Pregnancy and Substance Use: A Harm Reduction Toolkit

We want to promote the overall health and wellbeing
of pregnant people who use substances and their families.
We created this resource for pregnant and parenting people who use drugs, their loved ones, and their service providers.
You can use this information to understand your rights, access services, and find high-quality, evidence-based care.
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If you are an agency or provider who is interested in adapting this toolkit for your community, email Erika at erika@perinatalharmreduction.org
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Table of Contents
Contributors
Credits
Section I:
How to Use
These Materials
Section II:
Quality Perinatal Care is Your Right
Section III:
Harm Reduction
Using Harm Reduction with Clients
Harm Reduction Strategies for Parents
Opioid Overdose
and Pregnancy
Principles of Perinatal Harm Reduction
Alcohol
Benzodiazepines
Cannabis
Opioids
Stimulants
Tobacco and Nicotine
Pregnancy and Substance Use: A Harm Reduction Toolkit webinars
Introduction to the Toolkit
An introduction to Pregnancy and Substance Use: A Harm Reduction Toolkit with:
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Telia Anderson, doula
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Indra Lusero, NAPW and Elephant Circle
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Kassandra Frederique, Drug Policy Alliance
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Mishka Terplan
MD MPH FACOG DFASAM
Birth Workers
How Pregnancy and Substance Use: A Harm Reduction Toolkit can enhance the work of birth workers, including the doula community.
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Evelyn Alvarez, Bx (Re)Birth and Progress
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Nathalia Gibbs, full spectrum doula
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Christy Hall. Project Nurture
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Jen Sarduy, Re+Birth Equity Alliance
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Nickie Tilsner, BSN, RN Cornerstone Doula Training
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Misty Wilder, Healthy Start UNT
Programs On the Ground
Join us to hear from the badass harm reductionists on the ground working with (and as) parenting and pregnant people who people who use drugs. We'll highlight folks centering the health and dignity of people who use drugs and discuss how the toolkit can be used at your program.
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Chelsi Cheatom, Trac-B Exchange
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Graciela Razo, Safe Horizon Streetwork
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Lisa Sangoi, Movement for Family Power
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Caty Simon, Urban Survivors Union

Reckoning with the Drug War: A Healing Circle
We are joined by parents and advocates who have experienced and witnessed the depth of harm created by the racist War on Drugs. This will be a space for attendees to share and heal with our panelists.
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Kelly Knight, UCSF
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Kacey Byczek
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Nathalia Gibbs
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Dinah Ortiz-Adames
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Megan McKenzie
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Marilyn Reyes
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Monique Tula, National Harm Reduction Coalition