Inclusion Criteria:  Female ≥18 years of age Meet criteria for Opioid Use Disorder Currently receiving MOUD pharmacotherapy (including buprenorphine, buprenorphine/naloxone, or methadone) Pregnant (<34 weeks EGA) Initial in-person visit at OB MOTIVATE clinic for the current pregnancy ≤10 weeks ago  Exclusion Criteria:  Considering/planning adoption Present with a serious cognitive/psychiatric impairment Existing language barriers making true informed consent impossible