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Katherine L Guyon-Harris1, Elizabeth E Krans2, Anne Gill3

  • 1Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

Infant Mental Health Journal
|August 9, 2024
PubMed
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Pregnant individuals with opioid use disorder (OUD) find prenatal parenting support acceptable. Key topics include infant care, parent-infant bonding, and maternal wellbeing, informing new intervention designs.

Area of Science:

  • Reproductive Health
  • Addiction Medicine
  • Child Development

Background:

  • Opioid use disorder (OUD) in pregnant individuals is a growing public health concern.
  • Parents with OUD face unique challenges balancing recovery, parenting, and psychosocial issues.
  • Effective interventions are needed to support this vulnerable population.

Purpose of the Study:

  • To assess the acceptability of prenatal parenting support for pregnant individuals with OUD.
  • To identify desired content for parenting interventions among this population.
  • To inform the development of targeted support programs.

Main Methods:

  • A mixed-methods study was conducted.
  • Semi-structured interviews were performed with 18 pregnant and early postpartum individuals with OUD.
Keywords:
ElternschaftInterventionOpioidkonsumstörungPerinatalSchwangerschaftTrastorno de Uso de Opioidescrianzaembarazointervencióninterventionopioid use disorderparentingperinatalpregnancyالحمل، فترة ما حول الولادة، اضطراب تعاطي المواد الأفيونية، الرعاية الوالدية، التدخلオピオイド使用障害周産期围产期妊娠子育て、介入干预怀孕育儿阿片类药物使用障碍

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  • Participants were recruited from a specialized substance use treatment program.

    • Main Results:

    • A comprehensive prenatal parenting program addressing recovery, parenting, and wellbeing was widely acceptable.
    • Participants expressed interest in topics such as breastfeeding, infant care post-exposure, bonding, soothing, maternal mental health, and parenting skills.
    • The study highlights a need for integrated prenatal support.

    Conclusions:

    • Prenatal parenting interventions are acceptable and desired by pregnant individuals with OUD.
    • A prenatal adaptation of the Family Check-up intervention is proposed.
    • This approach aims to prevent adverse outcomes for caregivers in recovery and their children.