This report examines Substance Use Disorder among deliveries in Virginia, drawing on data collected from 2017 to 2024 sourced primarily from the VHHA maternal health dashboard as well as the MMRT report. These findings reveal that the rate of Opioid Use Disorder in Virginia has decreased from 2017 to 2024. However, these findings highlight significant disparities in Substance Use Disorder in dyad care among racial groups, with White Non-Hispanic populations experiencing higher rates than their Black Non-Hispanic counterparts. Additionally, these findings highlight that the rate of Severe Maternal Morbidity among deliveries with Substance Use Disorder has been increasing from 2021 to 2023. Comparatively, the rate of Severe Maternal Morbidity among deliveries with Opioid Use Disorder has increased steadily from 2021 to 2024.