Document Type : Original Research Article
Authors
1
Assistant professor. School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
2
Associate professor, Nursing and Midwifery Care Research Center Membership, Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Tehran
Abstract
Background & Aims: Substance use during pregnancy adversely affects maternal and fetal well‑being and creates distinct reproductive health challenges. Unmet needs in this area may increase vulnerability. This study aimed to explore the reproductive health needs and concerns of pregnant women with substance use disorders in Iran.
Methods: This qualitative study was conducted in Tehran and Zanjan, Iran, from January 2020 to June 2021, using a conventional content analysis approach. Eighteen pregnant women with confirmed substance use disorder were recruited through purposive and snowball sampling. In‑depth, semi‑structured, face‑to‑face interviews were conducted by the principal researcher. Each interview lasted 60–90 minutes, was audio‑recorded with consent, and transcribed verbatim. Data were analyzed using Graneheim and Lundman's content analysis method. Trustworthiness was ensured through credibility, dependability, transferability, and confirmability strategies.
Results: A total of 1,141 initial codes were extracted and grouped into four main categories and twelve subcategories: (1) need for comprehensive support, (2) challenge of fear and concern, (3) pregnancy health worries, and (4) lost human rights. Participants reported diverse needs for health, social, economic, and educational support, along with concerns about financial instability, difficulties in quitting substance use, social stigma, and fear of failing to fulfill family roles.
Conclusion: Many reproductive health needs and concerns of pregnant women with substance use disorders in Iran remain unaddressed. Health policymakers and planners should prioritize these issues in reproductive health and maternal care programs.
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