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

Doerzbacher, Margaret; Sperlich, Mickey; Hequembourg, Amy; Chang, Yu‐Ping

doi:10.1016/j.jogn.2021.09.004

Cited by 2 publications

(2 citation statements)

References 47 publications

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“…Infant health and developmental benefits serve as a main motivator in the desire to breastfeed among childbearing women with OUD (Clark, 2019; McGlothen et al, 2018). Yet, despite the known benefits of mother’s milk for infants with NOWS and current recommendations, women with OUD face numerous barriers to breastfeeding, including lack of peer and familial support and inadequate clinical and community support for breastfeeding and lactation management (Doerzbacher et al, 2022; Tsai & Doan, 2016). These barriers are like those faced by the general population; however, childbearing women with OUD face additional barriers unique to their diagnosis (McGlothen et al, 2018).…”

Section: Stigma and Childbearing Women With Oudmentioning

confidence: 99%

“…These barriers are like those faced by the general population; however, childbearing women with OUD face additional barriers unique to their diagnosis (McGlothen et al, 2018). For example, women frequently report receiving mixed messages from health care providers about the safety of breastfeeding while receiving treatment medications for their opioid use disorder (MOUD); some clinicians misinform women about the appropriateness of breastfeeding for the infant’s well-being, whereas others encourage the use of mother’s milk (Doerzbacher et al, 2022; McGlothen et al, 2018). Inconsistencies in infant feeding management are confusing and may negatively influence the mother’s desire to breastfeed (McGlothen et al, 2018).…”

Section: Stigma and Childbearing Women With Oudmentioning

confidence: 99%

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Intersectional stigma and infant feeding in childbearing women with opioid use disorder.

McGlothen-Bell¹,

Cleveland²,

Spencer³

et al. 2023

Stigma and Health

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Opioid use disorder (OUD) in childbearing women is a complex multilayered public health concern that creates increased vulnerability for affected women and infants, placing them at risk for stigmatization. The role of intersectional stigma is not well understood in the context of OUD and mothering; however, it may have implications for health-related behaviors such as infant feeding. The aim of this study was to understand how intersecting stigmas influence the infant feeding choices of childbearing women with OUD. Using an intersectional lens, this study highlights how multiple stigmas related to their diagnosis and role as mothers converge and affect decisions regarding infant feeding. We conducted a secondary analysis of semistructured individual interviews from 14 participants who were mothers of infants treated for Newborn Opioid Withdrawal Syndrome. The original study was a qualitative, multiple case study analysis of infant feeding experiences of mothers receiving medication for OUD. Interview data were analyzed using qualitative content analysis. Three overarching themes revealed mothers' awareness of the stigma attached to mothering with OUD: (a) you have to go that extra mile, (b) everybody has their reasons, and (c) just do what you got to do. The mothers' assignment of good mothering behaviors based on infant feeding choice further underscored their perceived stigma. Understanding the intersections between OUD-related stigma within the context of mothering may provide opportunities to better support infant feeding choices in childbearing women with OUD.

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