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This study assesses deviations from standard care for opioid use disorder during pregnancy and highlights patient experiences in jails.

Deviations from the standard of care in the treatment of pregnant people with opioid use disorder in jails; a mixed methods study

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Mixed-methods analysis reveals deviations in opioid care practices for pregnant individuals in jails, indicating urgent need for improvement.

This study assesses deviations from standard care for opioid use disorder during pregnancy and highlights patient experiences in jails.
Mixed-methods secondary analysis from surveys of 836 jails regarding availability of medications for opioid use disorder during pregnancy.
Interviews with 32 pregnant and postpartum individuals with opioid use disorder in jail to explore their experiences.
Descriptive statistics and directed content analysis were used to analyze survey results and interview transcripts.
Common deviations include use of naltrexone during pregnancy in 111 cases and MOUD discontinuation postpartum in 489 cases.
Participants reported frequent opioid withdrawal and inadequate withdrawal management in jail.
Limited access to counseling and choices regarding medications for opioid use disorder were frequently described.

Hamilton et al. (2026) studied this question.

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Mixed-methods analysis reveals deviations in opioid care practices for pregnant individuals in jails, indicating urgent need for improvement.