Welcome to Ethical Care

Advancing Medicine Through Compassionate Perinatal Addiction Medicine

“Our mission at CHOICES International is to help build the field of perinatal medicine, advancing the research, clinical practice, and knowledge needed to transform care during pregnancy and the postpartum period. By bringing rigorous science together with the lived experiences of patients and families, we are shaping a more compassionate, evidence-based future for perinatal health."

Dr. Vania Rudolf

MD, MPH, FAAFP, DFASAM | Founder

Dr. Vania Rudolf
20+
Years Excellence

Our Mission

We stand with women, pregnant and parenting people, and the professionals who support them.

Through education, leadership, advocacy, and research, we work to abolish stigma related to substance use and addiction.

We foster compassionate, equitable care and sustainable recovery for individuals, families, and communities.

Our Vision

A world where stigma is abolished and lived experience shapes policy and care.

Where all women and parenting people who use drugs are met with dignity and compassion.

We strive for equitable, person-centered support for every individual.

Safety and Stigma-Free

Core Values

The pillars of our organization, ensuring safety, integrity, and clinical excellence in everything we do.

  • Compassion and Connection

    We approach every woman/individual with empathy and understanding, recognizing their inherent dignity and treating their experiences with the kindness and respect they deserve. .

  • Humanity and Harm Reduction

    We prioritize women's lves and well-being by implementing practical, evidence-based strategies to live and lead with integrity that minimize the negative social and physical consequences of high-risk behaviors. .

  • Opportunities and Openness

    We actively seek to influence structural change through policy advocacy while maintaining a culture of transparency, openness, and authenticity.

  • Integrity and Inclusivity – Informed by Evidence

    We create environments where diverse perspectives are welcomed and celebrated, ensuring our actions and programs are grounded in the latest scientific research and data.

  • Collaboration and Community

    We believe in the power of collective impact, working together with partners, communities, and stakeholders to achieve shared goals that no one could reach alone.

  • Equity and Empowerment

    We strive to eliminate disparities by providing the resources individuals need to succeed, fostering lifelong learning, and nurturing the inherent leadership potential and resiliency within every woman, transforming personal struggle into purpose

Founding Members

We envision a world where stigma is abolished, lived experience shapes policy and care, and all women, pregnant and parenting people who use drugs are met with dignity, compassion, and equitable, person-centered support.

Board of Directors

Board of Directors brings together a distinguished group of leading physicians and dedicated researchers specializing in the critical intersection of obstetrics and addiction medicine

  • Dr. Caitlin Martin

    MD, MPH, FACOG, FASAM

    Dr. Martin is an obstetrician-gynecologist and addiction medicine physician specializing in perinatal substance use.

    View profile

  • Dr. Davida Schiff

    MD, MSc

    Dr. Schiff is a pediatrician, addiction medicine physician, and researcher advancing compassionate, family-centered perinatal substance use care.

    View profile

  • Dr. Hendree Jones

    PhD, LP

    Lorem ipsum dolor sit, amet consectetur adipisicing elit. Adipisci necessitatibus illum cupiditate ut s

    View profile

  • Dr. Jessica Gray

    MD

    Dr. Gray is a family medicine and addiction medicine physician specializing in perinatal substance use and care.

    View profile

  • Dr. Marcela Smid

    MD, MA, MS, FACOG, DAFASAM

    Dr. Smid is a maternal-fetal medicine, addiction medicine, and complex family planning physician.

    View profile

  • Dr. Ruchi Fitzgerald

    MD

    Dr. Fitzgerald is a family and addiction medicine physician advancing equitable, evidence-based care for pregnant and parenting people.

    View profile

  • Dr. Sharon Ostfeld-Johns

    MD, IBCLC, FAAP

    Dr. Ostfeld-Johns is a Med-Peds hospitalist, expert in decreasing newborn toxicology testing, and supporting breastfeeding in the setting of prior substance use.

    View profile

  • Dr. Vania Rudolf

    MD, MPH, FAAFP, DFASAM

    Dr. Rudolf is a family and addiction medicine physician specializing in perinatal substance use.

    View profile

  • Mel Ramage

    MSN, FNP-BC, CARN-AP, LCAS

    Mel Ramage, MSN, FNP-BC, CARN-AP, LCAS, is a perinatal substance use clinician, researcher, and systems leader.

    View profile

  • Natalie Hoge

    MPH

    Natalie Hoge is a public health program manager focused on project leadership, quality improvement, stakeholder engagement, and program development.

    View profile