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Misguided fears that their baby would be a \u201cmonstrosity\u201d drove some women to seek out abortion. For those who chose to continue with their pregnancy, communication with health professionals was poor and misinformation concerning advised maternal practices and newborn care was common. Often women made intuitive decisions; few attempted to go \u201ccold turkey\u201d and withdrew suddenly from opiates while pregnant, and most new mothers chose to breastfeed\u2014a healthy choice\u2014despite being advised against this. The study revealed the importance of support provided outside of state services and culminated in new information for female drug users and training materials for peer counselors. The participatory process by which these outputs were developed is outlined.<\/jats:p>","DOI":"10.1177\/0022042612466644","type":"journal-article","created":{"date-parts":[[2012,12,21]],"date-time":"2012-12-21T22:40:41Z","timestamp":1356129641000},"page":"4-19","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Monstrous Fears"],"prefix":"10.1177","volume":"43","author":[{"given":"Joanna","family":"White","sequence":"first","affiliation":[{"name":"Independent Researcher, Hanoi, Vietnam"},{"name":"Centre for Research in Anthropology, Instituto Universit\u00e1rio de Lisboa, Portugal"}]},{"given":"Pauline","family":"Oosterhoff","sequence":"additional","affiliation":[{"name":"Medical Committee Netherlands\u2013Vietnam, Hanoi, Vietnam"},{"name":"Royal Tropical Institute, Amsterdam, Netherlands"}]}],"member":"179","published-online":{"date-parts":[[2012,12,21]]},"reference":[{"key":"bibr1-0022042612466644","unstructured":"Burns K. (2009). Opiate substitution therapy for pregnant drug users: A critical component to supporting maternal, newborn and child health: International practices and lessons for preventing mother-to-child transmission of HIV in Central and Eastern Europe and the Commonwealth of Independent States (Draft report prepared for UNICEF). Unpublished Report."},{"key":"bibr2-0022042612466644","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199004263221706"},{"key":"bibr3-0022042612466644","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.80.4.483"},{"key":"bibr4-0022042612466644","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2000.tb02059.x"},{"key":"bibr5-0022042612466644","first-page":"457","volume":"75","author":"Corse S. J.","year":"1997","journal-title":"Journal of Substance Abuse Treatment"},{"key":"bibr6-0022042612466644","unstructured":"De Lind Van Wijngaarden J. W. (2007). Assessment of HIV\/AIDS vulnerability, responses and STI\/HIV prevention, care and support needs of institutionalized children aged 14 to 19 in selected labor and social education institutions and reform schools in Vietnam (Report prepared for UNICEF). Unpublished Report. Retrieved November 2, 2012 from http:\/\/www.crin.org\/bcn\/details.asp?id=12691&themeID=1004&topicID=1025."},{"key":"bibr7-0022042612466644","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.1998.tb02648.x"},{"key":"bibr8-0022042612466644","doi-asserted-by":"publisher","DOI":"10.1111\/j.1835-9310.2003.tb00226.x"},{"issue":"2","key":"bibr9-0022042612466644","first-page":"2","volume":"20","author":"Gibbons P.","year":"2010","journal-title":"Source"},{"key":"bibr10-0022042612466644","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-009-2627-1_9"},{"key":"bibr11-0022042612466644","volume-title":"Confluence and consequence: Globalisation, viscosities and transformation of HIV risk environments in Vietnam","author":"Griffiths P.","year":"2006"},{"key":"bibr12-0022042612466644","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2007.02053.x"},{"key":"bibr13-0022042612466644","doi-asserted-by":"publisher","DOI":"10.1016\/0740-5472(93)90054-6"},{"key":"bibr14-0022042612466644","first-page":"12","volume":"11","author":"Hepburn M.","year":"1996","journal-title":"Druglink"},{"key":"bibr15-0022042612466644","volume-title":"Crack mothers: Pregnancy, drugs, and the media (Women & Health C&S Perspective)","author":"Humphries D.","year":"1999"},{"key":"bibr16-0022042612466644","volume-title":"National standard guidelines on reproductive health","author":"Ministry Of Health","year":"2009"},{"key":"bibr17-0022042612466644","volume-title":"Annual report on drug treatment and rehabilitation in 2005","author":"Ministry of Labor, Invalids, and Social Affairs","year":"2006"},{"key":"bibr18-0022042612466644","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2007.02122.x"},{"key":"bibr19-0022042612466644","volume-title":"Hanoi B93 clubs evaluation","author":"Oosterhoff P.","year":"2007"},{"key":"bibr20-0022042612466644","volume-title":"Reintegrating residents of rehabilitation camps in Northern Vietnam: The Cactus Blossom support group for female ex-IDUs","author":"Oosterhoff P.","year":"2006"},{"key":"bibr21-0022042612466644","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(74)90667-X"},{"key":"bibr22-0022042612466644","doi-asserted-by":"publisher","DOI":"10.1177\/002204260703700207"},{"key":"bibr23-0022042612466644","volume-title":"The wisdom of whores: Bureaucrats, brothels and the business of AIDS","author":"Pisani E.","year":"2008"},{"key":"bibr24-0022042612466644","doi-asserted-by":"publisher","DOI":"10.1016\/0376-8716(93)90001-7"},{"key":"bibr25-0022042612466644","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2011.01.017"},{"key":"bibr26-0022042612466644","first-page":"21","volume-title":"Understanding and responding to drug use: The role of qualitative research","author":"Rhodes T.","year":"2000"},{"key":"bibr27-0022042612466644","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-010-0594-7"},{"key":"bibr28-0022042612466644","volume-title":"Pregnancy and opiates","author":"Royal Women\u2019s Hospital","year":"2005"},{"key":"bibr29-0022042612466644","unstructured":"Rutman D., Callahan M., Lundquist A., Jackson S., Field B. (2000). Substance use and pregnancy: Conceiving women in the policy-making process. Ottawa, Ontario, Canada: Status of Women Canada. 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