Browsing by Subject "maternal opioid use"

Now showing 1 - 2 of 2
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    Care Experiences of Women Who Used Opioids and Experienced Fetal or Infant Loss
    (Elsevier, 2017-11) Scott, Lisa F.; Shieh, Carol; Umoren, Rachel A.; Conard, Teri; School of Nursing
    Objective To explore care experiences of women who used prescription or illicit opioids and experienced fetal or infant loss. Design A qualitative, descriptive design with secondary data analysis. Setting The Fetal and Infant Mortality Review program in an urban Midwestern county in the United States. Participants Eleven women with histories of prescription or illicit opioid use who experienced fetal or infant loss participated in the semistructured telephone or in-person interview portion of the mortality case review. Methods We used thematic analysis to analyze interview data. Results Five themes were identified related to the care experiences of participants throughout pregnancy and fetal/infant loss: Frustration and anger related to not being heard, feeling minimalized; Being overwhelmed with attempts to process and understand medical complications and outcomes; Profound sense of grief and coping with loss; Need to understand why and make difficult decisions; and Placing blame and guilt over death. Conclusion Our findings suggest that women who use opioids and experience fetal or infant loss have complex care, educational, and emotional needs. In the development of interventions for these women, it is important to address their unique and complex circumstances.
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    Policy perceptions of US state public health and child and family services regarding maternal opioid use and neonatal exposure
    (Elsevier, 2019) Scott, Lisa Fath; Stone, Cynthia; Duwve, Joan; Health Policy and Management, School of Public Health
    Objective To explore how state legislatures and departments of health are responding to the public health and economic issues of increases in opioid use disorder and the impact on pregnant women and infants. Design The design was a non-experimental descriptive study using a mixed methods survey research approach. Setting Electronic and telephone survey of individuals from state departments of health associated with departments of behavioral health and substance use, or child and family services. Participants Fifty-two respondents employed by individual state departments of health and child and family services. Methods Univariate analysis and frequency distribution of ordinal variables was completed. Thematic analysis was used to analyze free text questions and identify themes. Results All states reported recent changes or plans to address the problem of opioid misuse in their state. Many respondents feel their state continues to lack adequate services for treatment. Some states are exploring unique methods for addressing this in a safe and timely fashion, such as moving medication-assisted treatment to primary care and expanding licensure to Primary Care Physicians (PCPs) and nurse practitioners. Conclusions Our findings demonstrate an increased commitment throughout the United States to enhance access to clinically appropriate treatment of substance use disorder particularly during pregnancy, consider unique methods for addressing the problem of opioid dependency, and increase education and primary prevention programs.