Experiences of Mothers with Substance Use in the Care of Children in the First Year of Life: A Qualitative Content Analysis

Authors

1 Department of Pediatric and Neonatal Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran;

2 Department of Nursing and Midwifery, MMS.C., Islamic Azad University, Mashhad, Iran;

3 Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;

4 Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran;

5 Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;

6 Department of Management Sciences and Health Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background: Maternal substance use is a significant and enduring issue. Following childbirth, these mothers may encounter challenges in managing problems such as feeding intolerance, inconsolable crying, prolonged hospital stays, and postpartum care. This study aimed to explore the experiences of mothers with substance use and their child care.
Methods: The present qualitative study was conducted using conventional content analysis from July 2023 and March 2024 in Mashhad, Iran. Data collection from semi-structured and in-depth interviews with 20 mothers of individuals with substance use issues continued until saturation was reached and the main categories emerged. The data were analyzed through the conventional content analysis approach of Graneheim and Lundman using MAXQDA 2020 software.
Results: The main concepts derived from the data were categorized into three main categories: “attempting to maintain the child’s physical and emotional health,” “seeking informational and physical support,” and “conflict between maternal role and substance dependence.”
Conclusion: The results suggest that although mothers with substance use problems are motivated to care for their children, they are faced with significant challenges in their efforts to properly care for their children. Their care requires comprehensive support programs.
 

Keywords

References

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International Journal of Community Based Nursing & Midwifery
Volume 13, Issue 4 - Serial Number 52
October 2025
Pages 307-317

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