1/ In @JSATjournal: Qual study with women of color with SUD in MA highlighting compounding stigmas during pregnancy and postpartum, where participants experience increased scrutiny, mistrust and expectations hindering access to care and resources. https://t.co/xhPwh36PVd

🔬 Just published! Check out our latest paper challenging the reporting of prenatal #cannabis use to #CPS in Child Abuse & Neglect. Most racial disparities in exposure to the CPS system start at the point of reporting. https://t.co/n7pnI9L8aL 🧵1/4

‼️ New pub‼️ Implications of #xylazine exposure in pregnancy: a narrative review @shang_maggie @gmcmurtrie7 @PittGIM @UPMC @MageeOBGYNRes

1/📢📰💡 NEW op-ed in @cogwbur @WBUR with Liz Egan and @HEHsuMD from @The_BMC We share how #MApoli can move our state from mandated reporting to mandated supporting for pregnant people with substance use disorders by passing #H4758 this session. https://t.co/P33HgK8Trb

Thx for helping spread the word! @erincwork @PrismMGH @LSternberger @DrSarahWakeman @MGH_SUDs @DrScottHadland @elisha_wachman @SaiaKelley @PatrickDoyle_35 @stephenwpatrick @LauraFahertyMD @GJones_DrPH @do_less_harm

3/ And equitable tox testing and case-based rather than reflexive mandatory reporting as highlighted by @rohankhaz in https://t.co/UmTyWs24oA Thanks to @pnqinma @MassDPH @Mass_HPC for entrusting us to do this work and most importantly the women who shared their experiences.

2/ We can and must do better: perinatal antiracism trainings @perinatalQI, advocates such as doulas ( https://t.co/kBvxAF3AQo) or peers through Moms Do Care/First Steps Together/NESST (@healthrecovery @MassDPH @jfcsboston)

@davida_schiff @SaiaKelley @The_BMC @HEHsuMD @rohankhaz

Incredibly imp work led by @rohankhaz, @HEHsuMD & more @The_BMC. Changing from reflexive mandated reporting to case-based led to drop in filings w/o change in custody disposition. Multidisciplinary hospital-based team decision making can identify protective factors and risks.

We hope you can join us Thursday February 29th 1:30pm-3pm for our 2nd annual Perinatal SUDs Symposium and Unsung Hero Awards in the MGH Ether Dome! DM for more information and virtual options!

We talked to #MassandCass encampment residents, who told us that tents felt safer (bc people were there to watch over them while they used) and more personalized/private than standard shelters, but that once swept away… https://t.co/AhdUdgb3en

Honored to work with Max and Kelly on this -- ty @JAMAInternalMed for publishing two commentaries to emphasize the importance of prenatal MOUD tx. @cara_poland @ReportingonSUD https://t.co/PkUsDPFc9C

Really excited to share my first invited commentary, in @JAMAInternalMed, on the importance of shared decision-making in treating opioid use disorder in pregnancy (MOUD rules!). Thx to @davida_schiff @kellyrayknight for joining me on this perspective. 🙏🏾 https://t.co/WR74BdLOoD

See all 21 articles led by: Kima Joy Taylor, @FOREfdn Kristina West, Jessi Fuchs, Caryn Decker, Nadia Haerizadeh-Yazdi, @EpiElmore Neera Goyal, @JuliaMReddy Sarah Reese, Aneesha Cheedalla, Nicholas Sharp, @JoellePuccio Jessica Simon, Erin Wingo, Shae Duka, Rauta Aver Yakubu.

Special issue #MCHJPerinatalSUD launched yesterday. https://t.co/dbFkycRYO1. So proud of @erincwork @NikkiLIFT & @LSternberger @healthrecovery @MassDPH who presented our work highlighting detrimental impacted of mandated reporting for MOUD and the MA Moms Do Care program.

“We need to understand discrimination as a patient safety issue. People are dying because they are devalued.” -Dr. Mishka Terplan (@do_less_harm). Important piece! @davida_schiff

Happy to share the new ABM guidelines for breastfeeding in the setting of SUDs @SaiaKelley @miriamh_harris @mkomaromyMD @davida_schiff @KateStandish7 @The_BMC

Key updates: support of birthing ppl initiating breastfeeding w/o use at delivery and approaches to support motivated ppl w/ recent use to establish a milk supply to initiate breastfeeding when safe to do so. @elisha_wachman @SaiaKelley @KateStandish7 Serra Muftu @mghfc @The_BMC

What started as a fellowship project in 2015 to explore the utility of restrictive breastfeeding guidelines for birthing people with SUD ( https://t.co/Of3NYnVM65), thx to @miriamh_harris's advocacy and determination has led to an updated ABM protocol:

MGB VOTES YES! 1,215-412 After years of organizing and a week-long election, housestaff at Massachusetts General Brigham have voted for representation in the form of a union.