Breastfeeding and Opiate Substitution Therapy: Starting to Understand Infant Feeding Choices

Graves, Lisa; Turner, Suzanne; Nader, Maya; Sinha, Sucheta

doi:10.4137/sart.s34553

Cited by 10 publications

(23 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Mothers may be reluctant to express interest in breastfeeding for fear of being shunned by those who do not understand or support breastfeeding in this population. Mothers and/or their partners may also be concerned that their infant may receive an overdose of methadone through breast milk …”

Section: Barriers To Breastfeeding An Infant With Nasmentioning

confidence: 99%

“…Recovery does require a significant time commitment . Women who are maintained on methadone will be required to travel to a methadone clinic daily to receive their dose.…”

Section: Barriers To Breastfeeding An Infant With Nasmentioning

confidence: 99%

“…Women in recovery for addiction often have limited financial resources . Traveling to the hospital to breastfeed or bring expressed milk may be a barrier in itself.…”

Section: Barriers To Breastfeeding An Infant With Nasmentioning

confidence: 99%

“…Perhaps the greatest barrier to breastfeeding for women with opioid dependence is the inaccurate and inconsistent information they receive from different sources, including health care professionals. 11,31,32 Despite all of the evidence to the contrary, some clinicians continue to advise opioid-dependent mothers not to breastfeed. One potential barrier to breastfeeding in this population is social prejudice.…”

Section: Barriers To Breastfeeding An Infant With Nasmentioning

confidence: 99%

See 3 more Smart Citations

Breastfeeding Considerations for Mothers of Infants with Neonatal Abstinence Syndrome

2017

View full text Add to dashboard Cite

Breastfeeding offers many benefits to both mother and baby. Breastfeeding is generally recommended for mothers of infants with neonatal abstinence syndrome (NAS) unless some associated risk outweighs the benefits. Evidence indicates that infants with NAS who receive human milk require less pharmacologic treatment and have shorter hospital lengths of stay. Perhaps the greatest barrier to breastfeeding for women with opioid dependence is the inaccurate and inconsistent information they receive from different sources, including health care professionals. The American Congress of Obstetricians and Gynecologists, American Academy of Pediatrics, and Academy of Breastfeeding Medicine (ABM) have published statements that support breastfeeding infants with NAS. The ABM has a dedicated protocol to guide clinicians in deciding which mothers should and which mothers should not breastfeed their infants. In this review, studies evaluating the effects of breastfeeding, professional organizations' protocols and recommendations regarding breastfeeding, and barriers to breastfeeding infants with NAS are discussed, as well as the dangers of illicit drug exposure and avoiding rebound NAS in a breastfed infant. Clinicians can play an important role in in identifying, supporting, counseling, and advocating for mothers who wish to breastfeed their infant with NAS.

show abstract

Section: Barriers To Breastfeeding An Infant With Nasmentioning

confidence: 99%

“…Recovery does require a significant time commitment . Women who are maintained on methadone will be required to travel to a methadone clinic daily to receive their dose.…”

Section: Barriers To Breastfeeding An Infant With Nasmentioning

confidence: 99%

“…Women in recovery for addiction often have limited financial resources . Traveling to the hospital to breastfeed or bring expressed milk may be a barrier in itself.…”

Section: Barriers To Breastfeeding An Infant With Nasmentioning

confidence: 99%

Section: Barriers To Breastfeeding An Infant With Nasmentioning

confidence: 99%

See 2 more Smart Citations

Breastfeeding Considerations for Mothers of Infants with Neonatal Abstinence Syndrome

2017

View full text Add to dashboard Cite

show abstract

“…Some women are discouraged from breastfeeding despite the evidence of benefits for newborns, including those being monitored and treated for NAS. 29 There is a need to continue working with mothers and families after the Figure 1.…”

Section: Increased Focus On Postpartum Care For Mother Baby and Familymentioning

confidence: 99%

Opioid use in pregnancy and parenting: An Indigenous-based, collaborative framework for Northwestern Ontario

Jumah

Bishop

Franklyn

et al. 2017

Can J Public Health

View full text Add to dashboard Cite

Opioid use affects up to 30% of pregnancies in Northwestern Ontario. Health care providers in Northwestern Ontario have varying comfort levels providing care to substance-involved pregnant women. Furthermore, health care practitioners, social service agencies and community groups in Northwestern Ontario often work in isolation with little multidisciplinary communication and collaboration. This article describes two workshops that brought together health and social service providers, community organizations, as well as academic institutions and professional organizations involved in the care of substance-involved pregnant and parenting women. The initial workshop presented best practices and local experience in the management of opioid dependence in pregnancy while the second workshop asked participants to apply a local Indigenous worldview to the implementation of clinical, research and program priorities that were identified in the first workshop. Consensus statements developed by workshop participants identified improved transitions in care, facilitated access to buprenorphine treatment, stable funding models for addiction programs and a focus on Indigenous-led programming. Participants identified a critical need for a national strategy to address the effects of opioid use in pregnancy from a culturally safe, trauma-informed perspective that takes into account the health and well-being of the woman, her infant, her family and her community.KEY WORDS: Opiate dependence; pregnancy; Indigenous health services; rural population La traduction du résumé se trouve à la fin de l'article.

show abstract

Physical activity may be an adjuvant treatment option for substance use disorders during pregnancy: A scoping review

Nagpal

Bhattacharjee

Silva

et al. 2020

Birth Defects Research

View full text Add to dashboard Cite

Background Substance abuse in pregnancy increases the chance of physical and neurobehavioral disabilities as well as many other undesirable fetal outcomes. In nonpregnant populations, physical exercise has shown to be an effective adjunctive therapy option for substance use disorders. Given the known positive maternal and fetal physiological and mental health benefits associated with prenatal exercise, perhaps exercise during pregnancy may also be a viable adjuvant therapy option for women with substance use disorders. The purpose of this scoping review was to summarize the available literature that has assessed the relationship between prenatal exercise and substance use disorders. Methods A search strategy was developed combining the terms pregnancy, exercise/physical activity, and substance use. A systematic search was completed in the following databases: Medline/PubMed, SPORTDiscus, and ProQuest. Substances eligible for inclusion included illicit drugs, alcohol, and cannabis. Retrieved data were categorized as animal or human model studies, and were summarized narratively. Results Eight studies were included in this review (five human studies, three animal model studies). Studies in humans suggest that pregnant women with substance use disorders are interested in engaging in physical activity interventions; however, known acute metabolic and physiological responses to prenatal exercise may be impaired in this population. Rodent models show preliminary evidence for improved mental health outcomes following prenatal exercise for substance use disorders. Conclusion The findings from this review may inform the development of future clinical trials to test the effect of structured exercise programs as an adjunctive treatment option for pregnant women with substance use disorders.

show abstract

Breastfeeding and Opiate Substitution Therapy: Starting to Understand Infant Feeding Choices

Cited by 10 publications

References 33 publications

Breastfeeding Considerations for Mothers of Infants with Neonatal Abstinence Syndrome

Breastfeeding Considerations for Mothers of Infants with Neonatal Abstinence Syndrome

Opioid use in pregnancy and parenting: An Indigenous-based, collaborative framework for Northwestern Ontario

Physical activity may be an adjuvant treatment option for substance use disorders during pregnancy: A scoping review

Contact Info

Product

Resources

About