38. "Rooming in" and speaking out: The essentials of perinatal substance use care

In this episode, host Sandra speaks to Dr. Eric Cattoni, a family physician and Medical Director at the Families In Recovery (FIR) Unit at BC Women’s Hospital. They discuss what’s unique about providing substance use care to people who are pregnant and postpartum and their families, as well as the elements of perinatal substance use care, like compassion and a trauma‑informed approach, that are relevant to any area of medicine — especially in the context of the toxic drug crisis.

Resources:

- Read more about “rooming in” and the evidence behind it in the BC Women’s Hospital Rooming-In Guideline (2020), in Abrahams et al. 2007 and Abrahams et al. 2010, and in the 2025 Canadian Pediatric Society statement referenced in the episode.

- Learn the basics of treatment for opioid use disorder during the perinatal period in the BC Centre on Substance Use’s 2017 Guideline Supplement and this toolkit on Mothering and Opioids from the Centre of Excellence for Women’s Health (CEWH).

- Dive deeper into the FIR model of care here: BC Women’s Hospital + Health Centre. (2020). FIR model of care.

⁠- Consult the BC Government’s announcement on ending birth alerts: Government of British Columbia. (2019, September 16). Minister’s statement on ending ‘birth alerts’.⁠ Ministry of Children and Family Development. https://news.gov.bc.ca/releases/2019CFD0090-001775

- Brush up on Trauma-Informed Principles with this discussion guide from CEWH, and our past episode on ⁠⁠providing trauma-informed care⁠⁠.

Credits:

Additional music by Susana Cipriano, used under the ⁠⁠⁠Pixabay content license⁠⁠⁠.

Survey:

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