Abstract
Background: Medication-assisted treatment is recommended for pregnant women with opioid use disorder (OUD), yet only 50% receive the treatment. Knowledge deficit, limited access to prescribing providers, and complex delivery models are known barriers to treatment. Strategies for improvement of medication-assisted treatment during pregnancy require multi-disciplinary provider input. The objective of this study is to explore provider perceptions and factors critical to medication-assisted treatment delivery for pregnant women with OUD. Methods: A qualitative research approach was used to gather data from individual provider and group semi-structured interviews. Providers (n=12) responded to questions in several domains related to perceptions of medication-assisted treatment, treatment delivery, access to resources, and challenges/barriers. Data were collected, transcribed, coded (by consensus) and emerging themes were analyzed using grounded theory methodology. Results: Emerging themes in this pilot study, revealed persistent provider knowledge/training gaps, inadequate service coordination, inconsistent treatment guidelines, stigmatization, and lack of resources such as housing and transportation. Providers found medication-assisted treatment offered pregnant women with OUD, a “lifeline.” Conclusions: In this pilot study, we conclude that, MAT variances can be improved by leveraging healthcare provider perceptions, direct experiences and recommendations towards a team-based, patient-centered integrated approach.