000			03845nab a22004457a 4500
999			_c6538 _d6538
005			20250625151522.0
008			200219s2020 ||||| |||| 00| 0 eng d
040			_aAFVC
100			_aO'Connor, Angela _98874
245			_aThe experiences of pregnant women attending a specialist service and using methamphetamine _cAngela O'Connor, Emma Harris, Dale Hamilton, Colleen Fisher and Mark Sachmann
260			_bElsevier, _c2020
500			_aWomen and Birth, 2020, In press, 13 February 2020
520			_aBackground: Pregnant women attending the Specialist Drug and Alcohol Service in Perth use methamphetamine as their primary drug of choice. This is the only tertiary service for pregnant and postnatal women with complex Alcohol and Other Drug Use in Western Australia. It is a midwifery-led multidisciplinary team. Many of the women struggle with addiction, polysubstance use, co-occurring mental health, family and domestic violence, complex trauma and fear of Child Protection and infant removal. Therefore, the aim of this study was to understand the impact of methamphetamine use of pregnant women attending the service and explore and highlight the potential barriers to engagement and follow-up. Methods: A qualitative study informed by phenomenological methods was undertaken using semi-structured interviews with 20 women with methamphetamine use attending the service in order to explore and understand the experience of using methamphetamine in pregnancy and the postpartum period. A thematic analysis was undertaken with data from the women in the study (n = 20) to identify key themes. Results: Key themes that emerged from the women’s experiences detail their resilience and experience with methamphetamine and the impact that methamphetamine has on their life. A key concern for women regarding methamphetamine use and engagement with specialist services was the welfare of their child(ren). Agencies charged with child protection was a barrier to treatment because women feared disclosure of methamphetamine use would result in loss of child custody. Themes highlighted the multiple layers of adversities, and trauma from childhood to adulthood including, co-occurring drug use, mental health and life histories of trauma (abuse, violence, and neglect; intergenerational trauma; intergenerational drug and alcohol use, and child removal), the omnipresence of methamphetamine, and the impact on pregnancy and mothering. Conclusion: We conclude that understanding the experiences of women and the impact methamphetamine use has on their life is paramount to providing effective and appropriate care to support pregnant women in a trauma-informed and woman-centred approach. Poor engagement in pregnancy care for women with methamphetamine use has significant impacts on mother and infant. (Author's abstract). Record #6538
650			_aCHILD PROTECTION _9118
650			_aDOMESTIC VIOLENCE _9203
650			_aDRUG ABUSE _9207
650			_aFAMILY VIOLENCE _9252
650			_aHEALTH SERVICES _9290
650			_aINTERVENTION _9326
650			_aINTIMATE PARTNER VIOLENCE _9431
650			_aMENTAL HEALTH _9377
650			_aMETHAMPHETAMINE _95202
650			_aMOTHERS _9392
650			_aPREGNANCY _9455
650			_aREPRODUCTIVE HEALTH _93274
650		4	_aSEXUAL VIOLENCE _9531
650			_aSUBSTANCE ABUSE _9584
650		4	_aSUPPORT SERVICES _9591
650		4	_aTRAUMA _9612
651		4	_aAUSTRALIA _92597
651			_aWESTERN AUSTRALIA _93496
700			_aHarris, Emma _98875
700			_aHamilton, Dale _98876
700			_aFisher, Colleen _93676
700			_aSachmann, Mark _98877
773	0		_tWomen and Birth, 2020, In press, 13 February 2020
830			_aWomen and Birth _98878
856			_uhttps://doi.org/10.1016/j.wombi.2020.01.011 _zRead abstract
942			_2ddc _cARTICLE