The Lived Experiences of Pregnant and Parenting Women in Recovery Toward Medication Treatment for Opioid Use Disorder.

Substance use & addiction journal Pub Date : 2024-07-01 Epub Date: 2024-01-22 DOI:10.1177/29767342231221055
Doris Titus-Glover, Fadia T Shaya, Christopher Welsh, Lynnee Roane
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Abstract

Background: Maternal misuse of prescription opioids and illicit drugs such as, heroin and non-pharmaceutical fentanyl analogs has increased in the last 2 decades and one in 5 women reported misuse of opioids. Medications for opioid use disorder (MOUD) are recommended for treating pregnant women with opioid use disorder (OUD). MOUD is effective in reducing cravings and negative outcomes, yet treatment is underutilized and varies in integration and intensity of resources across health systems. Exploring perceptions of MOUD delivery among pregnant/parenting women promises to uncover and address the underlying challenges to treatment, a perspective that may be different for providers and stakeholders. Therefore, our main purpose is to elicit patients' experiences and perceptions of MOUD, associated access to treatment, and availability of supportive resources during pregnancy/postpartum to inform OUD treatment.

Methods: Through a qualitative research approach we gathered data from individual interviews/focus group discussions for this pilot study. Pregnant and postpartum parenting women (n = 17) responded to questions related to perceptions of MOUD, access to treatment, and availability of social and psychosocial resources. Data were collected, transcribed, and coded (by consensus) and emerging themes were analyzed using grounded theory methodology.

Results: Emerging themes revealed positive uptake and perceptions of MOUD, continuing gaps in knowledge, negative impact of stigmatization, and limited access to programs and resources. Supportive relationships from family, peers, healthcare providers and child welfare staff, and co-located services were perceived as positive motivators to recovery.

Conclusions: Through the unique lenses of women with lived experience, this study revealed several themes that can be transformative for women. Overall perceptions of MOUD were positive and likely to facilitate uptake and promote positive recovery outcomes. Bridging knowledge gaps will reduce anxieties, fears about neonatal opioid withdrawal syndrome and adverse maternal outcomes. Additionally, a deeper understanding of stigmatization and relationships can inform an integrated patient-centered approach to OUD treatment.

处于康复期的孕妇和养育子女的妇女对阿片类药物使用障碍药物治疗的生活体验。
背景:在过去 20 年中,滥用处方阿片类药物和非法药物(如海洛因和非药物芬太尼类似物)的孕产妇人数有所增加,每 5 名妇女中就有一人报告滥用阿片类药物。治疗阿片类药物使用障碍的药物(MOUD)被推荐用于治疗患有阿片类药物使用障碍(OUD)的孕妇。阿片类药物治疗能有效减少渴求和不良后果,但治疗未得到充分利用,各医疗系统的资源整合和强度也不尽相同。探索怀孕/育儿妇女对提供 MOUD 的看法有望发现并解决治疗面临的潜在挑战,而提供者和利益相关者的观点可能有所不同。因此,我们的主要目的是了解患者在怀孕/产后期间对 MOUD 的体验和看法、相关的治疗途径以及支持性资源的可用性,从而为 OUD 治疗提供依据:通过定性研究方法,我们从个人访谈/焦点小组讨论中收集了数据,用于此次试点研究。孕妇和产后育儿妇女(n = 17)回答了与对 MOUD 的看法、获得治疗的机会以及社会和心理资源的可用性相关的问题。对数据进行收集、转录和编码(协商一致),并采用基础理论方法对新出现的主题进行分析:新出现的主题揭示了对 MOUD 的积极接受和看法、持续存在的知识差距、污名化的负面影响以及获得项目和资源的途径有限。来自家庭、同龄人、医疗保健提供者和儿童福利工作人员的支持性关系以及同地服务被认为是促进康复的积极因素:本研究通过具有亲身经历的妇女的独特视角,揭示了可以改变妇女的几个主题。对 MOUD 的总体看法是积极的,并有可能促进其使用和取得积极的康复成果。缩小知识差距将减少对新生儿阿片类药物戒断综合征和不良孕产结果的焦虑和恐惧。此外,加深对污名化和人际关系的理解可以为以患者为中心的综合性 OUD 治疗方法提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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