Drug Liaison Midwives: An Innovation for Addressing Perinatal Substance Use.

In this commentary, we explore the innovative practices of specialized midwives in Scotland to help support the care of people who use substances while pregnant. By examining the historical context and current trends related to perinatal substance use, we highlight the significant progress the Vulnerable in Pregnancy program has achieved in enhancing care for vulnerable childbearing populations and identify opportunities for replicating these practices in the United States. Noting an increase in heroin use among pregnant women in the 1990s, a community midwife in Scotland sought to change midwifery practice. Due to this midwife's dedication, perinatal substance use care in her community has changed and evolved into interdisciplinary practices that improve maternal and infant outcomes.