Supporting perinatal individuals with opioid use disorder and their newborns experiencing neonatal abstinence syndrome: impressions from patients and healthcare providers

Healthcare experiences of pregnant and postnatal women and healthcare professionals when facing child protection in the perinatal period: A systematic review and Critical Interpretative Synthesis

“…For instance, studies reported on the importance of ‘trust’ for women to feel safe with a HCP and only then would they feel comfortable to disclose the extent of their issues [ 15 , 55 , 59 , 60 , 63 , 77 , 85 ]. Conversely, several studies capturing HCPs’ experiences reported that they were fully aware trust was an essential requirement to provide optimal care to women [ 57 , 72 , 75 , 80 – 83 , 90 , 91 ]. Continuity of care provider was often mentioned by HCPs and women as a pre-requisite to build a relationship of trust and honesty [ 49 , 75 , 80 – 83 , 85 , 89 – 91 ].…”

“…This ‘catch-22’ of incompatible conditions to facilitate positive interactions was found across several themes and subthemes. Another example is ‘feelings of motherhood’: several studies mentioned how women felt encouraged in their identity as a mother by their HCP and how this empowered them to engage with healthcare and the CP process [ 15 , 53 , 57 , 60 , 63 , 67 , 68 , 75 , 92 ]; Conversely, other studies mentioned women felt their identity as a mother was challenged and scrutinised, leading to distrust and feelings of shame and judgement [ 51 , 55 , 60 , 71 , 72 , 75 , 76 , 83 , 85 , 87 ]. As a result, almost all studies discussed the identity of motherhood with a lack of depth and complexity and overlooked the role of healthcare interactions to the cyclical development of feelings of motherhood.…”

“…We found an array of factors that impacted HCPs’ behaviours, attitudes and expectations when caring for women with CP involvement. Their assessment and strategy on how to enter and maintain this relationship was based on their level of confidence and expertise and personal beliefs and biases [ 54 , 57 , 72 , 78 ].…”

“…Included studies were published between 1993 and 2024, with study settings predominantly in the Global North, including Cananda (n = 4) [ 52 – 55 ], Germany (n = 1) [ 56 ], United States of America (n = 16) [ 50 , 51 , 57 – 74 ], United Kingdom (n = 7) [ 9 , 49 , 75 – 80 ] and Australia (n = 12) [ 13 , 15 , 81 – 89 ]. One study was carried out in Brazil [ 90 ].…”

Associations between nurse characteristics, institutional characteristics and perceived nurse knowledge and self‐efficacy of reporting suspected child abuse and neglect

“…Mandatory reporters also report a poor response from CPS, express concern about lack of training on CAN and experience secondary trauma from reporting suspicion of CAN (McTavish et al., 2017). Ample‐published evidence indicates (Burduli et al., 2022; McTavish et al., 2019) significant maternal stress and system mistrust from reporting of CAN and the forcible removal of children from their families. Hence, those that are mandated reporters of CAN require education and support on how to respond to CAN (Afifi et al., 2018; McTavish et al., 2017, 2019) from a trauma‐informed care approach that includes anti‐racist pedagogy, and the need for broad social services support for families such as affordable housing and early childhood education.…”