Background Pregnancy and the delivery of an infant mark a unique time of engagement in healthcare for women in treatment for opioid use disorder (OUD). The American College of Obstetrics and Gynecology calls for a comprehensive approach to perinatal healthcare delivery for pregnant women with OUD in order to facilitate improved health outcomes and increase patient-provider collaboration. Yet, there is little knowledge regarding the perceptions of women with OUD regarding the current delivery of healthcare which could inform a personalized, tailored approach to perinatal healthcare delivery. Methods Four focus groups consisting of 22 women with OUD were conducted, transcribed, and analysed using qualitative thematic analysis methodology. Results Women reported an overall lack of preparation for the birth and neonatal healthcare experiences and identified opportunities for greater support by the healthcare team. Women emphasized the desire for evidence-based preparation from trusted sources about delivery, neonatal abstinence syndrome, breastfeeding, and how their medications affect their pregnancy and baby. Women reported receiving a varied amount of support from healthcare providers in their transition to motherhood, but women predominantly reported receiving emotional and informational support from their mothers and partners. Conclusions The knowledge obtained in this study points to gaps in perinatal healthcare delivery for women with OUD. Improving the delivery of perinatal healthcare may contribute to increased engagement by women with OUD, and ultimately improve outcomes for a vulnerable population.

Satellite data, field measurements, and readings from "snow buoys" reveal ice thickness patterns similar to those preceding the lowest recorded sea ice extent, which was reached nearly 4 years ago.

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Overlooked brain tissue slides prompt another look at “euthanasia” victims.

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Good madam, of goodness remember me. How like some celestial body I have kept to this fixed circumference, skirting in my skirts the sphere of influence. Majesty, I have been as hoops in a farthingale, encircling and concealing from prying eyes the deeds of three queens. Some had sought to overstep this distance, an idea as disallowed as sun supplanting earth at heaven's core. If once I positioned myself closer to the body corporate, it was only as laces tightened about flesh wedded to my flesh, a pressure that stifles less than fortifies the spine. Would I were free of these changing fashions, that admiring lights might warm without drawing close. Lady, I burn in the balance; your oscillations agitate oceans in ebb and flood. Would I knew the formula for these tides.

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