Resources

Past Presentation

Best Practice Prenatal and Postpartum Care for People Experiencing SUDs | August 15, 2023

Date of Presentation: August 15, 2023

Type: Past Presentation  

Audience: Clinical  Community  

Program: Grand Rounds   Substance Use Disorder  

Keywords: #grand rounds  #parents  #pregnancy  #pregnant  #substance use disorder  #SUD  #SUD treatment  

Indian Country ECHO in partnership with the IHS Maternal Child Health Program and HOPE Committee, hosted a Grand Rounds focused on best practice prenatal and postpartum care for American Indian and Alaska Native people experiencing substance use disorders (SUDs). In this series of presentations, CAPT Molly Rutledge from Southcentral Foundation shared a case and the story of how their facility chooses to support pregnant and parenting people experiencing SUDs, including their infants. Then, Dr. Michelle Debbink and Dr. Andrew Hsi highlight best practices for initiating SUD treatment, including how to provide integrative prenatal care treatment, identify candidates for and initiate outpatient buprenorphine protocols, manage medications for opioid use disorder in primary care and involve a multidisciplinary care team to support pregnant and parenting people experiencing substance use disorders. Finally, Dr. Tina Pattara-Lau, Maternal and Child Health consultant for the IHS, provides a national overview and upcoming opportunities for I/T/U clinics to walk away with tangible next steps. The one-hour Grand Rounds session includes an opportunity to engage in a didactic presentation, become part of a learning community, and join the Substance Use Disorder ECHO and a new Pregnancy Care ECHO program. 

 

 

Recording:

Presented by:

Molly Rutledge | Michelle Debbink | Andrew Hsi | Tina Pattara-Lau

CAPT Molly Rutledge, MA, MS, Certified Neonatal Therapist is the IHS Chief Clinical Consultant for Rehabilitation Specialists, and a Speech and Language Pathologist in the Pediatrics Department at the Alaska Native Medical Center. She received her Master of Arts degree in speech-language pathology (SLP) from the School of Health Professions at the University of Kansas and completed her clinical fellowship year in Ewa, Hawaii. She also holds a Master of Science degree in Health Education. CDR Rutledge joined the Navajo Area IHS in 2010 and the Alaska Area in 2014.

Michelle Debbink, MD, PhD, is a maternal-fetal medicine specialist and her clinical interests include providing prenatal care for patients with high-risk or rare medical conditions during pregnancy, including diabetes and congenital heart disease, abnormal placenta conditions such as placenta previa or placenta accreta spectrum disorders, and fetal and genetic conditions such as twin and higher order multiple pregnancies and anomalies. She provides services including vaginal and cesarean delivery, complicated cesarean delivery and cesarean hysterectomy, cervical cerclage, intrauterine transfusion (IUT) and percutaneous umbilical cord sampling (PUBS), and amniocentesis. Her research focuses on racial, ethnic, and geographic inequities and disparities in perinatal outcomes, including low birthweight, small for gestational age, maternal morbidity and maternal mortality. Dr. Debbink is particularly interested in how social structures, neighborhood factors, and health policy produce and reinforce perinatal health disparities among Black, Indigenous and other people of color. Dr. Debbink received her bachelor’s degrees in Sociology and Health Policy from Rice University in Houston, Texas. She received her medical degree from the University of Michigan Medical School and completed her PhD in Health Services Organization and Policy at the University of Michigan School of Public Health. Dr. Debbink completed her Obstetrics and Gynecology residency at the University of Michigan as well. She moved to Salt Lake in 2017 to complete her Fellowship in Maternal-Fetal Medicine at the University of Utah. The privilege of caring for others in important, vulnerable, and life-changing moments is Dr. Debbink’s highest honor. She looks forward to building supportive relationships with birthing folks from all over Utah that are based on mutual trust and respect. Through research and practice, Dr. Debbink seeks to collaborate on efforts to reinforce and build resilient communities for all pregnant and parenting folks and their families. When Dr. Debbink’s not enjoying clinical medicine or research, she spends her time with family and her dogs, reading, hiking, skiing, camping, stargazing, playing board games, or trying to find some quiet time near the water somewhere.

Andrew Hsi, MD, MPH (he, his), is a Professor Emeritus with the University of New Mexico Departments of Family and Community Medicine and Pediatrics, the Emeritus Director of the Institute for Resilience, Health, and Justice as well as a member of the American Academy of Pediatrics and CONACH.

CDR Tina Pattara-Lau, MD, FACOG is the Maternal and Child Health Consultant with the Indian Health Service (IHS) Office of Clinical and Preventive Services (OCPS). In this role, she serves as subject matter expert for the IHS, develops national programs and policies, and collaborates with federal and community resources to optimize patient access to quality care. She began her IHS career in 2015 as an OBGYN providing comprehensive care to American Indian/Alaska Native women at Phoenix Indian Medical Center (PIMC), Parker and Peach Springs Indian Health Centers, and Valleywise Health Medical Center. During the COVID-19 pandemic she developed modified guidelines for OBGYN care including delivery of telehealth prenatal care, vaccine education for patients, and multidisciplinary simulation training for obstetric readiness in the Emergency Department. LCDR Pattara-Lau graduated from the University of California, Berkeley with degrees in Molecular and Cell Biology and Psychology. She commissioned into the US Public Health Service in 2007 and received her medical degree from the Uniformed Services University of the Health Sciences (USUHS) in 2011. She completed her OBGYN residency at the Naval Medical Center, San Diego, is board certified, and a fellow of the American College of Obstetricians and Gynecologists.

Resources Provided:

Date added: June 1, 2023