NWH: Perceptions of Supportive Factors for Reducing Risk of Maternal Mortality Among Women With Substance Use Disorders in a Rural Setting

https://www.nwhjournal.org/article/S1751-4851(24)00128-4/abstract

Abstract

Objective

To describe perceptions of supportive factors for reducing the risk of maternal mortality among women with substance use disorders (SUDs) in a rural setting.

Design

Qualitative descriptive design.

Setting/Local Problem

Participants were recruited from a rural setting in a U.S. Midwest state where rates of maternal substance use and maternal mortality are high.

Participants

Sixteen participants were recruited from a maternal residential substance use treatment center.

Intervention/Measurements

Semistructured interviews were used during which participants described their perceptions of maternal mortality and their related experiences. We analyzed the transcribed interviews using a basic inductive content analysis to yield themes and subthemes.

Results

We identified three main themes: Social NetworksRespectful Perinatal Care, and Residential Substance Use Treatment.

Conclusion

Our findings suggest that nurses and other health care providers should be knowledgeable of resources to increase the social networks of women with SUD, recognize and manage the biases and judgments they may hold against women with SUD, and advocate for and refer women with SUD to residential substance use treatment.