TY - JOUR
KW - Behavior, Addictive
KW - Buprenorphine/therapeutic use
KW - Child
KW - Female
KW - Humans
KW - Infant, Newborn
KW - Neonatal Abstinence Syndrome/drug therapy
KW - Opioid-Related Disorders/drug therapy
KW - Postpartum Period
KW - Pregnancy
KW - Qualitative Research
KW - opioid use disorder
KW - neonatal opioid withdrawal syndrome
KW - Postpartum
KW - Recovery
KW - Women
AU - C. E. Martin
AU - T. Almeida
AU - B. Thakkar
AU - T. Kimbrough
A1 - 
AB - Background: Postpartum is a highly vulnerable time for women with opioid use disorder (OUD). Our primary objective was to identify patient and provider reported aspects of the pregnancy to postpartum transition that impact recovery progress for postpartum women receiving medication for opioid use disorder (MOUD). Methods: This qualitative study consisted of semi-structured interviews with postpartum women in OUD treatment (n = 12) and providers (n = 9) at an outpatient addiction clinic. Interviews were transcribed and analyzed using an editing style approach to report themes and quotes. Results: Patients and providers identified different themes that both promote and challenge recovery during the postpartum transition. These comprised of clinical factors, including MOUD, neonatal opioid withdrawal syndrome (NOWS) and pain associated with labor and delivery as well as psychosocial factors, such as role of a support system, mental health aspects of anxiety and depression causing mood changes, stigma and mistrust among healthcare providers and child welfare. Conclusions: Patients receiving MOUD and their providers identified multiple aspects unique to the postpartum transition that substantially strengthen and/or oppose OUD recovery. These aspects impacting recovery include factors specific to the receipt of MOUD treatment and those not specific to MOUD, yet tied to the postpartum state. Overall, these findings provide insight into areas for future research focused on identifying opportunities to promote recovery-oriented care for families affected by OUD.
AD - Department of Obstetrics and Gynecology, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA.; Institute for Drug and Alcohol Studies, Virginia Commonwealth University, Richmond, VA, USA.; School of Medicine, Virginia Commonwealth University, Richmond, VA, USA.; Department of Obstetrics and Gynecology, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA.; Department of Pediatrics, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA.
BT - Substance abuse
C5 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
CP - 1
DO - 10.1080/08897077.2021.1944954
IS - 1
JF - Substance abuse
LA - eng
M1 - Journal Article
N2 - Background: Postpartum is a highly vulnerable time for women with opioid use disorder (OUD). Our primary objective was to identify patient and provider reported aspects of the pregnancy to postpartum transition that impact recovery progress for postpartum women receiving medication for opioid use disorder (MOUD). Methods: This qualitative study consisted of semi-structured interviews with postpartum women in OUD treatment (n = 12) and providers (n = 9) at an outpatient addiction clinic. Interviews were transcribed and analyzed using an editing style approach to report themes and quotes. Results: Patients and providers identified different themes that both promote and challenge recovery during the postpartum transition. These comprised of clinical factors, including MOUD, neonatal opioid withdrawal syndrome (NOWS) and pain associated with labor and delivery as well as psychosocial factors, such as role of a support system, mental health aspects of anxiety and depression causing mood changes, stigma and mistrust among healthcare providers and child welfare. Conclusions: Patients receiving MOUD and their providers identified multiple aspects unique to the postpartum transition that substantially strengthen and/or oppose OUD recovery. These aspects impacting recovery include factors specific to the receipt of MOUD treatment and those not specific to MOUD, yet tied to the postpartum state. Overall, these findings provide insight into areas for future research focused on identifying opportunities to promote recovery-oriented care for families affected by OUD.
PY - 2022
SN - 1547-0164; 0889-7077; 0889-7077
SP - 389
EP - 396
EP - 
T1 - Postpartum and addiction recovery of women in opioid use disorder treatment: A qualitative study
T2 - Substance abuse
TI - Postpartum and addiction recovery of women in opioid use disorder treatment: A qualitative study
U1 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
U2 - 34214405
U3 - 10.1080/08897077.2021.1944954
VL - 43
VO - 1547-0164; 0889-7077; 0889-7077
Y1 - 2022
ER -