The use of opioids, even as directed by a clinician can increase the possibility of developing opioid use disorder (OUD). The increase in opioid use in the recent years has affected people across all demographics, including pregnant people. While the initiation to prescribed or non-prescribed opioids, seldom starts in the prenatal period, pregnancy is an opportunity to support families in accessing OUD treatment and recovery services. Pediatricians understand the challenges of becoming a parent; they also know that infants exposed to opioids prenatally will have the most positive health outcomes when the parents are healthy and are involved in caring for their newborn right from the start. Similar to other chronic conditions, such as diabetes and hypertension, OUD can be successfully managed and treated. Pediatricians play an essential role in supporting birth parents and caregivers during reconvey and ensuring they can access the health services they need to achieve the family health and recovery goals.