Program

Nurse-Midwifery M.S.

Number of Pages

63

Year Approved

2024

First Advisor

Wu, Katrina

Second Reader

Julie Ann Vingers

Abstract

Introduction: There has been a steady rise in the incidence of Opioid Use Disorder (OUD) in pregnant women in the past decade, becoming a leading cause of maternal morbidity and mortality and prompting the need for a deeper understanding of challenges and strategies for improving care. The purpose of this integrative review is to identify barriers and facilitators for sobriety in individuals with opioid use in the peripartum period. Methods: An initial online search from CINAHL, PubMed, ScienceDirect, and PsychInfo was conducted with Boolean operators that yielded 1159 articles to be reviewed and uploaded to Covidence for screening. Original research from 2010 to 2014 addressing barriers or facilitators to reducing opioid use in the peripartum period were included, resulting in 26 studies for analysis. A journal hand search yielded one additional study. The studies were evaluated using the Johns Hopkins appraisal tool and organized using the Social Ecological Model (SEM) framework. Results: This study identified key SEM themes at each level that impacted the patient's ability to access and continue treatment for OUD in the peripartum period. Key barriers identified included fear of losing custody, and stigmatization from society. Whereas peer groups, support from friends, family and providers, and clinic availability were identified as key facilitators. Conclusion: In order to address the rising challenge of OUD in the peripartum period, an informed understanding of key barriers and facilitators can help healthcare providers and policymakers improve accessible and equitable care.

Degree Name

M.S. Nurse-Midwifery

Document Type

Masterʼs thesis

Download

Share

COinS