Care Experiences of Women Who Used Opioids and Experienced Fetal or Infant Loss

Lisa F. Scott, Carol Shieh, Rachel A. Umoren, Teri Conard

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)846-856
Number of pages11
JournalJOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing
Volume46
Issue number6
DOIs
StatePublished - Nov 1 2017

Fingerprint

Opioid Analgesics
Prescriptions
Interviews
Fetal Mortality
Frustration
Guilt
Grief
Anger
Infant Mortality
Telephone
Emotions
Pregnancy
Mortality

Keywords

  • infant loss
  • maternal narcotic use
  • maternal opioid use
  • perinatal bereavement
  • prenatal care

ASJC Scopus subject areas

  • Pediatrics
  • Critical Care
  • Maternity and Midwifery

Cite this

Care Experiences of Women Who Used Opioids and Experienced Fetal or Infant Loss. / Scott, Lisa F.; Shieh, Carol; Umoren, Rachel A.; Conard, Teri.

In: JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, Vol. 46, No. 6, 01.11.2017, p. 846-856.

Research output: Contribution to journalArticle

@article{1506f2430fbd4beabef715016d975660,
title = "Care Experiences of Women Who Used Opioids and Experienced Fetal or Infant Loss",
abstract = "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.",
keywords = "infant loss, maternal narcotic use, maternal opioid use, perinatal bereavement, prenatal care",
author = "Scott, {Lisa F.} and Carol Shieh and Umoren, {Rachel A.} and Teri Conard",
year = "2017",
month = "11",
day = "1",
doi = "10.1016/j.jogn.2017.08.006",
language = "English (US)",
volume = "46",
pages = "846--856",
journal = "JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing",
issn = "0884-2175",
publisher = "Wiley-Blackwell",
number = "6",

}

TY - JOUR

T1 - Care Experiences of Women Who Used Opioids and Experienced Fetal or Infant Loss

AU - Scott, Lisa F.

AU - Shieh, Carol

AU - Umoren, Rachel A.

AU - Conard, Teri

PY - 2017/11/1

Y1 - 2017/11/1

N2 - 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.

AB - 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.

KW - infant loss

KW - maternal narcotic use

KW - maternal opioid use

KW - perinatal bereavement

KW - prenatal care

UR - http://www.scopus.com/inward/record.url?scp=85033364459&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85033364459&partnerID=8YFLogxK

U2 - 10.1016/j.jogn.2017.08.006

DO - 10.1016/j.jogn.2017.08.006

M3 - Article

VL - 46

SP - 846

EP - 856

JO - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing

JF - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing

SN - 0884-2175

IS - 6

ER -