ACOG recommends using the SBIRT model for women receiving obstetric-gynecological care who test positive when screened

Screening, Brief Intervention, and Referral to Treatment

Substances That Are Commonly Misused Or Abused

- Alcohol - Tobacco - Inhalants - Anabolic Steroids
- Prescription Medications (Opioids, Amphetamines, Benzodiazepines, Methylphenidate)
Illicit Drugs (Heroin, LSD, PCP, Ketamine, MDMA, Marijuana/Synthetic Cannabinoids, Cocaine, Methamphetamine, GHB)

According to ACOG, “New ethical guidelines from the American College of Obstetricians and Gynecologists (ACOG) place a greater emphasis on substance abuse as a medical issue and physician’s responsibility. Universal screening with brief intervention and treatment referrals is now also specifically indicated for cannabinoids, club drugs, dissociative drugs, hallucinogens, opioids, stimulants, tobacco, and other compounds such as anabolic steroids and inhalants.

“Every 25 minutes, a baby is born suffering from opioid withdrawal. The use of opioids during pregnancy can result in a drug withdrawal syndrome in newborns called neonatal abstinence syndrome (NAS), which causes lengthy and costly hospital stays. According to a new study, an estimated 21,732 babies were born with NAS in the United States in 2012, a 5 fold increase since 2000.”
— National Institute on Drug Abuse, Commonly abused Drugs. Bethesda (MDI):NIDA; 2015.