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The American Journal of Drug and Alcohol Abuse
Encompassing All Addictive Disorders
Volume 48, 2022 - Issue 5
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Research Article

Supporting perinatal individuals with opioid use disorder and their newborns experiencing neonatal abstinence syndrome: impressions from patients and healthcare providers

Ekaterina Burdulia College of Nursing, Washington State University, Spokane, WA, USA;b Analytics and PsychoPharmacology Laboratory, Washington State University, Spokane, WA, USA;c Program of Excellence in Addictions Research, Washington State University, Spokane, WA, USACorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0002-6032-6876View further author information
ORCID Icon,
Anna Winquista College of Nursing, Washington State University, Spokane, WA, USAORCID Iconhttps://orcid.org/0000-0003-0083-0103View further author information
ORCID Icon,
Crystal Lederhos Smithb Analytics and PsychoPharmacology Laboratory, Washington State University, Spokane, WA, USA;c Program of Excellence in Addictions Research, Washington State University, Spokane, WA, USA;d Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, USAORCID Iconhttps://orcid.org/0000-0002-5095-2822View further author information
ORCID Icon,
Olivia Brooksa College of Nursing, Washington State University, Spokane, WA, USA;c Program of Excellence in Addictions Research, Washington State University, Spokane, WA, USAORCID Iconhttps://orcid.org/0000-0002-6088-1829View further author information
ORCID Icon,
Michelle Chioud Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, USAORCID Iconhttps://orcid.org/0000-0002-5877-4944View further author information
ORCID Icon,
Danica Balsigerd Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, USAView further author information
,
Maureen Shogana College of Nursing, Washington State University, Spokane, WA, USAORCID Iconhttps://orcid.org/0000-0002-5709-0516View further author information
ORCID Icon,
Sterling M. McPhersonb Analytics and PsychoPharmacology Laboratory, Washington State University, Spokane, WA, USA;c Program of Excellence in Addictions Research, Washington State University, Spokane, WA, USA;d Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, USAORCID Iconhttps://orcid.org/0000-0003-2551-4772View further author information
ORCID Icon,
Celestina Barbosa-Leikera College of Nursing, Washington State University, Spokane, WA, USA;c Program of Excellence in Addictions Research, Washington State University, Spokane, WA, USAORCID Iconhttps://orcid.org/0000-0002-5576-4150View further author information
ORCID Icon &
Hendrée E Jonese Department of Obstetrics and Gynecology, UNC Horizons, University of North Carolina, Chapel Hill, NC, USAView further author information
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Pages 596-605 | Received 09 Feb 2022, Accepted 04 Sep 2022, Published online: 27 Sep 2022
 
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ABSTRACT

Background: Facilitating maternal-newborn involvement and care is critical for improving outcomes for perinatal individuals receiving opioid agonist therapy (OAT) and newborns experiencing Neonatal Abstinence Syndrome (NAS). Comprehensive education strategies are needed to prepare pregnant individuals receiving OAT for navigating the perinatal period.

Objectives: Identify facilitators to successful care of perinatal individuals receiving OAT and newborns experiencing NAS via interviews with perinatal individuals and healthcare providers. The goal of identifying this information is to inform a future educational tool development.

Methods: Ten perinatal individuals receiving OAT and ten healthcare providers participated in interviews conducted via phone or video conference using semi-structured, open-ended questions. Data were analyzed separately for the two groups and later merged across samples using a qualitative descriptive content analysis approach to identify themes.

Results: Under the overarching theme of empowerment to improve outcomes for perinatal women, four themes arose from perinatal and provider interviews: 1) Preparation for Child Protective Services (CPS) involvement, 2) Healthcare providers shape experience through stigma and support 3) Caring for newborns with NAS, and 4) Managing health and resources during postpartum.

Conclusion: Perinatal participants emphasized the importance of self-advocacy while navigating healthcare and social systems. Providers highlighted the importance of communicating expectations to empower patients. Education is needed for pregnant individuals receiving OAT on what to expect during pregnancy and postpartum, as well as for providers to help them optimally support their perinatal patients receiving OAT.

Disclosure statement

Maureen Shogan is on the Reckitt Mead Johnson Speaker's Bureau. This is in no way related to the investigation reported here.

Additional information

Funding

This work was supported by funding from the National Institute on Drug Abuse (K01DA051780, PI; Burduli). This funding source had no other role other than financial support

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