This policy statement from the AAP advocates a public health response to the opioid epidemic and substance use
during pregnancy, and recommends: a focus on preventing unintended pregnancies and improving access to contraception; universal screening for alcohol and other drug use in women of childbearing age; knowledge and informed consent of maternal drug testing and reporting practices; improved access to
prenatal care, including opioid replacement therapy; gender - specific substance use
treatment programs; and improved funding for social services and child welfare systems.