Mental preparation during pregnancy in women with substance addiction: a qualitative interview‐study

The interplay between pregnancy and addiction is usually studied quantitatively, and the focus is often on the adverse effects of intrauterine substance exposure. This study explores the perspective of the mothers‐to‐be by examining the subjective experience of pregnancy in substance‐addicted women. Fourteen women in family treatment for substance use disorder participated in eight focus groups. The data were analysed according to interpretative phenomenological analysis. The findings show that recognition of pregnancy was distorted and delayed, and strong feelings of ambivalence and guilt persisted throughout pregnancy, along with hope for change. Addiction and an intense preoccupation with external expectations are seen as a threat to intrauterine attachment and mental preparation for the caregiving role. Interventions must take into account the specific ways in which addiction influences the psychological processes of pregnancy; specifically, providing adequate social support and security should be considered.