Evidence map›Paper›PMID 41202668›Full record

ArticleDrug and alcohol dependence2025

Experiences of healthcare providers caring for pregnant individuals with substance use disorder.

Assumpta Nantume, Kylie Leong-Bob, Olivia R Hanson, Jami Baayd, Connie Wilson, Alexandra Gero, Karen W Tao, Rebecca G Simmons, Marcela C Smid, Erin P Johnson and 3 more

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Assumpta NantumeELEVATE Center, Department of Obstetrics and Gynecology, University of Utah Health, United States; ASCENT Center, Department of Obstetrics and Gynecology, University of Utah Health, United States.
Kylie Leong-BobELEVATE Center, Department of Obstetrics and Gynecology, University of Utah Health, United States.
Olivia R HansonSpencer Fox Eccles School of Medicine at the University of Utah, United States.
Jami BaaydELEVATE Center, Department of Obstetrics and Gynecology, University of Utah Health, United States; ASCENT Center, Department of Obstetrics and Gynecology, University of Utah Health, United States.
Connie WilsonDepartment of Nursing, Utah State University, United States.
Alexandra GeroELEVATE Center, Department of Obstetrics and Gynecology, University of Utah Health, United States; ASCENT Center, Department of Obstetrics and Gynecology, University of Utah Health, United States.
Karen W TaoDepartment of Educational Psychology, University of Utah, United States.
Rebecca G SimmonsELEVATE Center, Department of Obstetrics and Gynecology, University of Utah Health, United States; ASCENT Center, Department of Obstetrics and Gynecology, University of Utah Health, United States.
Marcela C SmidELEVATE Center, Department of Obstetrics and Gynecology, University of Utah Health, United States.
Erin P JohnsonELEVATE Center, Department of Obstetrics and Gynecology, University of Utah Health, United States.
Torri D MetzELEVATE Center, Department of Obstetrics and Gynecology, University of Utah Health, United States.
Melissa H WattDepartment of Population Health Sciences, University of Utah, United States.
Susanna R CohenELEVATE Center, Department of Obstetrics and Gynecology, University of Utah Health, United States; ASCENT Center, Department of Obstetrics and Gynecology, University of Utah Health, United States. Electronic address: Susanna.cohen@hsc.utah.edu.

Funding

Project INSPIRE – (Interprofessional Simulation Program for Clinical Resilience and Empathy) for healthcare teams caring for birthing individuals with substance use disorder in UtahU54HD113169 · NICHD · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI David Turok · 2023 to 2026
$10.7M
NICHD NIH HHS U54 HD113169
6 · The paper itself

Abstract

introductionSubstance use disorder (SUD) during pregnancy is associated with an increased risk of adverse maternal and neonatal outcomes, yet many patients face significant barriers to accessing treatment, including experiencing bias and stigma from healthcare providers. To inform improvements in care delivery, this study explored the experiences of healthcare providers who care for pregnant individuals with SUD.

methodsResearchers conducted seven focus group discussions (FGD) and fifteen in-depth interviews (IDI) using semi-structured guides, with participants drawn from both rural and urban hospital settings across Utah. All discussions were audio recorded, transcribed verbatim, and examined using the Template Analysis approach.

resultsAmong FGD participants (n = 37), the sample was predominantly white (94.6 %), female (86.5 %), rural (89.2 %), and comprised of nurses (78.4 %). The IDI sample (n = 15) was more gender diverse (60 % female), had greater representation of physicians (53.3 %), and a higher proportion of urban participants (60.0 %). Template analysis revealed four major themes. First, providers held a range of perceptions toward pregnant individuals with SUD, reflecting both stigma and empathy. Second, many emphasized the importance of building trust through nonjudgmental communication and emotional support. Third, providers reported high levels of burnout, particularly due to limited resources and systemic barriers. Finally, participants highlighted knowledge gaps related to SUD clinical care and confusion around regulatory requirements like mandatory reporting.

conclusionsDespite the challenges described, many providers expressed strong dedication to delivering compassionate, person-centered care. The findings underscore the need for targeted provider education, institutional policies that reduce care barriers, and increased community and institutional resources to better support patients with SUD during pregnancy.

Indexed as

Attitude of Health PersonnelHealth PersonnelPregnancy ComplicationsSubstance-Related DisordersAdultFemaleFocus GroupsHumansMaleMiddle AgedPregnancySocial StigmaUtahAddictionPerinatal substance useProvider biasProvider stigmaProvider trainingRespectful maternity careSubstance use disorder

Identifiers

PMID41202668
PMCPMC12716092

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.