Stigma Experienced by Perinatal Women with Opioid Dependency in the United States: A Qualitative Meta-Synthesis

Stigma is a barrier to accessing care and treatment for perinatal women with pain and opioid dependency, resulting in increased maternal/neonatal morbidity and mortality, prolonged neonatal hospitalizations, and increased healthcare-related costs. This theory-generating qualitative meta-synthesis in...

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Bibliographic Details
Published in:Western Journal of Nursing Research 2023-09, Vol.45 (9), p.843-853
Main Authors: Morton, Jamie, Vignato, Julie, Anbari, Allison B.
Format: Article
Language:English
Subjects:
Analgesics, Opioid
Child
Childrens health
Delivery of Health Care
Dependency
Female
Health services
Health status
Humans
Infant
Infant, Newborn
Infants
Maternal and infant welfare
Maternal characteristics
Morbidity
Mothers
Narcotics
Opioid-Related Disorders
Opioids
Parturition
Perinatal care
Pregnancy
Qualitative Research
Social Stigma
Stigma
Substance use disorder
Synthesis
United States
Women
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Summary:Stigma is a barrier to accessing care and treatment for perinatal women with pain and opioid dependency, resulting in increased maternal/neonatal morbidity and mortality, prolonged neonatal hospitalizations, and increased healthcare-related costs. This theory-generating qualitative meta-synthesis includes 18 qualitative research reports and describes the stigma-related experiences of perinatal women with opioid dependency. A model emerged consisting of cyclical yet pivotal care points, facilitators/deterrents of stigma, and stigma experiences including infant-associative stigma. Findings of this qualitative meta-synthesis include the following: (a) Perinatal stigma experiences may prevent women from accessing care; (b) Infant-associative stigma may influence the woman to deflect stigma from her infant onto herself; and (c) There is the risk of mothers withdrawing their infants from healthcare to protect from future anticipated stigma. Implications reveal ideal time points to enact healthcare interventions to reduce perinatal stigma experiences and its consequences on maternal/child health and wellness.
ISSN:0193-9459
1552-8456
1552-8456
DOI:10.1177/01939459231182495