 IDEO and Research Jam collaborated to develop a human-centered approach to engage mothers with opioid use disorder, OUD, during pregnancy and postpartum. Through focus groups, site visits, and one-on-one interviews, they identified three main themes – stigma, healthcare system bias, and lack of support. These themes were used to inform the development of an engagement strategy which included support and resources for recovery coaches and educational materials for mothers with OUD. The materials are still being tested and refined, but if successful, could lead to improved engagement and recruitment of women with OUD at the time of birth. This article was authored by Sarah Weehet, Dustin Lynch, Courtney Moore, and others.