Substance use among pregnant women is an urgent public health concern in the United States. This webinar will examine the history and risk factors of substance use among pregnant women. Women face unique barriers that bring shame, stigma, and social disgrace leading to under-representation in addiction prevention and treatment. Substance use has a disproportionate impact on the maternal health outcomes of various populations that are marginalized already experiencing health disparities that perpetuate unequal health outcomes. Examples of such are racial and ethnic minorities and communities with lower socioeconomic status. Substance use during pregnancy has adverse effects impacting maternal and fetal outcomes. In addition, the webinar will provide strategies and tools to combat substance use disorders in pregnant women.