Conflict Between Maternal Autonomy and Child Health in Substance-use

Study Overview
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Brief Summary
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Qualitative project, comprising open-ended semi-structured interviews with healthcare workers, who provide antenatal care to substance-using women.

Detailed Description
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Maternal substance use during pregnancy (including legal and illicit substances) is a fairly common global phenomenon, including in the UK. This can have significant effects on pregnancy, infant outcome and enduring consequences into adolescence. Babies born with neonatal abstinence syndrome may spend months in neonatal care units, requiring complex, 24hour care. Here, healthcare workers may experience conflict between preserving maternal autonomy, and the challenge of caring for a withdrawing newborn. However, there is discrepancy between the objectives of policy-makers Reducing the harm to children from parental problem drug use should become a main objective of policy and practice and those recommended in healthcare These women need supportive and coordinated care during pregnancy. Therefore, conflict arises between mother-centred and child-centred models of caring for pregnant women who use substances. The objective of the proposed project is to investigate how healthcare workers providing treatment for pregnant women who use illicit substances perceive their duty of care and whether they experience tension between the conflicting objectives of mother-centred and child-centred approaches through semi-structured qualitative interviews. The investigators will explore the ways in which healthcare workers frame problematic substance misuse in pregnant women, what they perceive to be the major challenges in providing care and their views on the responsibility of a mother to have a healthy baby. The main hypothesis is that healthcare workers providing care for pregnant women engaging in problematic substance misuse experience conflict between mother-centred and child- centred approaches to care.

Official Title
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Mother vs. Child? Healthcare Worker Perceptions of Conflict Between Maternal Autonomy and Child Health When Providing Care for Pregnant Women Engaging in Problematic Substance Use

Conditions
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Substance-Related Disorders, Alcohol-Related Disorders, Amphetamine-Related Disorders, Inhalant Abuse, Cocaine-Related Disorders, Opioid-Related Disorders, Marijuana Abuse, Substance Abuse, Intravenous, Neonatal Abstinence Syndrome, Pregnancy, Pregnancy, High-Risk

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Healthcare workers will be recruited based on their employment status; they must currently provide some form of antenatal are for women who engage in problematic use of substances (limited to illicit drugs, excluding tobacco and alcohol). Healthcare workers will not be restricted by age, and all genders will be included. As the research is qualitative, a representative same is unnecessary. Exclusion Criteria: Healthcare workers will be excluded if they do not have experience of providing ante-natal care for women who engage in problematic substance misuse (limited to illicit drugs, excluding tobacco and alcohol) during their pregnancy.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Perceptions of conflict between maternal and child-centred approaches | Qualitative data of perceptions of conflict. | 4 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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[N02.360], [G08.686.785.760.769.500], [G08.686.785.760.769], [C25.775.650], [C25.775.793], [C25.775.635], [C25.775.675], [C25.775.300], [C25.775.467], [C25.775.225], [C25.775.100], [C25.775]