"I'm Doing the Best That I Can for Her" : Infant-Feeding Decisions of Mothers Receiving Medication-Assisted Treatment for an Opioid Use Disorder

BACKGROUND: Several professional health organizations have made statements endorsing the safety of breastfeeding for women taking medication-assisted treatment for an opioid use disorder. Yet, breastfeeding initiation rates for this population are approximately 50% lower than the general United States' population. Furthermore, little is known about what influences the infant-feeding decisions of these women. Research aim: This study aimed to describe what influences the infant-feeding decisions of women taking medication-assisted treatment for an opioid use disorder.

METHODS: Qualitative description was used. We conducted semistructured, individual interviews with mothers ( N = 8) who were receiving medication-assisted treatment during the postpartum period. We analyzed our data using thematic analysis.

RESULTS: We identified two themes: (a) what I heard about breastfeeding, and (b) doing what I feel is best for my baby. What I heard about breastfeeding reflects the information and misinformation that women received about breastfeeding. Doing what I feel is best for my baby describes the inner conflict that the women experienced. Most of the women in this study desired to breastfeed; however, all women reported that the social stigma surrounding methadone use strongly influenced their infant-feeding decision.

CONCLUSION: This study sheds new light on what influences the infant-feeding decisions of women taking medication-assisted treatment and represents an initial step toward the development of targeted interventions to improve breastfeeding rates for this unique population.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:34

Enthalten in:

Journal of human lactation : official journal of International Lactation Consultant Association - 34(2018), 3 vom: 01. Aug., Seite 535-542

Sprache:

Englisch

Beteiligte Personen:

McGlothen, Kelly S [VerfasserIn]
Cleveland, Lisa M [VerfasserIn]
Gill, Sara L [VerfasserIn]

Links:

Volltext

Themen:

Analgesics, Opioid
Breastfeeding
Journal Article
Methadone
Mother–infant dyad
Qualitative methods
UC6VBE7V1Z

Anmerkungen:

Date Completed 30.09.2019

Date Revised 30.09.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/0890334417745521

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM27986700X