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Case Studies on Pregnant and Postpartum Persons with OUD


Published Date: 04/11/2022

Expiration Date: 07/22/2024

CE Credit: CME:1CNE: 1CPE: 1


This course will be a case-based clinical discussion on pregnant and postpartum persons with OUD. Each case will address key concepts in understanding the complex milieu of issues that must be addressed to serve best the health and well-being of pregnant and postpartum patients with OUD, their children, and their families.


Effective June 27, 2023 the Drug Enforcement Administration (DEA) and the Substance Abuse and Mental Health Services Administration (SAMHSA) announced a one-time requirement of 8 hours of training on the treatment and management of patients with opioid or other substance use disorders for practitioners who are applying for or renewing their DEA license. This 1-hour ACCME-accredited course meets the DEA/SAMHSA requirement.


Kelly Ramsey,MD, MPH, MA, FACPKelly S. Ramsey, MD is an internal medicine physician who has treated substance use disorder since 2004. She worked as Medical Director of an academic center-based OTP in the South Bronx before working for a decade for a large FQHC in the Hudson Valley where she created and grew a MAT program for OUD and AUD to 10 sites and 1500 patients. Dr. Ramsey currently works as the Associate Chief of Addiction Medicine at NYS OASAS. Dr. Ramsey has provided expert advice to the New York State Department of Health AIDS Institute by serving on numerous committees for over a decade, including the Co-Chair of the HIV Quality of Care Advisory Committee (QAC), and, until starting at OASAS in June 2020, Vice-Chair of the Substance Use Guidelines Committee for the HIV Clinical Practice Guidelines(a collaboration with Johns Hopkins University)and Co-Chair of the Office of Drug User Health’s NYS Buprenorphine Advisory Group. Dr. Ramsey was the recipient of the NYS DOH Commissioner’s Special Recognition Award for contributions to drug user health in NYS in December 2018. Dr. Ramsey serves as the HCV and Drug User Health Champion for the Capital District for Mount Sinai to provide educational support for CEI (Clinician Education Initiative) on HIV, HCV, PEP, PrEP, and Drug User Health (MAT, opioid overdose prevention, harm reduction) through the NYS DOH (live presentations, webinars, planning initiatives). Dr. Ramsey is the President-Elect for the NYSAM BOD and serves as Chair of their Education/CME Committee.
Cassie Leonard,MD

Cassie Leonard, MD attended West Virginia University School of Medicine and graduated 2007. She completed an OBGYN Residency: Thomas Jefferson University Graduated 2011.

Dr. Leonard then worked as Assistant Professor at West Virginia university until 2018. During that time, she participated in a State Committee For Substance Use in Pregnancy that was a Sub Committee of the West Virginia Perinatal Partnership. She also was awarded a Federal and State Grant to develop and Fund a “Drug Free Mom and Baby Program” at West Virginia University School of Medicine. As a part of this project she organized and developed comprehensive prenatal care for any pregnant women with a Substance Use Disorder and hired WVU Hospitals first Peer Recovery Coach. This project was recently published in the Preventive Medicine Report September 2019.

In 2018 Dr. Leonard moved with her family to Lake George NY to be closer to family and joined the Hudson Headwaters Health Network. Since then she now a participates in the NAS subcommittee that meets once a month locally and is also a member of the ACOG district 2 Substance use in Pregnancy sub-committee.

David Garry,DO

David Garry, DO is a Professor of Clinical Obstetrics & Gynecology at Stony Brook Medicine University School of Medicine. He is a maternal-fetal medicine specialist, who trained in obstetrics and gynecology at Catholic Medical Center of Brooklyn and Queens and did his clinical fellowship in maternal-fetal medicine New York Medical College. He now serves as the Director of Maternal Fetal-Medicine at Stony Brook Medicine. In addition, Dr. Garry is actively involved in basic, and clinical research involving various aspects of women’s health. He also has held many leadership and committee positions in many institutions and prestigious professional societies.

Learning Objectives

  • Discuss the management of MOUD in pregnant and postpartum persons with respect to initiation of treatment, dosing adjustments, breastfeeding recommendations, and best practices.
  • Describe the role of mental health comorbidity in pregnant and postpartum persons with OUD.
  • Recognize the importance of appropriate language usage to decrease stigmatization and the practical application of trauma-informed care, harm reduction, and patient-centered care when treating pregnant and postpartum persons.
  • Explain the importance of warm handoffs and coordination of care with other providers within the community to support best pregnant and postpartum patients.

Continuing Education Credit Information