Breastfeeding Intention Compared With Breastfeeding Postpartum Among Women Receiving Medication-Assisted Treatment

Yonke, Nicole; Maston, Rebekah; Weitzen, Sherry; Leeman, Lawrence

doi:10.1177/0890334418769637

Cited by 21 publications

(20 citation statements)

References 29 publications

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“…All the studies that reported breastfeeding rates among women receiving opioid maintenance therapy were retrospective chart reviews (Table ) . Three of these studies were conducted in the United States, and one was in Canada.…”

Section: Resultsmentioning

confidence: 99%

“… Low rates of breastfeeding initiation and continuation are seen in this population of women in the United States. The largest of the studies, conducted in New Mexico with a sample of 228 women reported that, although more than 80% of women on opioid maintenance therapy reported an intention to breastfeed, 31.4% and 19.6% of the women on buprenorphine and methadone, respectively, were exclusively breastfeeding at discharge . At 2 months, 8.9% and 11.2% of women on buprenorphine or methadone were exclusively breastfeeding .…”

Section: Resultsmentioning

confidence: 99%

“…The largest of the studies, conducted in New Mexico with a sample of 228 women reported that, although more than 80% of women on opioid maintenance therapy reported an intention to breastfeed, 31.4% and 19.6% of the women on buprenorphine and methadone, respectively, were exclusively breastfeeding at discharge . At 2 months, 8.9% and 11.2% of women on buprenorphine or methadone were exclusively breastfeeding . A study of 57 women on opioid maintenance therapy reported that, although 71% reported an intention to breastfeed, 33% of these women did not initiate breastfeeding at all prior to discharge .…”

Section: Resultsmentioning

confidence: 99%

“…Despite the additional benefits to breastfeeding in this population, women receiving opioid maintenance therapy are less likely to breastfeed their newborns, especially if their newborns develop NAS. Although findings vary, one study found that breastfeeding initiation rates for women on opioid maintenance therapy ranged from 19.6% to 31.4%, depending on the maintenance medication a woman was receiving; nationally, meanwhile, 83.2% of women initiate breastfeeding in the first postpartum days . This review presents the results of an examination of current policy statements on breastfeeding in the context of opioid maintenance therapy, the rates of breastfeeding among women in this population, and facilitators and barriers for implementing these policy recommendations.…”

Section: Introductionmentioning

confidence: 99%

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Breastfeeding in Women on Opioid Maintenance Therapy: A Review of Policy and Practice

Clark

2019

J Midwife Womens Health

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Introduction:Opioid use is epidemic in the United States. Opioid use disorder (OUD) in pregnancy, as well as neonatal abstinence syndrome, has quadrupled in the last decade, and opioid maintenance therapy is recommended for pregnant women with OUD. Breastfeeding is an important means of improving outcomes for these vulnerable women and newborns. The purpose of this study was to review current policy on breastfeeding and opioid maintenance therapy, the rates of breastfeeding among women in this population, and facilitators and barriers to implementing policy recommendations.Methods: CINAHL, PubMed, the Cochrane Database of Systematic Reviews, Embase, and Web of Science were searched. Inclusion criteria included publication between 2013 and 2018, English language, human only, and original data (except for policy statements). Studies were excluded if they did not report original data and did not examine breastfeeding for women on opioid maintenance therapy.Results: Eight policy statements and 17 original research studies were identified that met the search criteria. All the policy statements support breastfeeding for women who are stable on opioid maintenance therapy and do not have HIV. Despite this, rates of breastfeeding among women receiving opioid maintenance therapy remain low compared with women in the general population. Results of qualitative research indicates that women on opioid maintenance therapy face numerous barriers to breastfeeding, including misinformation from health care professionals. Quantitative research has only begun to identify interventions to improve breastfeeding outcomes in this population. Research was conducted primarily with white women receiving care at urban health care centers. Discussion:Practice lags behind policy in terms of supporting breastfeeding in women receiving opioid maintenance therapy. There is a need for more research that includes African American and rural women on opioid maintenance therapy, as well as quantitative research that uses findings from qualitative research to identify the best possible interventions for improving breastfeeding outcomes for women on opioid maintenance therapy and their newborns. One significant need is for health care provider education regarding these policies as well as best practices for providing breastfeeding education and support to this population. 545 RESULTSA total of 558 results were found, 154 duplicates were removed, and 404 titles and abstracts were screened. Of the 404 articles, 344 were excluded for failing to meet inclusion 546

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Breastfeeding in Women on Opioid Maintenance Therapy: A Review of Policy and Practice

Clark

2019

J Midwife Womens Health

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“…Lastly, breastfeeding counseling and support should be trauma informed because mothers with OUD report high rates of trauma, including sexual trauma, which may influence their desire to breastfeed. [69][70][71]…”

Section: Breastfeedingmentioning

confidence: 99%

Neonatal Opioid Withdrawal Syndrome

et al. 2020

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The opioid crisis has grown to affect pregnant women and infants across the United States, as evidenced by rising rates of opioid use disorder among pregnant women and neonatal opioid withdrawal syndrome among infants. Across the country, pregnant women lack access to evidence-based therapies, including medications for opioid use disorder, and infants with opioid exposure frequently receive variable care. In addition, public systems, such as child welfare and early intervention, are increasingly stretched by increasing numbers of children affected by the crisis. Systematic, enduring, coordinated, and holistic approaches are needed to improve care for the mother-infant dyad. In this statement, we provide an overview of the effect of the opioid crisis on the mother-infant dyad and provide recommendations for management of the infant with opioid exposure, including clinical presentation, assessment, treatment, and discharge.

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Breastfeeding Experiences in Women from Ten States Reporting Opioid Use Before or During Pregnancy: PRAMS, Phase 8

Bremer

Knippen

2022

Matern Child Health J

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Breastfeeding Intention Compared With Breastfeeding Postpartum Among Women Receiving Medication-Assisted Treatment

Abstract: Despite most women reporting a high prenatal intention to breastfeed, exclusive breastfeeding at hospital discharge postpartum was low. Breastfeeding was associated with a decreased likelihood of pharmacological treatment for neonatal opioid withdrawal syndrome.

Cited by 21 publications

References 29 publications

Breastfeeding in Women on Opioid Maintenance Therapy: A Review of Policy and Practice

Breastfeeding in Women on Opioid Maintenance Therapy: A Review of Policy and Practice

Neonatal Opioid Withdrawal Syndrome

Breastfeeding Experiences in Women from Ten States Reporting Opioid Use Before or During Pregnancy: PRAMS, Phase 8

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