08/31/2026
Today is International Overdose Awareness Day.
For those of us in perinatal care, the data has been clear for a while and our workflows have not caught up. From 2018 to 2023, overdose, su***de, and homicide together accounted for MORE THAN 25% of maternal deaths in the United States, nearly matching the combined toll of cardiovascular disease, infection, hypertensive disorders, and hemorrhage.
☑️ Among pregnancy-related deaths attributed to mental health conditions, including overdose, roughly 63% occurred between 6 WEEKS and one YEAR POSTPARTUM. This is outside the window most obstetric practices are built to cover.
Maternal mortality review committees judged every one of those deaths PREVENTABLE..... ⁉️ WHAT CAN WE DO?
☑️1. SCREEN WITH A VALIDATED TOOL at intake, in the third trimester, and again postpartum. Under-recognition is a documented contributor to these deaths.
☑️2. DO NOT INTERRUPT MEDICATION FOR OPIOID USE DISORDER IN PREGNANCY. Buprenorphine and methadone remain the standard of care; abrupt discontinuation raises overdose risk.
☑️3. BUILD THE POSTPARTUM HANDOFF BEFORE DELIVERY — naloxone in the home, a named recovery contact, and a plan that survives the end of obstetric care.
🗣️ NAME THE BARRIER OUT LOUD: many pregnant and parenting people do not disclose because they fear a report, a removal, or a change in how they are treated. Naming that fear, and being clear about what happens next, is a clinical intervention.
💜 NH Mom Hub supports New Hampshire families and the clinicians who care for them.
📱 Call or text 603-403-3400, Monday through Friday.
988 Su***de & Crisis Lifeline
1-833-710-6477 NH Rapid Response
1-833-TLC-MAMA National Maternal Mental Health Hotline
NH Perinatal Quality Collaborative PSI-NH Chapter NH Department of Health and Human ServicesFriends of NH Drug Courts Hope On Haven Hill SOS Recovery Community Organization