{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:33:02Z","timestamp":1777883582226,"version":"3.51.4"},"reference-count":58,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000124","name":"Office of Research on Women\u2019s Health","doi-asserted-by":"publisher","award":["U54 DA016511"],"award-info":[{"award-number":["U54 DA016511"]}],"id":[{"id":"10.13039\/100000124","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["K12 DA031794"],"award-info":[{"award-number":["K12 DA031794"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["K24 DA038240"],"award-info":[{"award-number":["K24 DA038240"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Use &amp; Addiction Journal"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Opioid use disorder (OUD) among pregnant and postpartum persons has increased in the last 20\u2009years and poses risks to both birthing parent and fetus\/child. Medication for opioid use disorder (MOUD) can reduce these risks, yet engagement is limited among pregnant and postpartum persons with over half discontinuing in the postpartum year. Little research has explored pregnant and postpartum persons\u2019 reasons for using MOUD in pregnancy and decisions around (dis)continuing after childbirth. We sought to gain a deeper understanding of the reasons pregnant and postpartum persons use MOUD in pregnancy and motivations for continued use or discontinuation postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Individual interviews (n\u2009=\u20094) and focus groups (2 focus groups with total n\u2009=\u20096) were conducted with 10 participants with OUD aged 18 to 45\u2009years who were currently pregnant (50%) or postpartum (50%) and had been treated with MOUD. Interviews and focus groups were transcribed, and a codebook was iteratively created using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Five themes and 7 subthemes emerged within 2 domains representing experiences with MOUD during pregnancy (domain 1) and postpartum (domain 2). Participants were highly motivated toward MOUD in pregnancy for the benefits to themselves and their unborn children but acknowledged several drawbacks including the possibility of fetal\/neonatal withdrawal. Reasons for MOUD use postpartum shifted toward improving maternal mental health and parenting. Several participants anticipated eventually tapering MOUD within the postpartum year as they no longer saw a distinct need for it.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Despite perceived risks, pregnant and postpartum persons with OUD have many motivations to use MOUD during pregnancy that may shift in the postpartum period. Our findings underscore the importance of education and shared decision-making and emphasize the need for leveraging pre- and postnatal motivation for MOUD during these conversations and throughout course of treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29767342251326344","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T07:30:39Z","timestamp":1742283039000},"page":"665-674","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Weighing Risks and Benefits: Patient Perceptions on Using Medications for Opioid Use Disorder During and After Pregnancy"],"prefix":"10.1177","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5862-6841","authenticated-orcid":false,"given":"Anna E.","family":"Eitel","sequence":"first","affiliation":[{"name":"College of Medicine, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christin","family":"Mujica","sequence":"additional","affiliation":[{"name":"Department of Psychological Science, University of Arkansas, Fayetteville, AR, USA"},{"name":"Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie A.","family":"Hayes","sequence":"additional","affiliation":[{"name":"Women\u2019s Reproductive Behavioral Health Division, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Constance","family":"Guille","sequence":"additional","affiliation":[{"name":"Women\u2019s Reproductive Behavioral Health Division, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aimee","family":"McRae-Clark","sequence":"additional","affiliation":[{"name":"Addiction Sciences Division, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8890-0465","authenticated-orcid":false,"given":"Sara M.","family":"Witcraft","sequence":"additional","affiliation":[{"name":"Women\u2019s Reproductive Behavioral Health Division, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.24991"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/pds.4647"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003231"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/add.15582"},{"key":"e_1_3_3_6_2","unstructured":"CDC Newsroom. CDC. January 1 2016. Accessed August 21 2024. https:\/\/www.cdc.gov\/media\/releases\/2022\/p0919-pregnancy-related-deaths.html"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/NMC.0000000000000805"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2203318"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.17045"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2021.103243"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-016-2190-y"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-018-0299-0"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.55990"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.3951"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2020.108146"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2015.02.012"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002734"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318256496e"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002054"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19159346"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-02872-5"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2022.03.018"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2020.1803178"},{"key":"e_1_3_3_24_2","unstructured":"lappaadm. Substance use during pregnancy and child abuse or neglect: summary of state laws. LAPPA. June 28 2024. Accessed December 4 2024. https:\/\/legislativeanalysis.org\/substance-use-during-pregnancy-and-child-abuse-or-neglect-summary-of-state-laws\/"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2019.107652"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13722-021-00228-8"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2023.2212074"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/1178221816685087"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000467"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1089\/whr.2021.0112"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.2147\/SAR.S319180"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-3931"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13421"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.3109\/10826084.2013.800116"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1108\/02621710610678445"},{"key":"e_1_3_3_37_2","doi-asserted-by":"crossref","unstructured":"Glaser BG Strauss AL. Discovery of Grounded Theory Strategies for Qualitative Research. Routledge; 2017. Accessed August 21 2024. https:\/\/www.scirp.org\/reference\/referencespapers?referenceid=2407838","DOI":"10.4324\/9780203793206-3"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04569.x"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-24612-3_1139"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1177\/10783903231166670"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2022.108765"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2017.11.030"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.focus.20230018"},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000789"},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.1097\/ADT.0b013e318211ba0a"},{"key":"e_1_3_3_46_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2019.19060612"},{"issue":"2","key":"e_1_3_3_47_2","article-title":"Are infants exposed to methadone in utero at an increased risk for mortality?","volume":"19","author":"Kelly LE","year":"2012","unstructured":"Kelly LE, Rieder MJ, Bridgman-Acker K, Lauwers A, Madadi P, Koren G. Are infants exposed to methadone in utero at an increased risk for mortality? J Popul Ther Clin Pharmacol. 2012;19(2):e160-e165.","journal-title":"J Popul Ther Clin Pharmacol"},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6928a1"},{"key":"e_1_3_3_49_2","doi-asserted-by":"publisher","DOI":"10.1177\/29767342231221055"},{"key":"e_1_3_3_50_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)15390-1"},{"key":"e_1_3_3_51_2","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20644"},{"key":"e_1_3_3_52_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-021-02199-2"},{"key":"e_1_3_3_53_2","unstructured":"Clinical guidance for treating pregnant and parenting women with opioid use disorder and their infants | SAMHSA Publications and Digital Products. Accessed August 27 2024. https:\/\/store.samhsa.gov\/product\/clinical-guidance-treating-pregnant-and-parenting-women-opioid-use-disorder-and-their"},{"key":"e_1_3_3_54_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.prcp.20180004"},{"key":"e_1_3_3_55_2","unstructured":"Martin FS. Rethinking harm reduction and pregnancy: a study of pregnant women\u2019s expectations and experiences of opiate substitution treatment. Accessed December 14 2024. https:\/\/www.academia.edu\/32939995\/Rethinking_harm_reduction_and_pregnancy_A_study_of_pregnant_women_s_expectations_and_experiences_of_opiate_substitution_treatment"},{"key":"e_1_3_3_56_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-023-01963-x"},{"key":"e_1_3_3_57_2","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780198861478.003.0045"},{"key":"e_1_3_3_58_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2020.8882"},{"key":"e_1_3_3_59_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-024-01989-z"}],"container-title":["Substance Use &amp; Addiction Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/29767342251326344","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/29767342251326344","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/29767342251326344","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:50:58Z","timestamp":1777600258000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/29767342251326344"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,18]]},"references-count":58,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1177\/29767342251326344"],"URL":"https:\/\/doi.org\/10.1177\/29767342251326344","relation":{},"ISSN":["2976-7342","2976-7350"],"issn-type":[{"value":"2976-7342","type":"print"},{"value":"2976-7350","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,18]]}}}