid treating acute pain.<\/p>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4c730da0\"><div class=\"gb-container gb-container-4c730da0 container-blue-outline\">\n\n<h3 class=\"gb-headline gb-headline-b62d7bcf gb-headline-text type-loop-title\">For postpartum pain, ACOG recommends <strong>stepwise, multimodal analgesia<\/strong>.&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">After vaginal delivery, acetaminophen or NSAIDs are first-line, with opioids added if needed. After cesarean delivery, standard medications include acetaminophen, NSAIDs, and\/or low-dose, low-potency, short-acting opioids limited to the shortest reasonable course. For breastfeeding women, codeine should be avoided per FDA recommendations and oxycodone doses should not exceed 30 mg daily.<\/p>\n\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-6d727dab contained\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-9a9c4dd3\">\n<div class=\"gb-grid-column gb-grid-column-798c88d6\"><div class=\"gb-container gb-container-798c88d6 rounded-block bg-gray\">\n\n<h2 class=\"gb-headline gb-headline-f84bd932 gb-headline-text\">Filters<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Selecting filters will auto-adjust the list.<\/p>\n\n\n<div class=\"facetwp-facet facetwp-facet-resource_type facetwp-type-checkboxes\" data-name=\"resource_type\" data-type=\"checkboxes\"><\/div>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-119e2de8\"><div class=\"gb-container gb-container-119e2de8\">\n<div class=\"facetwp-facet facetwp-facet-number_of_results facetwp-type-pager\" data-name=\"number_of_results\" data-type=\"pager\"><\/div>\n\n\n\n<p class=\"gb-headline gb-headline-fe5e361f gb-headline-text\">Type at least three characters, and the list will auto-filter.<\/p>\n\n\n<div class=\"facetwp-facet facetwp-facet-text_search facetwp-type-search\" data-name=\"text_search\" data-type=\"search\"><\/div>\n\n\n<div class=\"facetwp-facet facetwp-facet-audience facetwp-type-radio\" data-name=\"audience\" data-type=\"radio\"><\/div>\n\n\n<div class=\"gb-grid-wrapper gb-grid-wrapper-a1afc7ae\">\n<div class=\"gb-grid-column gb-grid-column-2fc23986\"><div class=\"gb-container gb-container-2fc23986\">\n<div class=\"facetwp-selections\"><\/div>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4d3bcf68\"><div class=\"gb-container gb-container-4d3bcf68 reset-container\">\n<div class=\"facetwp-facet facetwp-facet-reset facetwp-type-reset\" data-name=\"reset\" data-type=\"reset\"><\/div>\n\n<\/div><\/div>\n<\/div>\n\n<div class=\"gb-grid-wrapper gb-grid-wrapper-e0086e35\">\n<div class=\"gb-grid-column gb-grid-column-10e49984\"><div class=\"gb-container gb-container-10e49984\">\n\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-61663e47\"><div class=\"gb-container gb-container-61663e47 pager-col\">\n<div class=\"facetwp-facet facetwp-facet-pager_ facetwp-type-pager\" data-name=\"pager_\" data-type=\"pager\"><\/div>\n\n<\/div><\/div>\n<\/div>\n\n\n<div class=\"gb-grid-wrapper gb-grid-wrapper-4ac29783 facetwp-template gb-query-loop-wrapper\">\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2971 resource type-resource status-publish has-post-thumbnail hentry category-pregnant-patients audience-provider resource-type-web-page\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"156\" height=\"97\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/cdc-logo.png\" class=\"gb-image-01619eee\" alt=\"\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/www.cdc.gov\/overdose-prevention\/hcp\/clinical-care\/opioid-use-and-pregnancy.html\">CDC: Pain Management, Opioid Use, and Pregnancy<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">A comprehensive resource on pain and OUD management during pregnancy and postpartum.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-pregnant-patients\">Pregnant Patients<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2972 resource type-resource status-publish has-post-thumbnail hentry category-pregnant-patients audience-provider resource-type-web-page\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"2525\" height=\"1226\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-open.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-open.png 2525w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-open-300x146.png 300w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-open-1024x497.png 1024w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-open-768x373.png 768w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-open-1536x746.png 1536w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-open-2048x994.png 2048w\" sizes=\"auto, (max-width: 2525px) 100vw, 2525px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/michigan-open.org\/initiatives\/substance-use-disorder\/pregnancy\/\">Opioid Use Disorder (OUD) in pregnancy.<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">Use this guide as a prenatal care roadmap, guiding clinicians from core principles and screening through tailored counseling, medication management, and added supports to deliver comprehensive, coordinated care throughout pregnancy and beyond.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-pregnant-patients\">Pregnant Patients<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2973 resource type-resource status-publish has-post-thumbnail hentry category-pregnant-patients audience-provider resource-type-audiovisual-provider\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"539\" height=\"537\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-podcast.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-podcast.png 539w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-podcast-300x300.png 300w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-podcast-150x150.png 150w\" sizes=\"auto, (max-width: 539px) 100vw, 539px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/thecurbsiders.com\/addiction-medicine-podcast\/13-what-to-expect-managing-opioid-use-disorder-in-pregnancy-with-dr-terplan\">Managing opioid use disorder in pregnancy<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">Through this podcast and webpage, learn how to counsel patients about the importance of medication and medication options, how to think about neonatal abstinence syndrome and recommendations for the postpartum period.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-pregnant-patients\">Pregnant Patients<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2974 resource type-resource status-publish has-post-thumbnail hentry category-pregnant-patients audience-provider resource-type-provider-handouts\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"819\" height=\"1050\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-clinical.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-clinical.png 819w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-clinical-234x300.png 234w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-clinical-799x1024.png 799w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-clinical-768x985.png 768w\" sizes=\"auto, (max-width: 819px) 100vw, 819px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/library.samhsa.gov\/sites\/default\/files\/sma15-4420.pdf\">Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">This 2018 Clinical Guide provides comprehensive, national guidance for optimal management of pregnant and parenting women with opioid use disorder and their infants. It helps healthcare professionals and patients determine the most clinically appropriate action for a particular situation and informs individualized treatment decisions.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-pregnant-patients\">Pregnant Patients<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2975 resource type-resource status-publish has-post-thumbnail hentry category-pregnant-patients audience-provider resource-type-toolkit resource-type-web-page\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"225\" height=\"225\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nhrc-logo.jpg\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nhrc-logo.jpg 225w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nhrc-logo-150x150.jpg 150w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/harmreduction.org\/issues\/pregnancy-and-substance-use-a-harm-reduction-toolkit\/\">Pregnancy and Substance Use: A Harm Reduction Toolkit<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">This toolkit was written in collaboration with the Academy of Perinatal Harm Reduction to promote the overall health and well-being of pregnant people who use substances and their families. This information is intended for use by pregnant and parenting people who use drugs, their loved ones, and their service providers.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-pregnant-patients\">Pregnant Patients<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2976 resource type-resource status-publish has-post-thumbnail hentry category-pregnant-patients audience-patient resource-type-patient-handouts resource-type-web-page\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"815\" height=\"1056\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-acog.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-acog.png 815w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-acog-232x300.png 232w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-acog-790x1024.png 790w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pmoud-acog-768x995.png 768w\" sizes=\"auto, (max-width: 815px) 100vw, 815px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/www.acog.org\/womens-health\/infographics\/opioid-use-disorder-and-pregnancy\">Opioid Use Disorder and Pregnancy<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">Patient focused information from the American College of Obstetricians and Gynecologists.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-pregnant-patients\">Pregnant Patients<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2977 resource type-resource status-publish has-post-thumbnail hentry category-pregnant-patients audience-provider resource-type-web-page\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"2145\" height=\"1382\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pjustice-logo.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pjustice-logo.png 2145w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pjustice-logo-300x193.png 300w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pjustice-logo-1024x660.png 1024w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pjustice-logo-768x495.png 768w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pjustice-logo-1536x990.png 1536w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/pjustice-logo-2048x1320.png 2048w\" sizes=\"auto, (max-width: 2145px) 100vw, 2145px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/www.pregnancyjusticeus.org\/rise-of-pregnancy-criminalization-report\/\">The Rise of Pregnancy Criminalization: A Pregnancy Justice Report<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">In this report, from 2006 to the 2022 reversal of Roe, Pregnancy Justice documents and analyzes the rise in pregnancy-related criminalization across the U.S.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-pregnant-patients\">Pregnant Patients<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div class=\"gb-container gb-container-63b9b32e contained\">\n<div class=\"facetwp-facet facetwp-facet-pager_ facetwp-type-pager\" data-name=\"pager_\" data-type=\"pager\"><\/div>\n\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Managing Pain in Pregnant Patients *** This resource will focus on pain management and&nbsp;not the evaluation of the potential cause of the pregnant patient\u2019s pain.*** If opioids are needed, the lowest effective dose should be used and the course of treatment should not be longer than the expected duration of severe pain<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":1078,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"1","_relevanssi_noindex_reason":"","inline_featured_image":false,"footnotes":""},"focus-area":[],"class_list":["post-1037","page","type-page","status-publish"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pregnant Women - Safer Prescribing Toolkit<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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