The experiences of pregnant women attending a specialist service and using methamphetamine |
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| Institution: | 1. King Edward Memorial Hospital, Australian College of Nursing (ACN), (ACM) Australian College of Midwives, Australia;2. Neonatology department, RANZOG, Australia;3. King Edward Obstetrics and Gynaecology, FRANZCOG, Australia;4. UWA, Australia;1. Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;2. School of Public Health, College of Medicine and Health and Care Sciences, Department of Epidemiology and Biostatistics, University of Rwanda, Rwanda;3. Obstetric Unit, Sahlgrenska University Hospital, Gothenburg, Sweden;1. School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy;2. School of Medicine and Surgery, Center of Biostatistics for Clinical Epidemiology, University of Milano-Bicocca, Monza, Italy;3. Fondazione MBBM, Italy;4. Unit for Mother and Child, Carate Brianza Hospital, ASST Vimercate, Italy;1. Research Centre for Midwifery Science, Zuyd University, Maastricht, The Netherlands;2. Department of Society Studies, Faculty of Arts and Social Sciences, Maastricht University, Maastricht, The Netherlands;3. CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands |
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| Abstract: | BackgroundPregnant women attending the Specialist Drug and Alcohol Service in Perth use methamphetamine as their primary drug of choice. This is the only tertiary service for pregnant and postnatal women with complex Alcohol and Other Drug Use in Western Australia. It is a midwifery-led multidisciplinary team. Many of the women struggle with addiction, polysubstance use, co-occurring mental health, family and domestic violence, complex trauma and fear of Child Protection and infant removal. Therefore, the aim of this study was to understand the impact of methamphetamine use of pregnant women attending the service and explore and highlight the potential barriers to engagement and follow-up.MethodsA qualitative study informed by phenomenological methods was undertaken using semi-structured interviews with 20 women with methamphetamine use attending the service in order to explore and understand the experience of using methamphetamine in pregnancy and the postpartum period. A thematic analysis was undertaken with data from the women in the study (n = 20) to identify key themes.ResultsKey themes that emerged from the women’s experiences detail their resilience and experience with methamphetamine and the impact that methamphetamine has on their life. A key concern for women regarding methamphetamine use and engagement with specialist services was the welfare of their child(ren). Agencies charged with child protection was a barrier to treatment because women feared disclosure of methamphetamine use would result in loss of child custody. Themes highlighted the multiple layers of adversities, and trauma from childhood to adulthood including, co-occurring drug use, mental health and life histories of trauma (abuse, violence, and neglect; intergenerational trauma; intergenerational drug and alcohol use, and child removal), the omnipresence of methamphetamine, and the impact on pregnancy and mothering.ConclusionWe conclude that understanding the experiences of women and the impact methamphetamine use has on their life is paramount to providing effective and appropriate care to support pregnant women in a trauma-informed and woman-centred approach. Poor engagement in pregnancy care for women with methamphetamine use has significant impacts on mother and infant. |
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| Keywords: | Methamphetamine use Pregnancy Parenting Mental health Trauma and family and domestic violence |
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