ArticleMaternal and child health journal2020
Secrecy Versus Disclosure: Women with Substance Use Disorders Share Experiences in Help Seeking During Pregnancy.
Article in Maternal and child health journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
40 citing papers in PubMed.
- Text Messaging Intervention for Postpartum Alcohol Use: Micro-Randomized Trial Supports Feasibility, Acceptability, and Maternal Message Preference.Journal of studies on alcohol and drugs · 2026Trial
- A Mixed Methods Analysis of Risk and Support Factors for Prenatal Alcohol and Substance Use Among American Indian/Alaska Native Birthing People.Journal of racial and ethnic health disparities · 2026Article
- Understanding Barriers to Disclosure of and Treatment for Substance Use During Pregnancy: A Narrative Synthesis of Literature.Journal of pregnancy · 2026Review
- Perinatal substance use among United States veterans and servicemembers: A scoping review of the literature.Translational issues in psychological science · 2026Article
- Protocol for the INSPIRE Study: A Training Package for the Intrapartum Team to Promote Respectful and Non-stigmatizing Care for Patients with Substance Use Disorder.Substance use & addiction journal · 2026Article
- Navigating recovery: a scoping review of comprehensive approaches to postpartum substance use care and support.BMC public health · 2025Article
- Who Should Respond to Substance-Exposed Infants? Reflections on U.S. Policies Limiting the Role of Child Protective Services.Child protection and practice · 2025Article
- Patterns of Congenital Syphilis in a Large Public Hospital: Maternal Risk Factors and Infant Outcomes.Sexually transmitted diseases · 2025Article
- Perceptions of positive and negative clinician communication in obstetrical visits from the perspectives of pregnant patients who use substances.PEC innovation · 2025Article
- Perinatal healthcare experiences of pregnant and parenting people with a history of substance use disorder: a qualitative study.BMC pregnancy and childbirth · 2025Article
- Hospital Security Searches Among Patients With Substance-Related Encounters.JAMA network open · 2025Article
- Addressing stigma for families affected by opioid use disorder.Seminars in perinatology · 2025Review
- A credibility-driven evaluation of a community-based perinatal substance use disorder collaborative care model.Frontiers in public health · 2025Article
- Opportunities to sustain matricentric models of community and person-centered care for perinatal substance use in the postFrontiers in psychiatry · 2025Review
- Prenatal cannabis exposure in the clinic and laboratory: What do we know and where do we need to go?Drug and alcohol dependence reports · 2024Review
- Development of a Clinical Decision-Making Framework to Address Parental Substance Use and Child Safety.Parenting, science and practice · 2024Article
- Substance Use-Associated Infant Maltreatment Report Rates in the Context of Complex Prenatal Substance Use Policy Environments.Child maltreatment · 2024Article
- Uncovering the Complexity of Perinatal Polysubstance Use Disclosure Patterns on X: Mixed Methods Study.Journal of medical Internet research · 2024Article
- Risk Identification in Perinatal Health Care Settings via Technology-Based Recruitment Methods: Comparative Study.JMIR formative research · 2024Article
- Pregnancy and Postpartum Drug Overdose Deaths in the US Before and During the COVID-19 Pandemic.JAMA psychiatry · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSubstance misuse during pregnancy can be harmful to the health of both mothers and infants. Existing recovery services or prenatal care for pregnant women with substance use disorders (SUD) in the U.S. and other countries typically fall short in providing the necessary specialized care women with SUDs need. Disclosure of substance misuse is one key factor in gaining access to specialized prenatal care; yet, barriers such as social stigma and internal shame and guilt lead many women to under-report any substance misuse during their pregnancy. This study sought to understand the process of how and why pregnant women with SUDs choose to disclose or not disclose their substance misuse to their providers when seeking prenatal care.
methodsData were collected through interviews with N = 21 women with SUDs in the northeast U.S. whose young children had been exposed to opioids, cocaine, or MAT in utero. Thematic, inductive analysis using line-by-line coding was conducted to understand the perspectives of the women.
resultsThe women's narratives suggested a clear tension regarding whether to disclose their substance misuse to any providers during their pregnancy. Four themes describing the process of disclosure or non-disclosure were found, including reasons for and ways of being secret or choosing to disclose their substance misuse during pregnancy. CONCLUSIONS FOR PRACTICE: The centrality of shame, guilt, and stigma regarding substance misuse must be addressed by medical and mental health providers in order to increase disclosure and improve access to care for women with SUDs.
Indexed as
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.