{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:25:25Z","timestamp":1747182325714,"version":"3.40.5"},"reference-count":89,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T00:00:00Z","timestamp":1697414400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000194","name":"Nova Scotia Health Research Foundation","doi-asserted-by":"publisher","award":["PSO\u2010EST\u20102013\u20109027"],"award-info":[{"award-number":["PSO\u2010EST\u20102013\u20109027"]}],"id":[{"id":"10.13039\/501100000194","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Sociology Health &amp; Illness"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>As opioid fatalities rise in North America, the need to improve the supports available to those who are dependent on opioids and pregnant has become more urgent. This paper discusses the social organisation of drug treatment supports for those who are pregnant, using Canadian clinical practice guidelines (CPGs) for methadone maintenance treatment (MMT) as a case study. Pregnant patients are a priority population for MMT, both in Canada and internationally; the regulatory bodies that oversee MMT in Canada are the provincial Colleges of Physician and Surgeons and Health Canada. The paper analyses MMT CPGs published by these agencies, comparing their general recommendations to those specific to pregnant patients. We demonstrate that the guidelines address few treatment considerations for pregnant patients, other than improved birth outcomes and child welfare, despite acknowledging their more complex needs. Drawing on social science studies of gender and drugs, we argue that MMT CPGs therefore perpetuate the intensified surveillance and foetal prioritisation that have long generated barriers to care for opiate\u2010dependent pregnant patients. We also discuss how and why the CPGs ultimately only reinforced these current limitations in the drug treatment sector.<\/jats:p>","DOI":"10.1111\/1467-9566.13721","type":"journal-article","created":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T14:39:13Z","timestamp":1697467153000},"page":"514-533","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u2018Planning for a healthy baby and a healthy pregnancy\u2019: A critical analysis of Canadian clinical practice guidelines for the treatment of opioid dependence during pregnancy"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1401-664X","authenticated-orcid":false,"given":"Fiona S.","family":"Martin","sequence":"first","affiliation":[{"name":"Department of Sociology and Social Anthropology Dalhousie University  Halifax Nova Scotia Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan","family":"Gosse","sequence":"additional","affiliation":[{"name":"Department of Sociology and Social Anthropology Dalhousie University  Halifax Nova Scotia Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Whelan","sequence":"additional","affiliation":[{"name":"Department of Sociology and Social Anthropology Dalhousie University  Halifax Nova Scotia Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,16]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"127","volume-title":"Handbook of emergent methods","author":"Altheide D.","year":"2008"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1745855207005066"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.prcp.20190051"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467\u20109566.12106"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1023\/a:1005574918294"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2022.306776"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2018.10.007"},{"volume-title":"With child: Substance use during pregnancy, a woman\u2010centred approach","year":"2007","author":"Boyd S.","key":"e_1_2_10_9_1"},{"volume-title":"More harm than good: Drug policy in Canada","year":"2016","author":"Boyd S. 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(2021).Opioid agonist therapy: A synthesis of Canadian guidelines for treating opioid use disorder.Centre for Addiction and Mental Health"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2013.04.004"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1300\/j012v03n02_04"},{"key":"e_1_2_10_19_1","unstructured":"Coll\u00e8ge des m\u00e9decins du Qu\u00e9bec et Ordre des pharmaciens du Qu\u00e9bec. (2009).La bupr\u00e9norphine dans Le traitement dela d\u00e9pendance aux opioi\u0308des. Retrieved fromhttp:\/\/www.cran.qc.ca\/sites\/default\/files\/documents\/lignes_directrices_buprenorphine_qc_0.pdf"},{"key":"e_1_2_10_20_1","unstructured":"College of Physicians and Surgeons of British Columbia. (2015).Methadone maintenance program: Clinical practice guideline. 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