A study examined the lived experiences of six pregnant women in Scotland who accessed a specialist midwifery service for substance misuse. Researchers conducted semi-structured interviews and used Interpretive Phenomenological Analysis to identify key themes. The participants shared complex backgrounds, including trauma, domestic violence, and mental health issues, which complicated their recovery efforts. Cultural norms surrounding alcohol and substance use were seen as barriers, and for some women, these norms exacerbated prenatal substance use.

Pregnancy was viewed as a pivotal moment, motivating women to engage with services and pursue recovery. However, those who continued to use substances reported feelings of guilt, worry, and disappointment. Stigma and judgment from society were common experiences, leading to mistrust and creating obstacles to care and recovery. The study highlights the necessity of establishing non-judgmental and trusting relationships between healthcare professionals and pregnant women. It recommends integrating care models and enhancing access to resources specifically designed for recovering women during pregnancy, while also addressing societal stigma to improve outcomes for this vulnerable group.