Apr 25, 2025

Public workspaceResource List for Xu Review of Guidelines on Substance Use Disorders in Pregnancy

  • 1Washington University
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Protocol CitationKevin Xu 2025. Resource List for Xu Review of Guidelines on Substance Use Disorders in Pregnancy. protocols.io https://dx.doi.org/10.17504/protocols.io.6qpvrmy5bgmk/v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License,  which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: In development
We are still developing and optimizing this protocol
Created: April 24, 2025
Last Modified: April 25, 2025
Protocol Integer ID: 162358
Keywords: Resource List , Substance Abuse, Trip Database, Guidelines International Network, NHMRC
Abstract
This protocol details resource list of Xu review of guidelines on substance use disorder in pregnancy.
Guidelines
List of resources searched:

Trip Database
Trip Database
https://www.tripdatabase.com selected 38 results on 4/02/2025 after 3 separate searches, all restricted to guidelines using left-hand box

Search 1: PICO: P=pregnant OR pregnancy OR perinatal; I=substance use OR substance abuse.
Search 2: substance use disorder pregnancy. Search 3: Substance abuse.
  1. Guidelines for identification and management of substance use and substance use disorders in pregnancy, 2014, WHO https://iris.who.int/bitstream/handle/10665/107130/9789241548731_eng.pdf;jsessionid=E0760E15E7DEADDB0C43C0E3C9270ACE?sequence=1
  2. WHO recommendations on antenatal care for a positive pregnancy experience. I.World Health Organization. 2016, World Health Organization, https://iris.who.int/bitstream/handle/10665/250796/9789241549912-eng.pdf?sequence=1
  3. South Australian Perinatal Practices Guidelines – Substance use in Pregnancy, 2016, South Australian Maternal and Neonatal Clinical Network, 2016, https://www.sahealth.sa.gov.au/wps/wcm/connect/fad90e004eede261b572b76a7ac0d6e4/Substance+use+in+pregnancy_May2014.pdf?MOD=AJPERES&CACHEID=ROOTWORKSPACE-fad90e004eede261b572b76a7ac0d6e4-p4ceOOM
  4. Perinatal substance use: Maternal, 2021, Queensland Clinical Guidelines, MN21.37-V2-R26, https://www.health.qld.gov.au/__data/assets/pdf_file/0023/140738/g-psumat.pdf
  5. Treatment of Opioid Use Disorder During Pregnancy, Guideline Supplement, BC Centre on Substance Use, http://www.perinatalservicesbc.ca/Documents/Guidelines-Standards/Maternal/OUD-Pregnancy.pdf Suggested citation: British Columbia Centre on Substance Use, B.C. Ministry of Health, B.C. Ministry of Mental Health and Addictions, & Perinatal Services BC. A Guideline for the Clinical Management of Opioid Use Disorder—Pregnancy Supplement. Published June 1, 2018. Available at: http://www.bccsu.ca/care-guidance-publications/
  6. VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF PREGNANCY, 2023, https://www.healthquality.va.gov/guidelines/WH/up/VA-DoD-CPG-Pregnancy-Full-CPG_508.pdf VA/DoD Clinical Practice Guideline. (2023). Management of Pregnancy Work Group. Washington, DC: U.S. Government Printing Office.
  7. VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF PREGNANCY, 2018, https://www.healthquality.va.gov/guidelines/WH/up/VADoDPregnancyCPG4102018.pdf
  8. Committee Opinion No. 711: Opioid Use and Opioid Use Disorder in Pregnancy. Obstet Gynecol. 2017;130(2):e81-e94. doi:10.1097/AOG.0000000000002235 , The Society of Maternal–Fetal Medicine endorses this document. This Committee Opinion was developed by the American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice in collaboration with committee members Maria A. Mascola, MD, MPH; Ann E. Borders, MD, MSc, MPH; and the American Society of Addiction Medicine member Mishka Terplan, MD, MPH. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2017/08/opioid-use-and-opioid-use-disorder-in-pregnancy?utm_source=redirect&utm_medium=web&utm_campaign=otn
  9. Pregnancy and complex social factors: A model for service provision for pregnant women with complex social factors, NICE Clinical Guideline, 2010, National Institue for Health and Care Excellence, https://www.nice.org.uk/guidance/cg110/resources/pregnancy-and-complex-social-factors-a-model-for-service-provision-for-pregnant-women-with-complex-social-factors-35109382718149
  10. American College of Obstetricians and Gynecologists’ Committee on Health Care for Underserved Women. Reproductive Health Care for Incarcerated Pregnant, Postpartum, and Nonpregnant Individuals: ACOG Committee Opinion, Number 830. Obstet Gynecol. 2021;138(1):e24-e34. doi:10.1097/AOG.0000000000004429, https://pubmed.ncbi.nlm.nih.gov/33906198/
  11. Best Practice Guidelines for mental health disorders in the Perinatal Period: Substance Use Disorders, 2023, BC Reproductive Mental Health Program, the Provincial Perinatal Substance Use Program, Perinatal Services BC http://www.perinatalservicesbc.ca/Documents/Resources/HealthPromotion/Best_Practice_Guideline_Mental_Health_Disorders_in_the_Perinatal_Period.pdf
  12. Mental health gap action programme (mhGAP) guideline for mental, neurological and substance use disorders, World Health Organisation Guidelines, 2023 https://iris.who.int/bitstream/handle/10665/374250/9789240084278-eng.pdf?sequence=1
  13. Management of Substance Use Disorder (SUD), VA/DoD Clinical Practice Guidelines, 2021, VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF SUBSTANCE USE DISORDERS https://www.healthquality.va.gov/guidelines/MH/sud/VADoDSUDCPG.pdf
  14. Treating opioid use disorder during pregnancy: Guideline Supplement, British Columbia Perinatal Health Program, 2018, http://www.perinatalservicesbc.ca/Documents/Guidelines-Standards/Maternal/OUD-Pregnancy.pdf
  15. Tobacco Use Disorder (TUD), Clinical Practice Guidelines and Protocols in British Columbia, 2025 https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/tobacco-use-disorder
  16. High-Risk Drinking and Alcohol Use Disorder, Clinical Practice Guidelines and Protocols in British Columbia, 2024, https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/high-risk-drinking-and-alcohol-use-disorder
  17. A Guideline for the Clinical Management of Opioid Use Disorder, Clinical Practice Guidelines and Protocols in British Columbia, 2024, https://www.bccsu.ca/wp-content/uploads/2023/12/BC-OUD-Treatment-Guideline_2023-Update.pdf
  18. Opioid Use Disorder Diagnosis and Treatment Guideline, Kaiser Permanente Clinical Guidelines, 2020, https://wa.kaiserpermanente.org/static/pdf/public/guidelines/opioid-use-disorder.pdf
  19. Pre-pregnancy counselling (C-Obs 3a), RANZCOG, 2024, https://ranzcog.edu.au/wp-content/uploads/Pre-Pregnancy-Counselling.pdf
  20. Management of Pregnancy, VA/DoD Clinical Practice Guidelines, 2023, https://www.healthquality.va.gov/guidelines/WH/up/VA-DoD-CPG-Pregnancy-Full-CPG_508.pdf
  21. Perinatal substance use: maternal, Queensland Health, 2016, https://www.health.qld.gov.au/__data/assets/pdf_file/0023/140738/g-psumat.pdf
  22. Opioid Use Disorder - Diagnosis and Management in Primary Care, Clinical Practice Guidelines and Protocols in British Columbia, 2023, https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/opioid-use-disorder
  23. Engaging clients who use substances, Registered Nurses’ Association of Ontario, 2015, https://rnao.ca/sites/rnao-ca/files/Engaging_Clients_Who_Use_Substances_13_WEB.pdf
  24. VA/DOD Clinical Practice Guideline for the Management of Pregancy, VA/DoD Clinical Practice Guidelines, 2018, https://www.healthquality.va.gov/guidelines/WH/up/VADoDPregnancyCPG4102018.pdf
  25. WHO Recommendations on antenatal care for a positive pregncany experience, World Health Organisation Guidelines, 2016, https://iris.who.int/bitstream/handle/10665/250796/9789241549912-eng.pdf?sequence=1
  26. Alcohol-use disorders: diagnosis, assessment and management of harmful drinking (high-risk drinking) and alcohol dependence, 2014, National Institute for Health and Care Excellence - Clinical Guidelines Instithttps://www.nice.org.uk/guidance/cg115/resources/alcoholuse-disorders-diagnosis-assessment-and-management-of-harmful-drinking-and-alcohol-dependence-35109391116229
  27. Unhealthy Drug Use: Screening, U.S. Preventive Servcies Task Force, 2020, https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/drug-use-illicit-screening
  28. Unhealthy Alcohol Use in Adolescents and Adults: Screening and Behavioral Counseling Interventions, U.S. Preventive Servcies Task Force, 2018, https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/unhealthy-alcohol-use-in-adolescents-and-adults-screening-and-behavioral-counseling-interventions
  29. Intrapartum care, National Instittue for Health and Care Excellence, 2023, https://www.nice.org.uk/guidance/ng235
  30. Antentatal care – uncomplicated pregnancy, NICE guideline, 2023, UK access only, https://www.nice.org.uk/cks-uk-only
  31. Healthy Beginnings: Developing perinatal and infant mental health servcies in New Zealand, Ministry of Health, 2012, https://www.health.govt.nz/publications/healthy-beginnings-developing-perinatal-and-infant-mental-health-services-in-new-zealand
  32. Ambulatory Adult Prenatal Care Guideline, University of Michigan Health System, Obstetrics-VVWH Prenatal Care Guideline, 2021, https://michmed-public.policystat.com/policy/16207288/latest/
eGuidelines
eGuidelines
Looked under summary for ObGyn, very few links, one link to an unrelated topic from NICE .
Guidelines International Network: International Guidelines Library
Guidelines International Network: International Guidelines Library

Search 1: pregnancy; Language limit: English; Date limit: 2014-current, 35 total results, relevant records selected and exported as RIS

Search 2: substance use; Language limit: English; Date limit: 2014-current, 6 total results, relevant records selected and exported as RIS

Search 3: alcohol, Language limit: English; Date limit: 2014-current, 24 total results, relevant records selected and exported as RIS

13 records added to Covidence.

National Health and Medical Research Council (NHMRC): Clinical Practice Guidelines
National Health and Medical Research Council (NHMRC): Clinical Practice Guidelines
1. Australian Pregnancy Care Guidelines, Developer: Living Evidence for Australian Pregnancy and Postnatal care (LEAPP) ,
Date of Approval: 18/4/2024; 9/7/2024, https://app.magicapp.org/?language=my#/guideline/jm83RE

2. Mental Health Care in the Perinatal Period: Australian Clinical Practice Guideline
Developer: Centre of Perinatal Excellence (COPE)

3. Clinical practice guidelines: Pregnancy Care
Developer: Australian Government - Department of Health
Date of Approval: 13/12/2018; 23/11/2020,

National Institute for Health and Care Excellence - UK (NICE)
National Institute for Health and Care Excellence - UK (NICE)

Search: find on page, preganancy, prenatal, antenatal, substance use, substance misuse

All but one were already found.
1. Drug misuse prevention, Quality standard, QS165, NICE,
Scottish Intercollegate Guidelines Network (SIGN)
Scottish Intercollegate Guidelines Network (SIGN)
Full page of guidelines has 48 results, after looking from 2014-current, one was relevant:
1. Perinatal mental health conditions, SIGN 169, Healthcare Improvement Scotland,  https://www.sign.ac.uk/our-guidelines/perinatal-mental-health-conditions/
RNAO of Ontario Best Practice Guidelines
RNAO of Ontario Best Practice Guidelines

Search 1: substance use, restricted to BPG = 49 results
Search 2: pregancy, restricted to BPG = 3 results
Search 3: prenatal, restricted to BPG = 1 result.

1. Engaging clients who use substances (already in Covidence)
New Zealand Ministry of Health
New Zealand Ministry of Health

Search 1: pregnancy, Filter by type (fbt): guides and standards = 5 results
Search 2: “substance use”, fbt guides and standards = 2 results
Search 3: “substance misuse”, fbt guides and standards = 1 results
Search 4: perinatal, fbt guides and standards = 2 results
Search 5: alcohol, fbt guides and standards = 2 results

  1. Te Ariari o te Oranga: The Assessment and Management of People with Co-existing Mental Health and Drug Problems, 2010, https://www.health.govt.nz/publications/te-ariari-o-te-oranga-the-assessment-and-management-of-people-with-co-existing-mental-health-and
  2. Maternal Mental Health Service Provision in New Zealand: Stocktake of district health board services, 2021, https://www.health.govt.nz/publications/maternal-mental-health-service-provision-in-new-zealand-stocktake-of-district-health-board-services
  3. Healthy Beginnings: Developing perinatal and infant mental health services in New Zealand, 2012 https://www.health.govt.nz/publications/healthy-beginnings-developing-perinatal-and-infant-mental-health-services-in-new-zealand
Epistemonikos
Epistemonikos

Search 1: Title: prenatal, last 10 years, broad synthesis, no PMC, = 43, find “guideline” on page
Search 2: Title: antenatal, last 10 years, broad synthesis, no PMC, = 22, find “guideline” on page
Search 3: Title: pregnancy, last 10 years, broad synthesis, no PMC, = 160, find “guideline” on page
Search 4: Title: “substance use”: last 10 years, broad synthesis, no PMC, = 55, find “guideline” on page
Search 5: Title: alcohol: last 10 years, broad synthesis, no PMC, = 55, find “guideline” on page.
  1. WHO recommendations on antenatal care for a positive pregnancy experience, 2016, https://www.epistemonikos.org/en/documents/65215ac35de394d8284a34204717bf3ee938121a
  2. Clinical practice guideline for the prevention of venous thromboembolic events during pregnancy, childbirth or postpartum period, 2017, https://www.epistemonikos.org/en/documents/5e1d7283af3e656bbb98e78fbd05290fb9defbd0
British Columbia Guidelines
British Columbia Guidelines
British Columbia Centre on Substance Use
British Columbia Centre on Substance Use
  1. BCCSU Guideline: Opioid Use Disorder, https://www.bccsu.ca/opioid-use-disorder/
  2. BCCSU Guideline: Alcohol Use Disorder: https://www.bccsu.ca/alcohol-use-disorder/
Canadian Network for Mood and Anxiety Treatments
Canadian Network for Mood and Anxiety Treatments
1. 2024 Clinical Guidelines for Perinatal Mood, Anxiety, and Related Disorders, https://www.canmat.org/2025/02/10/canmat-2024-clinical-guidelines-for-perinatal-mood-anxiety-and-related-disorders/
Canadian Psychiatric Association
Canadian Psychiatric Association

Nothing listed, looked in PubMed for journal Canadian Journal of Psychiatry, one found and put into Covidence
Canadian Research Initiative in Substance Misuse
Canadian Research Initiative in Substance Misuse
  1. Canadian Alcohol Use Disorder Guideline, 2023,High Risk Drinking and Alcohol Use Disorder, https://crism.ca/alcohol-use-disorder/
  2. Canadian Operational Guidance, Managed Alcohol Programs, 2023, https://crism.ca/managed-alcohol-programs/
  3. National Opioid Use Disorder Guideline, 2024, https://crism.ca/opioid-guideline/
CMAJ Guidelines
CMAJ Guidelines

looked through guidelines up to 2014, searched page for topics of interest, found any missing from previous searches in PubMed.
Patients Experience Evidence Research (PEER)
Patients Experience Evidence Research (PEER)

One found, already from pubmed search (Korownyk 2019).
Perinatal Services BC
Perinatal Services BC
  1. Best Practice Guidelines for mental health disorders in the Perinatal Period: Substance Use Disorders, Perinatal Services BC, 2023, https://cms.psbchealthhub.ca/sites/default/files/2023-11/Best_Practice_Guideline_Mental_Health_Disorders_in_the_Perinatal_Period.pdf
  2. Provincial Guideline for the Clinical Management of High-Risk Drinking and Alcohol Use, Perinatal Services BC, 2020, https://cms.psbchealthhub.ca/sites/default/files/2023-10/High%20Risk%20Drinking%20and%20Alcohol%20Use%20Disorder_Pregnancy%20Supplement.pdf
Society of Obstetricians and Gynaecologists of Canada
Society of Obstetricians and Gynaecologists of Canada

Looked through these but they’re in PubMed in J Obstet Gynaecol Can.
Guideline Central (US)
Guideline Central (US)

Search 1: By Specialty: Obstetrics and Gynecology, chose organizations of interest.
Search 2: By Specialty: Addiction Medicine.
  1. WHO recommendations on maternal health: guidelines approved by the WHO Guidelines Review Committee, 2nd ed, 2025, https://www.who.int/publications/i/item/9789240080591 ; https://iris.who.int/bitstream/handle/10665/380666/9789240080591-eng.pdf?sequence=1
  2. Management of Pregnancy, Veterans Health Administration / Department of Defense, 2023, https://www.healthquality.va.gov/guidelines/WH/up/index.asp
  3. Clinical Practice Guideline on the Management of Stimulant Use Disorder ; American Society of Addiction Medicine, 2025, https://www.asam.org/quality-care/clinical-guidelines/stimulant-use-disorders
  4. 2020 National Practice Guideline for the Treatment of Opioid Use Disorder ; American Society of Addiction Medicine, https://www.asam.org/quality-care/clinical-guidelines/national-practice-guideline
  5. The ASAM clinical practice guideline on alcohol withdrawal management. Guideline ID: 23582020 Jan 23, American Society of Addiction Medicine (ASAM), Alvanzo A, Kleinschmidt K, Kmiec JA, et al. The ASAM clinical practice guideline on alcohol withdrawal management. Rockville (MD): American Society of Addiction Medicine (ASAM); 2020 Jan 23. 72 p. [170 references] https://www.asam.org/quality-care/clinical-guidelines/alcohol-withdrawal-management-guideline
ECRI Guidelines Trust
ECRI Guidelines Trust

Search 1: Clinical Area: Addiction Medicine
Search 2: “Substance Use” and Clinical Area: Obstetrics and Gynecology
  1. Final recommendation statement: unhealthy drug use: screening. Guideline ID: 18152020 Jun 9, U.S. Preventive Services Task Force (USPSTF), U.S. Preventive Services Task Force (USPSTF). Final recommendation statement: unhealthy drug use: screening. [internet]. Rockville (MD): U.S. Preventive Services Task Force (USPSTF); 2020 Jun 9. [49 references] https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/drug-use-illicit-screening
Royal Australian College of General Practitioners
Royal Australian College of General Practitioners
Pubmed
Pubmed
pubmed.gov 699 results on 04/02/2025

Search:
((Substance-Use[title] OR substance-abuse[title] OR "substance-related disorders"[MeSH Terms] OR alcohol[title] OR prenatal[title] OR Pregnan*[title] OR maternal[title] OR perinatal[title] OR antenatal[title] OR “prenatal care”[mesh]) AND ("Practice Guideline"[Publication Type]))
OR
(( “Substance Abuse and Mental Health Services Administration” OR “Royal College of General Practitioners” OR “American Board of Family Medicine” OR “American Academy of Family Physicians” OR “Royal Australian College of General Practitioners” OR RACGP OR “Royal New Zealand College of General Practitioners” OR “Australian College of Rural and Remote Medicine” OR “College of Family Physicians of Canada” OR “American College of Physicians” OR “Royal College of Physicians and Surgeons of Canada” OR “Royal Australasian College of Physicians” OR “New Zealand Guidelines Group” OR “American Society of Addiction Medicine” OR “Canadian Society of Addiction Medicine” OR “American Psychiatric Association” OR “Canadian Psychiatric Association” OR “Royal Australian and New Zealand College of Psychiatrists” OR “American Academy of Addiction Psychiatry” OR APSAD)
AND
(guideline*[tiab] OR "Practice Guideline"[Publication Type] )
AND (alcohol-use[title] OR alcohol-addiction[title] OR alcohol-abuse[title] OR alcohol-dependence[title] OR Substance-Use[title] OR substance-abuse[title] OR "substance-related disorders"[MeSH Terms] OR prenatal[title] OR Pregnan*[title] OR maternal[title] OR perinatal[title] OR antenatal[title]))
OR
((“Centers for Disease Control and Prevention” OR CDC OR “U.S. Preventive Services Task Force” OR “World Health Organization”) AND (guideline*[tiab] OR "Practice Guideline"[Publication Type] ) AND (Substance-Use[title] OR substance-abuse[title] OR "substance-related disorders"[MeSH Terms] OR alcohol-use[title] OR alcohol-dependen*[title] OR alcohol[title] OR alcohol-abuse[title] OR alcohol-exposed[title]) AND (prenatal[title] OR Pregnan*[title] OR maternal[title] OR perinatal[title] OR antenatal[title] OR “prenatal care”[mesh]))
AND ((english[Filter]) AND (2014:2025[pdat]))