Pregnancy Clinical Trial
Official title:
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
Qualitative project, comprising open-ended semi-structured interviews with healthcare workers, who provide antenatal care to substance-using women.
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.
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Observational Model: Cohort, Time Perspective: Cross-Sectional
