Pregnant or recently pregnant opioid users: contraception decisions, perceptions and preferences.

Title

Pregnant or recently pregnant opioid users: contraception decisions, perceptions and preferences.

Creator

Fischbein Rebecca L; Lanese Bethany G; Falletta Lynn; Hamilton Kelsey; King Jennifer A; Kenne Deric R

Publisher

Contraception and reproductive medicine

Date

2018
2018

Description

Background: Multiple factors are linked to extremely high unintended pregnancy rates among women who use opioids, including various barriers to contraception adherence. These include patient level barriers such as lack of knowledge and education about highly effective contraception, and potential provider barriers. Using a mixed-methods framework to examine the contraception-related perceptions and preferences of opioid using women is a necessary next step to understanding this phenomenon. Methods: A mixed-method study was conducted which included both self-report questionnaires along with a semi-structured qualitative interview of opioid-using pregnant or recently pregnant women in two drug treatment facilities in Ohio. Results: Forty-two women completed the study. The majority of recent (75%) and total pregnancies were unintended. Male condoms were reported as the highest form of lifetime contraception used within the present sample (69%). Participants reported low lifetime use of long acting reversible contraception (LARC) (ranging from 5 to 12%). Participants preferred hormonal injections first (40%), followed by IUDs (17%). Reasons for preferences of injections and LARC were similar: not needing to remember, side effects, and long-term effectiveness. Conclusions: Most of the study population participants stated they would utilize contraception, particularly Tier 1 LARC methods, if freely available; however, high rates of unintended pregnancy were observed in this sample. This indicates the need for contraception education, and addressing the procedural, logistical and economic barriers that may be preventing the use of LARC among this population.

Subject

Contraception; Opioid Drug Use; Pregnancy

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

4–4

Volume

3

Citation

Fischbein Rebecca L; Lanese Bethany G; Falletta Lynn; Hamilton Kelsey; King Jennifer A; Kenne Deric R, “Pregnant or recently pregnant opioid users: contraception decisions, perceptions and preferences.,” NEOMED Bibliography Database, accessed July 23, 2021, https://neomed.omeka.net/items/show/4872.

Social Bookmarking