Shows
The Problem with PunishmentThe Problem with Punishing PregnancyPregnancy is a place of both power and vulnerability. For much of human experience, power and decision-making when it came to pregnancy was in the hands of women. It was an issue of health and healing. But no more. These days, we're substituting legal intrusions for health care. Between the racist War on Drugs and the Dobbs decision, there are a lot of things pregnant people can be punished for.In this episode, we speak with Karen Thompson of Pregnancy Justice and jasmine Sankofa of Movement for Family Power about their work. You might remember jasmine from...
2025-08-2637 min
Addiction Medicine: Beyond the AbstractMedications for Alcohol Use Disorder Among Birthing People With an Alcohol-related DiagnosisIn this episode, Dr. Mishka Terplan discusses initiation of MAUD for pregnant patients, and the findings from his recent article Medications for Alcohol Use Disorder Among Birthing People With an Alcohol-related Diagnosis.
Dr. Mishka Terplan is board certified in both obstetrics and gynecology and in addiction medicine. His primary clinical, research, public health, and advocacy interests lie along the intersections of reproductive and behavioral health. He is Medical Director at Friends Research Institute and adjunct faculty at the University of California, San Francisco where he is a Substance Use Warmline clinician. He is Co-Founder and Co...
2025-05-0225 minAddiction Medicine: Beyond the AbstractMedications for Alcohol Use Disorder Among Birthing People With an Alcohol-related DiagnosisIn this episode, Dr. Mishka Terplan discusses initiation of MAUD for pregnant patients, and the findings from his recent article Medications for Alcohol Use Disorder Among Birthing People With an Alcohol-related Diagnosis.
Dr. Mishka Terplan is board certified in both obstetrics and gynecology and in addiction medicine. His primary clinical, research, public health, and advocacy interests lie along the intersections of reproductive and behavioral health. He is Medical Director at Friends Research Institute and adjunct faculty at the University of California, San Francisco where he is a Substance Use Warmline clinician. He is Co-Founder and Co...
2025-05-0225 min
On Becoming a HealerDrug testing at time of birth: How physicians are co-opted into harming families while thinking they are doing the right thingThe practice of urine drug testing during pregnancy and then often reporting positive results to Child Protective Services triggers a cascade that can result in separation of mother and newborn, with devastating consequence for both. These practices are more common when patients come from marginalized communities even when baseline substance use rates are the same. As our guest -- obstetrician/gynecologist and addiction medicine expert Mishka Terplan MD, MPH -- points out, illicit substances are not teratogens in comparison to, say, alcohol, tobacco or lead exposure. So why do we order these tests? He also discusses how talking with...
2023-11-211h 02
SMFM's Podcast SeriesMFMs and AIM – Partners in Improving Maternal Health – Part 5: Care for Pregnant and Postpartum People with Substance Use DisorderOn this podcast, Bekah Bischoff interviews Dr. Mishka Terplan and Dr. Niraj Chavan about the creation of and recent updates to the Care for Pregnant and Postpartum People with Substance Use Disorder bundle. Guests then discuss their experiences implementing the bundle at their institution, including overcoming common barriers to implementation, the importance of actively working to foster a culture of respectful care for this patient population, and how best to incorporate the patient perspective throughout implementation. This is the fifth episode in a series exploring opportunities for MFMs to improve maternal health outcomes at their institution and across their...
2023-08-0432 min
The Curbsiders Addiction Medicine Podcast#13 What to Expect: Managing Opioid Use Disorder in Pregnancy with Dr. TerplanManage opioid use disorder in pregnancy. Learn how to counsel patients about the importance of medication and medication options, how to think about neonatal abstinence syndrome and recommendations for the postpartum period. We are joined by Dr. Mishka Terplan, on Twitter @do_less_harm (Friends Research Institute).
Segments
Intro, disclaimer: 0:00
Guest bio: 3:00
Case from Kashlak: 5:28
Opioid Use in Pregnancy: 6:17
Approach to a patient: 12:21
Medication Options for OUD During Pregnancy: 13:09
Neonatal Abstinence Syndrome: 25:46
Dosing Considerations: 29:28
Psychosocial Interventions: 38:02
Reporting / Notification Requirements: 39:32
Postpartum care: breastfeeding: 48:04
Take home: 52:12
Lightning Round: 55:22
Outro: 57:39
Claim free CME for this episode at curbsiders.vcuhealth...
2023-07-1458 min
Tox in TenACMT Highlights Episode 43: Substance Use, Pregnancy and StigmaIn this episode Dr. Gillian Beauchamp sits down with Dr. Mishka Terplan to discuss stigma, discrimination and prejudice in relation to substance use in pregnancy.
2022-12-2110 min
High Truths on Drugs and AddictionEpisode #89 High Truths on Drugs and Addiction with National Clinician Consultation CenterWhere do doctors go for advice if they need help treating patients with addiction?
NCCC is like the National Poison Center but with a focus on drug addiction. NCCC provides free advice from national experts to doctors and clinicians treating patients with addiction. On this podcast hear from the NCCC experts on how doctors give advice to other doctors.
NCCC - National Clinician Consultation Center
For 30 years, the National Clinician Consultation Center (NCCC) has offered free, on-demand tele-consultation on HIV and viral hepatitis to health care providers across the U.S. In 2015, with support from the Bureau of...
2022-09-051h 04
Trapped: Understanding AddictionEpisode 13: Substance Use and Addiction in Pregnancy - Dr. Mishka Terplan, Friends Research InstituteIn this episode, Dr. Mishka Terplan gives an in-depth review of the most commonly used substances during pregnancy and their effects on the expectant mother and fetus. He explains how to screen for addiction during prenatal visits and stresses the importance of treating addiction as a disease, with medication if needed, to improve health outcomes for both mother and baby. Dr. Terplan is a Distinguished Fellow of the American Society of Addiction Medicine who works at the Friends Research Institute. He is double board-certified in obstetrics and gynecology and addiction medicine. His primary clinical, research and advocacy...
2022-01-2431 min
Public Health ReviewCOVID-19 and the Fourth TrimesterThis episode highlights COVID-19's impact on overdose-related deaths during the postpartum period, also known as the fourth trimester. There has been a significant increase in postpartum overdose-related deaths in recent years—a problem that has only been exacerbated by the COVID-19 pandemic. In this episode, Dr. Kristina Box (Indiana state health commissioner) discusses the topic from a state-level perspective. Dr. Mishka Terplan (medical director, Friends Research Institute) then shares an overview of the stigma this population faces, and what can be done to improve health outcomes for people with substance use disorder during the postpartum period. Guests: Kristina Bo...
2021-11-0325 min
Public Health Review Morning EditionToday’s Vaccine VoteDr. LaQuandra Nesbitt, Director of the Washington D.C. Department of Health, addresses the importance of answering parents’ questions about COVID-19 vaccines for children; Dr. Lee Norman, Secretary of the Kansas Department of Health and Environment, tells a national forum how his office responds to social media misinformation and disinformation; Dr. Mishka Terplan says stigma prevents pregnant people from getting treatment for substance use; and ASTHO offers a new online learning opportunity for jurisdictions looking to build a program to mitigate the risk of stigma for people who use drugs. Center for Homeland Defense and Security webpage: Th...
2021-11-0204 minPublic Health Review Morning EditionAPHA Conference TakeawaysDr. Georges Benjamin, Executive Director of the American Public Health Association, discusses the key takeaways from this week’s APHA annual conference; Dr. Mishka Terplan, a nationally recognized expert in the care of pregnant and parenting people with substance use disorders, tells ASTHO members the best way to help those in crisis; ASTHO offers two resources about first responders and their work helping people with substance use disorders; and ASTHO receives the Public Policy Award from the National Forum for Heart Disease and Stroke Prevention today. APHA website: APHA 2021 Annual Meeting and Expo ASTHO Blog Ar...
2021-10-2805 min
Talk Justice An LSC PodcastHow the Pandemic Is Impacting the Opioid Crisis and People in RecoveryLegal Services Corporation President Ron Flagg discusses how the COVID pandemic is deepening the opioid crisis and complicating the lives of persons in recovery with:- Brandon George, Director of Indiana Addiction Issues Coalition- Mishka Terplan, MD, MPH, Medical Director, Friends of Research Institute; MSP Staff Physician at the University of California San Francisco- Brendan Wood, Equal Justice Works Fellow, Legal Aid of West Virginia {produced by the Legal Services Corporation}
2021-09-1438 min
Managed Care CastHow Payers Can Use 4 Strategies to Ensure Opioid Use Disorder CareThe upheaval created by the pandemic over the past year has particularly affected individuals struggling with opioid use disorder (OUD) and other substance use issues in the United States, which set an unfortunate record in the first half of last year. More than 81,000 people died of drug overdoses between June 2019 and May 2020, largely driven by illicit fentanyl, as synthetic opioid overdose deaths increased 38%.
The March issue of The American Journal of Managed Care® includes a commentary about what payers can do to meet the needs of patients who need care for OUD. Chethan Bachireddy, MD, MSc, the chief medical officer f...
2021-03-1619 min
Reefer MEDnessE56 - Prenatal Cannabis Exposure #2 – Dr. Mishka Terplan
Is cannabis something to fear when it comes to prenatal health? The easy answer is yes, when we consider the universally acceptable care plan of all pregnancies are best lived following a healthy diet, doing appropriate exercise, and consuming no unnecessary drugs or medications. With cannabis becoming more widely used as a medicine and consumed recreationally by a growing population, it is important to fully understand how cannabis affects human development and family health. In their second episode discussing Prenatal Cannabis Exposure, Kirk and Trevor explore the implications of cannabis use in pregnancies with Virginia Commonwealth University’s Dr. Mishka Te...
2020-10-091h 16
RoS: Review of SystemsRoS Journal Club Opioid OD among pregnant women, midlife deaths in the US & assn of scribes with MD workflow & patient experienceThis week, Thomas, Audrey, and David bring you a journal club featuring discussion of three recent papers: Fatal and Nonfatal Overdose Among Pregnant and Postpartum Women in Massachusetts by Davida M Shiff, Timothy Nielsen, Mishka Terplan, Malena Hood, Dana Bernson, Hafsato Diop, Monica Bharel, Timothy Wilens, Marc LaRochelle, Alexander Walley, and Thomas Land; Changes in midlife death rates across racial and ethnic groups in the United States: systematic analysis of vital statistics by Steven H Woolf, Derek Chapman, Jeanine Buchanich, Kendra Bobby, Emily Zimmerman, and Sarah Blackburn; and Association of Medical Scribes in Primary care with physician workflow and...
2019-05-2700 min
Green & Gold7. Pregnancy and Pot Series, Pt 2: A Doctor's PerspectiveThis is part two of a series. The medical research into cannabis' effect on a pregnancy is, overall, convoluted. The CDC says that using weed during pregnancy can impact a fetus' development, but they also acknowledge that the scientific evidence is inconclusive. Some research shows that THC can cross the placenta and enter the fetus' blood stream. Still others, like a 2016 piece published in Obstetrics and Gynecology, states that weed alone is "not an independent risk factor in adverse neonatal outcomes." Hayley speaks with Dr. Mishka Terplan, an OB/GYN and addiction specialist, to shed some light on...
2018-12-1300 min
VCU Health GenMed PodcastEpisode 37: The Opioid Crisis: Pain, Addiction, and Public Health Solutions with Dr. Mishka TerplanClose to 80 percent of the nearly 1,000 fatal drug overdoses in Virginia in 2014 involved opioids in the form of prescription opioids or heroin. In this talk, Dr. Mishka Terplan discusses the current opioid crisis in the United States … Continue reading →
2018-02-2700 min
Advances in Women's HealthManaging Dual Conditions in Pregnant Substance Abusers
Host: Lisa Mazzullo, MD
Guest: Mishka Terplan, MD
Researchers have no way to determine how significant the problem of substance abuse and pregnancy really is. Very few women will be open and honest when it comes to answering questions about elicit drug use. So how do doctors get their patients the proper help? Dr. Mishka Terplan, an associate professor at the University of Chicago, looks at the issues of universal drug screening for all pregnant women, confidentiality, inpatient and outpatient drug rehabilitation programs and the stigma of being a substance abuser, with host Dr. Lisa Mazzullo.
2008-11-1314 min