Department of Obstetrics and Gynecology at Boston Medical Center, 85 E. Concord St. 6th Floor, Boston, MA, 02118, United States.
Department of Obstetrics and Gynecology at Boston Medical Center, 85 E. Concord St. 6th Floor, Boston, MA, 02118, United States.
Women Birth. 2020 Nov;33(6):592-597. doi: 10.1016/j.wombi.2020.01.006. Epub 2020 Jan 25.
This study describes the experience of pregnancy and childbirth from the perspective of women with opioid use disorder.
This qualitative study analyzed semi-structured interviews about the prenatal care and birth experience of nine women with opioid use disorder as a sub-analysis of a qualitative study of women with a history of sexual trauma. Transcripts were analyzed using inductive content analysis.
Analysis revealed unique interactions with the healthcare system specific to pregnant women with opioid use disorder. Participants identified pregnancy as a reason to enter and maintain recovery and an increased availability of resources when pregnant. Yet during labor and birth, concerns regarding pain control, child protective services involvement and provider stigma led to negative interactions with the healthcare system.
Pregnant woman with opioid use disorder face unique challenges when seeking care. The perspectives of women with a history of opioid use disorder can inform creation of a harm reduction, non-stigmatizing model of prenatal, labor and birth, and postpartum care.
本研究从患有阿片类药物使用障碍的女性的角度描述怀孕和分娩的经历。
本定性研究对 9 名患有阿片类药物使用障碍的女性的产前护理和分娩经历进行了半结构化访谈，作为对有性创伤史的女性的定性研究的子分析。使用归纳内容分析对转录本进行了分析。
分析显示，患有阿片类药物使用障碍的孕妇与医疗保健系统之间存在独特的相互作用。参与者将怀孕视为进入和保持康复的原因，并且在怀孕期间可获得更多的资源。然而，在分娩期间，对疼痛控制、儿童保护服务介入和提供者污名化的担忧导致与医疗保健系统的负面互动。
患有阿片类药物使用障碍的孕妇在寻求护理时面临独特的挑战。有阿片类药物使用障碍史的女性的观点可以为创建减少伤害、非污名化的产前、分娩和产后护理模式提供信息。
