Understanding the Substance Use Disorder and Treatment Landscape for Pregnant and Postpartum People in New York City: A Qualitative Analysis [ID 1231]

INTRODUCTION: Substance use during pregnancy is a public health emergency in New York City. According to the Maternal Mortality Report published by the New York City Health Department in 2023, mental health conditions and overdose-related deaths are the top cause of pregnancy-associated deaths in New York City. METHODS: The research was based on interviews with 10 clinicians who work with pregnant people who use drugs in New York City. Informed consent was obtained from all participants prior to interview, and all identifiable information has been removed. Participants were asked to reflect on their professional trajectories and settings, the benefits and challenges to access substance use disorder (SUD) treatment for pregnant people in New York City, and ways in which social, cultural, and political factors influence the care this population receives. RESULTS: Emerging themes from the interviews included the following: the types of SUD treatment a pregnant person can access, the effect of limited childcare options, and the fear of surveillance by New York City Administration of Children’s Services. CONCLUSIONS/IMPLICATIONS: This study underscores the complex landscape of SUD treatment for pregnant and postpartum individuals in New York City. The findings highlight the need for more comprehensive, culturally sensitive, and accessible SUD treatment programs tailored to the unique needs of this population. Addressing these barriers through policy reform and increased support services can reduce maternal mortality and improve health outcomes for pregnant individuals and their families.