Pregnant Women's Experiences of Seeking Treatment for Opioid Use

Purpose:The purpose of this study was to describe women's experiences seeking treatment for opioid use disorder during pregnancy.Study Design and Methods:This was an exploratory multi-method study to understand women's experiences seeking treatment for opioid use disorder during pregnancy using surveys and interviews. Women pregnant within the past 5 years while using opioids were recruited from a private Facebook group for mothers on medication for opioid use disorder. Members of this group assisted with the development of the survey. Descriptive statistics were used for the 18-question survey and interviews were recorded, transcribed, and analyzed for themes.Results:Twenty-one women completed an online survey, and six participated in an in-depth virtual interview about their experience. Five themes describing their experiences were identified: (1) fear of child protective services, (2) family and partner support, (3) health care providers' reactions, (4) accessing treatment centers, and (5) awareness of support services during pregnancy.Clinical Implications:Participants reported an overall negative experience seeking treatment for opioid use disorder during pregnancy. Nurses can improve the outcomes for pregnant women with opioid use disorder by using a non-stigmatizing approach, promoting early identification, and providing information, including harm reduction education. Facilitation of resources for treatment, mother and child programs, and advocating for partner treatment can improve maternal and neonatal outcomes. Women described their experiences seeking treatment for opioid use disorder during pregnancy. They reported stigma and negative interactions with health care professionals along with fear of child protective service workers. Nurses can improve the outcomes for pregnant women with opioid use disorder by using a non-stigmatizing approach, early identification, treatment, and referral, and providing information, including harm reduction education. Facilitation of resources for treatment, mother and child programs, and advocating for partner treatment can improve maternal and neonatal outcomes.