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Module 1: Understanding Opioid Issues in Pregnancy

This activity provides information about opioid prescribing in pregnancy, identifying opioid use disorder, legal considerations, and pharmacological treatment for opioid use disorder in pregnancy. Three patient cases are introduced illustrating the issues.

Learning Objectives

This activity provides you with information and tools to:

  • Help patients to understand the implications of opioids for chronic pain in pregnancy.
  • Identify ethical and legal considerations related to opioid use disorder among pregnant patients.
  • Evaluate pharmacological treatment options for opioid use disorder among pregnant patients.


Program Release: May 4, 2018
Expiration Date (CME): January 3, 2020
Expiration Date (CNE): October 4, 2019
Estimated Time to Complete: 90 minutes


Catherine Friedman, MD
Assistant Professor of Psychiatry and Human Behavior, Clinician Educator
Warren Alpert Medical School of Brown University | Providence, RI

Medical Director
Rhode Island Department of Child, Youth and Families | Providence, RI

Eleanor Slater Hospital and Center for Excellence,
Rhode Island Department of Behavioral Healthcare, Developmental Disabilities and Hospitals | Cranston, RI

Dr. Friedman has no relevant financial relationships to disclose.


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Warren Alpert Medical School of Brown University and Boston Medical Center. The Warren Alpert Medical School of Brown University is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation

The Warren Alpert Medical School of Brown University designates this live activity for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Rhode Island Specific:
This program qualifies for 1.5 hours CME Credit in Risk Management and Opioid Pain Management/Chronic Pain Management, two of the required areas of section 6.0; 6.2.1 RI CME re-licensure requirements.

This training meets the requirements set forth in RI Regulation 3.14 Prescriber Training Requirement for Best Practices Regarding Opioid Prescribing. This specific training requirement is required only once and must be completed before renewal of controlled registration or 2 years (whichever is longer).

This continuing nursing education activity was approved by the Northeast Multi-State Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Maine, New Hampshire, New York, Rhode Island, Vermont Nurses Associations are members of the Northeast Multi-State Division of the American Nurses Association.
Expires: October 4th 2019

Requirements for Successful Completion
To receive credit, participants must view the activity and complete the posttest and evaluation. There are no prerequisites and there is no fee to participate in this activity or to receive CME credit. Statements of Credit are awarded upon successful completion of the posttest with a passing score of ≥ 75% and the evaluation form.

Privacy Policy
The Office of Continuing Medical Education and its educational partners protect the privacy of personal and other information regarding participants and educational collaborators. The Office of Continuing Medical Education maintains its internet site as an information resource and service for physicians, other health professionals, and the public. The Office of Continuing Medical Education will keep your personal information confidential when you participate in a CME internet-based program. The Office of Continuing Medical Education collects only the information necessary to provide you with the services that you request.

Hardware and Software Requirements

To access these activities, users will need:
A computer with an Internet connection.

Google Chrome 52 or higher, Firefox 48 or higher, Internet Explorer 11 or higher, Safari 10 or higher, or any other W3C standards compliant browser.

For optimum results we recommend a device that has a display capability of 1024 x 768 or better. Mobile devices are not recommended for this activity.

This educational program is designed to present scientific information and opinion to health professionals, stimulate thought, and further investigation.

Contact Information
If you have questions regarding this activity, contact the Office of Continuing Medical Education 401-863-2871 or