Dept Menu

Audience Menu

Contraceptive preferences among women with opioid use disorder

Lauren Sobel, DO, MPH, Boston Medical Center

In the United States, 11% of reproductive age women report illicit or non-prescription drug use in the past month, with opioids accounting for a large proportion of this use. Among women with Opioid Use Disorder (OUD), 86% of pregnancies are unintended. It has also been shown that women with opioid use disorder are less likely to use highly effective methods of contraception. Supporting women in choosing contraceptive methods that meet their needs and preferences is essential to providing just, equitable, and patient-centered care, yet little is known about how providers may best support patients with OUD in the contraceptive decision-making process.

We propose a qualitative study of recently pregnant women with OUD at Boston Medical Center. We will conduct one-hour semi-structured interviews with 20 participants, based on the principles of the Ottawa Decision Support Framework (ODSF) to explore the decisional needs of this population with regards to contraceptive decision making. We will analyze each transcript using the principles of Grounded Theory in order to derive themes and generate hypotheses from the participants' own words.

The aims of this study are to understand the contraceptive preferences of recently pregnant women with OUD and assess their decisional needs for contraceptive method choice. Ultimately our findings will enable tailoring of decision support interventions for this understudied population with the direct outcome of improved decisional quality, resulting in continuation of a chosen contraceptive method and decreased incidence of undesired pregnancy.

Back to top