Reasons for substance use continuation and discontinuation during pregnancy: A qualitative study. Issue 1 (February 2019)

• Record Type: Journal Article
• Authors: Latuskie, Kiri A.; Andrews, Naomi C.Z.; Motz, Mary; Leibson, Tom; Austin, Zubin; Ito, Shinya; Pepler, Debra J.
• Is Part Of: Women and birth. Volume 32:Issue 1(2019)
• Page Start: e57
• Page End: e64
• Publication Date: 2019-02
• Subjects: Intervention -- Pregnancy -- Substance use -- Self-efficacy -- Women's health; Midwives -- Periodicals; Pregnancy -- Periodicals; Midwifery -- Periodicals; Pregnancy -- Periodicals; 618.2
• DOI: 10.1016/j.wombi.2018.04.001
• Languages: English
• ISSNs: 1871-5192

Abstract

Abstract: Background: Substance use during pregnancy is a major public health concern, stemming from potential physical and psychosocial harms to both the mother and child. Purpose: To understand women's experiences using substances during pregnancy and the reasons that women continue and/or discontinue using substances. Methods: Focus groups were conducted with women who attended an early intervention program for pregnant or parenting women with substance use issues. Results: Women identified that external and internal stressors, feelings of guilt and low-self efficacy, and a lack of understanding of the scientific and medical consequences of substance use contributed to their continued substance use. Conversely, women highlighted the importance of high self-efficacy and the quality of relationships when trying to make positive changes to their substance use during pregnancy. Conclusions: Recommendations are proposed for easier access to and more comprehensive services. Healthcare professionals and service providers should offer non-judgmental care by building high-quality relationships with pregnant women with substance use issues, to increase these women's self-efficacy and empower them to discontinue substance use.