While the prevalence of unintended pregnancies in the general population in the United States is roughly 50%, it is much higher among women with substance use disorder (SUD). Unintended pregnancy is associated with a wide range of negative outcomes for women, children, and their families. A paradigm shift in how reproductive/sexual health is conceptualized for women with SUD is needed. The presenters will focus on sexual health education, literacy and reproductive life planning.The slides focus on the following objectives.

• Identify the unique and common issues women who are pregnant or post-partum with SUD face in accessing and implementing reproductive life planning

• Identify ways stigma, discrimination and prejudice play a role in access and implementing reproductive life planning for women who are pregnant or post-partum with SUD.

• Examine the roles that trauma experiences and intimate partners play in access and implementing reproductive life planning for women who are pregnant or post-partum with SUD.

• Discuss how to have productive and engaging conversation with pregnant or post-partum women with SUD about sexual health and reproductive planning