Women's experiences of using heroin substitute medication in pregnancy

Kate Varty & Tina Alwyn (4 August 2011), British Journal of Midwifery, 19(8): 507 - 514

There has been little research into women's experience of being on heroin substitute medication. This study, set in a large South Wales city, aimed to explore pregnant women's experiences of taking methadone or buprenorphine.

A qualitative research design was used, using semi-structured interviews. The transcripts were analysed to extract themes of importance to the women.

Six women taking substitute medication for the treatment of heroin dependence were interviewed. The women raised issues of importance to them, and some common themes were identified relating to their feelings and to their clinical and psychological care during the pregnancy: denial; guilt; shame and embarrassment; concerns about parenting; and treatment by and attitudes of professionals.

Women want to do the best for their babies, but feel embarrassed and ashamed at their substance use, which can inhibit engagement with services. Women would prefer increased support and monitoring from drug services. The impact of methadone on nausea and vomiting needs to be addressed on an individual basis. Tailored, seamless and non-judgmental multi-agency care needs to be available to improve engagement and outcomes in this high-risk population.