MOMCARE Key Resources
We have gathered, vetted, and created key resources related to pregnancy and OUD care in jail. We consider these items key resources.
Each individual section topic provides more resources (some also include these) at your disposal under the resources tab.
Links that are sponsored by the federal government may not be functioning due to executive orders. We are working on replacing these, thank you for your patience.
MOMCARE Tools
Which medication is right for me & my baby? Navigating treatment for OUD while pregnant
A resource for pregnant and postpartum women with OUD who are deciding between methadone and buprenorphine, with considerations for those in custody.
MOMCARE Staff Flyer
Please hang up and distribute this MOMCARE staff flyer to raise awareness of MOMCARE among your colleagues.
Workshop Discussion Guide: Overcoming Stigma & Objections related to Substance Use in Pregnancy
The discussion guides provide stepwise instructions for the activity, including case examples, discussion questions, and a pre- and post-assessment.
Pregnant + Using Opioids: 10 Things for Correctional Staff to Know
This document highlights the 10 most important things for correctional staff to know about pregnancy and OUD. It should be printed and hung.
Overview & How to Use MOMCARE 1-pager
This document provides an overview of MOMCARE including what it is and how to use it. It can be used to share the MOMCARE with your jail colleagues.
MOMCARE Content (1-pager)
This document provides a summary of the clinical and implementation content on MOMCARE.
MOMCARE Custody Guidance (2-pager)
This document provides information for custody officers on how to manage issues they may encounter with pregnant and postpartum patients with OUD.
MOMCARE Patient Education (1-pager)
Jail staff should use this document to educate patients about being pregnant or postpartum, using opioids, and being on treatment.
Pregnant & Postpartum OUD Checklist for Jail Clinical Staff
Are you seeing a pregnant patient with OUD for the first time? Use this pregnancy OUD clinical checklist to help remember the key components.
Abortion in Custody: FAQs for Correctional Staff (1-pager)
This document provides information on abortion to help understand why someone might seek an abortion and what correctional staff need to know.
Initial Pregnancy & OUD Screening and Care at Jail Intake Algorithm
The algorithm provides step-by-step guidance on screening pregnancy and OUD at jail intake and directs users to care next steps.
Recognizing Urgent Maternal Warning Signs
Use this 1-pager to help staff at your jail recognize urgent maternal warning signs that require immediate medical evaluation. It includes resources f
Communicating with Patients Sample Scripts
Use these sample scripts for communicating with pregnant and postpartum women with OUD in custody. Scripts include language for screening for pregnanc
Labor Signs
Provides information on signs of labor that warrant immediate medical evaluation and attention.
Preparing for Reentry Checklist for Pregnant and Postpartum Patients
Provides a reentry checklist focused on pregnancy, postpartum and OUD resources for reentry planning.
Recommended Equipment List
Recommended jail equipment list for caring for pregnant and postpartum patients with OUD in custody.
Safe Medications for Managing Opioid Withdrawal in Pregnancy.
A table of safe medications for managing opioid withdrawal in pregnancy.
Pros and Cons of Methadone and Buprenorphine in Pregnancy
A table to help patients weigh the pros and cons of methadone and buprenorphine during pregnancy.
Preparing a Model Jail Pregnancy Policy Checklist
A jail policy checklist that encompasses items related to pregnancy, postpartum, and OUD care.
Monthly Patient Log: Pregnancy & OUD Data Collection Tool
An excel template to collect monthly pregnancy and OUD data for pregnant and postpartum individuals in custody.
Selected Toolkits
Lactation Programming in Seven State Prisons: Highlights of Program Facilitators and Barriers
This 2-page document provides lactation program facilitators and barriers in seven state prisons. It includes a lactation program checklist.
Supporting Lactation in Jails: Implementing a Model Policy
This toolkit guides jails in setting up lactation programs in custody and includes printable resources and policy guidance.
Buprenorphine (Bup) Quick Start in Pregnancy
Follow this pregnancy-specific buprenorphine quick start guide for inducting pregnant patients on buprenorphine.
Jail Guidelines for the Medical Treatment of Substance Use Disorders (NCCHC, 2025)
This document provides updated guidance on treating SUDs in jails. There is a pregnancy-specific section on page 25.
Withdrawal Management Guidelines – Bureau of Justice Assistance
Substance withdrawal management and care guidance (including opioids) for carceral settings with pregnancy and postpartum-specific information.
Clinical Guidance for Treating Pregnant and Parenting Women with Opioid Use Disorder and Their Infants –Substance Abuse and Mental Health Services Administration (SAMHSA)
Recommends feasible, standard approaches for caring for pregnant and parenting women with OUD and their infants.
Staff Training Videos
Recognizing Urgent Maternal Warning Signs in the Postpartum Period Webinar
This webinar covers screening for urgent maternal warning signs to reduce the chance of missing postpartum warning signs that can lead to death.
Urgent Maternal Warning Signs (4 mins)
Watch this short video for a snippet of what urgent maternal warning signs are and why they're important.
Substance Withdrawal Management in Jail: Pregnancy and Postpartum Care (10 mins)
This training highlights caring for pregnant individuals and describes why substance withdrawal poses risks for the pregnant patient and the fetus.
Appearing Unwell: What You Need to Do (7 mins)
This training explains what it means to appear unwell and why jail staff need to recognize when an individual appears unwell and know who to alert.
Patient Education Materials
Which medication is right for me & my baby? Navigating treatment for OUD while pregnant
A resource for pregnant and postpartum women with OUD who are deciding between methadone and buprenorphine, with considerations for those in custody.
MOMCARE Patient Education (1-pager)
Jail staff should use this document to educate patients about being pregnant or postpartum, using opioids, and being on treatment.
Postpartum Warning Signs
Please educate patients about these symptoms so they can notify jail staff and so they can be aware of them when they're in the community.
Urgent Maternal Warning Signs
Please educate patients about these symptoms so they can notify jail staff and so they can be aware of them when they're in the community.
Taking Care of You and Baby
Educational booklet covering information on prenatal care, labor and delivery, substance use, and child development.
Opioid Use Disorder and Pregnancy
SAMHSA 1-pager on taking helpful steps for a healthy pregnancy.
Treating Opioid Use Disorder During Pregnancy
SAMHSA 1-pager on getting the help and support you need from healthcare professionals.
Treating Babies who were Exposed to Opioids Before Birth
SAMHSA 1-pager on support for postpartum patients and newborns for a new beginning.
Good Care for You and Your Baby While Receiving Opioid Use Disorder Treatment
SAMHSA 1-pager on steps for healthy growth and development.
Opioid Use Disorder and Pregnancy (FAQs)
FAQs on OUD and pregnancy from the American College of Obstetricians and Gynecologists (ACOG).
National Maternal Mental Health Hotline
Call or text 1-833-TLC-MAMA (1-833-852-6262) Provides 24/7 free, confidential support, information, referrals, and resources before, during, and after
Safe Medications for Managing Opioid Withdrawal in Pregnancy.
A table of safe medications for managing opioid withdrawal in pregnancy.
Pros and Cons of Methadone and Buprenorphine in Pregnancy
A table to help patients weigh the pros and cons of methadone and buprenorphine during pregnancy.
Example Policies
Language for incorporating MOUD services into healthcare services RFPs
See this snapshot of contractual language for incorporating MOUD services into medical provider RFPs
Correctional RFP Toolkit and Template
This toolkit is designed to help correctional facilities create effective, outcome-focused requests for proposals (RFPs) for healthcare services.
Example MOUD policy for custody settings
An example MOUD policy for custody settings (not pregnancy-specific) to be used as a starting point when creating a MOUD jail policy.