Nonmedical use of prescription opioids is a growing problem in Canada; in 2011, it had the highest per capita consumption of oxycodone in the world. When a woman with opioid dependence becomes pregnant, adequate management of the addiction is of critical importance for the well-being of both mother and child. Untreated opioid addiction has been associated with risk-taking behaviour, preterm delivery, low birth weight and stillbirth. Ideally, antenatal care for women with opioid dependence is accomplished with multidisciplinary care, including treatment of the addiction. However, women who live in rural and remote communities may not have access to such care or may have challenges accessing it