Home > Educational Resources > Abstract Catalog > Abstract Details > Addressing Patient Fears in Perinatal Substance Use Treatment

« Back to Search

Addressing Patient Fears in Perinatal Substance Use Treatment

Purpose: To inform obstetricians of potential barriers to engagement in perinatal substance use treatment, as reported by patients in a comprehensive program.

 

Background: Opioid use disorder in pregnancy diagnoses have rapidly increased, 127% from 1998 to 2011. Comprehensive perinatal substance use treatment including medication-assisted treatment (MAT) is recommended to reduce risks for the mother-baby dyad: however, access to this treatment remains limited. While OUD is a pervasive perinatal health issue, Ob/Gyns may lack awareness of their patients’ needs and concerns related to it.

 

Methods: This qualitative study combined semi-structured interviews and participant-observation with patients in a comprehensive perinatal substance use treatment program, in a largely rural Appalachian region. Sampling was opportunistic and purposive; all data were analyzed using modified Grounded Theory.

 

Results: Twenty-seven MAT patients participated in prenatal and/or postpartum interviews, and were observed (along with a larger cohort in care during the four-month study period) in the clinical setting. Participants described the importance of receiving supportive care in a non-judgmental clinical setting, in contrast with past experiences of stigmatizing treatment. Many participants reported concerns about social services involvement with the current pregnancy or existing children, as a factor influencing their comfort seeking substance use treatment during pregnancy.

 

Discussions: Concerns about the external consequences of substance use treatment shape women’s experience seeking clinical care. Clinicians addressing patient concerns about social services involvement and a non-judgmental approach overall facilitate engagement with care. With the increase of OUD in pregnancy, obstetric faculty benefit from understanding patient perspectives on barriers to care.

Topics: CREOG & APGO Annual Meeting, 2019, Resident, Faculty, Patient Care, Medical Knowledge, Interpersonal & Communication Skills, GME, CME, Public Health, Advocacy, General Ob-Gyn,

General Information


Keywords
Intended
Audience
Resident,Faculty,
Competencies
Addressed
Patient Care,Medical Knowledge,Interpersonal & Communication Skills,
Educational
Continuum
GME,CME,
Educational
Focus
Public Health,Advocacy,
Clinical Focus
General Ob-Gyn,

Author Information

Nathan Mullins, MD, UNC Health Sciences at MAHEC; Mountain Area Health Education Center; Melinda Ramage, MSN, FNP-BC; Bayla Ostrach, PhD; Catherine Leiner, BS

Additional Materials


Related Abstracts


CONTACT US

2130 Priest Bridge Drive, Suite 7,
Crofton, MD 21114
(P) 410-451-9560 | (F) 410-451-9568

DONATE

Learn more about the programs
supported by your dues and donations.

JOIN US

APGO offers several membership and subscriber options to give you the support and resources you need to be successful.