Disparities in breastfeeding outcomes among women with opioid use disorder

Stephen, Julia M.; Shrestha, Shikhar; Jimenez, Elizabeth Yakes; Williams, Sonnie M; Ortega, Alyssa; Cano, Sandra; Leeman, Lawrence; Bakhireva, Ludmila N.

doi:10.1111/apa.15107

Cited by 8 publications

(3 citation statements)

References 4 publications

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“…Health care professionals have presumed that prenatal counseling, implementation of Baby-Friendly requirements, and hospital policies to support breastfeeding in women taking methadone or buprenorphine would lead to increased rates of successful breastfeeding. Research is limited regarding the effect of giving birth in a Baby-Friendly hospital for women on OMT; however, Stephen et al (2020) found significantly lower breastfeeding rates for women on OMT compared to women not taking opioids, despite Doerzbacher, M., Sperlich, M., Hequembourg, A., and Chang, Y.-P. giving birth in a hospital with Baby-Friendly designation.…”

Section: Facilitators Of Breastfeedingmentioning

confidence: 97%

“…Notably, implementing Baby-Friendly practices has not always been successful in increasing breastfeeding among women on OMT. For instance, Stephen et al (2020) found that although breastfeeding initiation rates were in the expected range for women on OMT in one Baby-Friendly hospital, rates of breastfeeding at 6 months were dramatically lower compared to those of control individuals (23% vs. 53%), which underscored the need to better understand the barriers and facilitators of continued breastfeeding for women on OMT.…”

Section: Health Care System Factorsmentioning

confidence: 99%

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Scoping Review of Barriers and Facilitators of Breastfeeding in Women on Opioid Maintenance Therapy

Doerzbacher¹,

Sperlich²,

Hequembourg³

et al. 2022

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Section: Facilitators Of Breastfeedingmentioning

confidence: 97%

Section: Health Care System Factorsmentioning

confidence: 99%

Scoping Review of Barriers and Facilitators of Breastfeeding in Women on Opioid Maintenance Therapy

Doerzbacher¹,

Sperlich²,

Hequembourg³

et al. 2022

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…Additionally, breastfeeding is known to reduce the severity and need for medical treatment of neonatal opioid withdrawal syndrome (NOWS) 5-9. Unfortunately, breastfeeding rates in this vulnerable group are lower than the general population, even though they intend to establish and continue breastfeeding beyond the first few weeks 2,10. Clinicians and scholars recognize that women on OMT may experience barriers to breastfeeding beyond those of the general population 11-13.…”

mentioning

confidence: 99%

A Longitudinal Qualitative Study of Barriers and Facilitators of Breastfeeding in Women on Opioid Maintenance Therapy

Doerzbacher,

Sperlich,

Hequembourg

et al. 2024

Journal of Perinatal &Amp; Neonatal Nursing

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Purpose: To understand how barriers and facilitators interact over time to support or disrupt breastfeeding among women on opioid maintenance therapy for opioid use disorder. Background: Breastfeeding has additional benefits for newborns with prenatal opioid exposure. Up to 80% of women on opioid maintenance therapy plan to breastfeed, but many do not beyond the first 7 to 10 days. Methods: A qualitative, longitudinal design was used. Semi-structured interviews occurred during the third trimester of pregnancy and again between 1 and 6 weeks postpartum. Thematic analysis was conducted using the Breastfeeding in a Life Course Context model as a framework. The design and methods were informed by a post-positivist, critical realist perspective. Results: Thirteen participants were enrolled, and 19 interviews were completed. Five themes were identified. It Will Work Out was the primary theme that describes participants’ sense of self-efficacy, stemming from their experiences of managing addiction recovery. Women considered breastfeeding to support their own health and that of their newborn while in recovery, summarized by Being Healthy. Making the choice to breastfeed, represented by Weighing the Options, was influenced by their perinatal health care providers. During the Sensitive Period, challenges could overwhelm their self-efficacy. Of 9 women, 4 were still breastfeeding when interviewed postpartum, exemplified by Moving On. Conclusions and Implications for Practice: Participants’ self-efficacy and motivation to be healthy played a significant role in managing breastfeeding challenges over time. Nursing interventions must empower women’s self-efficacy to help them achieve their breastfeeding goals.

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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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Disparities in breastfeeding outcomes among women with opioid use disorder

Cited by 8 publications

References 4 publications

Scoping Review of Barriers and Facilitators of Breastfeeding in Women on Opioid Maintenance Therapy

Scoping Review of Barriers and Facilitators of Breastfeeding in Women on Opioid Maintenance Therapy

A Longitudinal Qualitative Study of Barriers and Facilitators of Breastfeeding in Women on Opioid Maintenance Therapy

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

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