Quality improvement initiative reduces maternal deaths related to opioid use disorder, highlighting improved postpartum care and access to medication-assisted treatment.
( Am J Obstet Gynecol . 2025;232:130.e1-10. DOI: 10.1016/j.ajog.2024.04.015) Maternal deaths related to opioid use disorder (OUD) have been rising sharply across the United States, creating a pressing public health crisis. Many of these fatalities could potentially be prevented with timely and optimal care for OUD during pregnancy and postpartum periods. To address this, the Illinois Perinatal Quality Collaborative launched the Mothers and Newborns affected by Opioids - Obstetric (MNO-OB) quality improvement initiative. This program aimed to enhance OUD care for pregnant and postpartum individuals by promoting standardized screening, increasing access to medication-assisted treatment (MAT), recovery services, and naloxone counseling. The study evaluated whether this statewide quality improvement effort led to measurable improvements in OUD care and reduced racial disparities among pregnant patients.
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King et al. (2025) studied this question.