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Breastfeeding and Methadone Therapy: The Maternal Experience.

Identifieur interne : 000891 ( PubMed/Checkpoint ); précédent : 000890; suivant : 000892

Breastfeeding and Methadone Therapy: The Maternal Experience.

Auteurs : Jill R. Demirci [États-Unis] ; Debra L. Bogen ; Yael Klionsky

Source :

RBID : pubmed:24702686

Descripteurs français

English descriptors

Abstract

Despite evidence of low transfer of methadone into breast milk and the potential physical and psychological benefits that breastfeeding offers for methadone-exposed mothers and infants, the rate of breastfeeding initiation in this population is about half that reported nationally. This study describes the perceptions surrounding breastfeeding decisions and management among pregnant and postpartum women taking methadone.

DOI: 10.1080/08897077.2014.902417
PubMed: 24702686


Affiliations:


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pubmed:24702686

Le document en format XML

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<title xml:lang="en">Breastfeeding and Methadone Therapy: The Maternal Experience.</title>
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<name sortKey="Demirci, Jill R" sort="Demirci, Jill R" uniqKey="Demirci J" first="Jill R" last="Demirci">Jill R. Demirci</name>
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<nlm:affiliation>a Department of Pediatrics , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<title level="j">Substance abuse</title>
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<term>Breast Feeding (contraindications)</term>
<term>Breast Feeding (psychology)</term>
<term>Female</term>
<term>Focus Groups</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Humans</term>
<term>Methadone (adverse effects)</term>
<term>Methadone (therapeutic use)</term>
<term>Mothers (psychology)</term>
<term>Opiate Substitution Treatment (adverse effects)</term>
<term>Pregnancy</term>
<term>Young Adult</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Allaitement maternel ()</term>
<term>Allaitement maternel (psychologie)</term>
<term>Analgésiques morphiniques (effets indésirables)</term>
<term>Analgésiques morphiniques (usage thérapeutique)</term>
<term>Connaissances, attitudes et pratiques en santé</term>
<term>Femelle</term>
<term>Grossesse</term>
<term>Groupes focalisés</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mères (psychologie)</term>
<term>Méthadone (effets indésirables)</term>
<term>Méthadone (usage thérapeutique)</term>
<term>Traitement de substitution aux opiacés (effets indésirables)</term>
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<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en">
<term>Analgesics, Opioid</term>
<term>Methadone</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Analgesics, Opioid</term>
<term>Methadone</term>
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<term>Opiate Substitution Treatment</term>
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<keywords scheme="MESH" qualifier="contraindications" xml:lang="en">
<term>Breast Feeding</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Analgésiques morphiniques</term>
<term>Méthadone</term>
<term>Traitement de substitution aux opiacés</term>
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<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr">
<term>Allaitement maternel</term>
<term>Mères</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Breast Feeding</term>
<term>Mothers</term>
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<term>Analgésiques morphiniques</term>
<term>Méthadone</term>
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<term>Adolescent</term>
<term>Adult</term>
<term>Female</term>
<term>Focus Groups</term>
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<term>Adulte</term>
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<term>Femelle</term>
<term>Grossesse</term>
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<front>
<div type="abstract" xml:lang="en">Despite evidence of low transfer of methadone into breast milk and the potential physical and psychological benefits that breastfeeding offers for methadone-exposed mothers and infants, the rate of breastfeeding initiation in this population is about half that reported nationally. This study describes the perceptions surrounding breastfeeding decisions and management among pregnant and postpartum women taking methadone.</div>
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<Month>06</Month>
<Day>17</Day>
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<DateCompleted>
<Year>2016</Year>
<Month>11</Month>
<Day>14</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>12</Month>
<Day>30</Day>
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<Journal>
<ISSN IssnType="Electronic">1547-0164</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>36</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2015</Year>
</PubDate>
</JournalIssue>
<Title>Substance abuse</Title>
<ISOAbbreviation>Subst Abus</ISOAbbreviation>
</Journal>
<ArticleTitle>Breastfeeding and Methadone Therapy: The Maternal Experience.</ArticleTitle>
<Pagination>
<MedlinePgn>203-8</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1080/08897077.2014.902417</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Despite evidence of low transfer of methadone into breast milk and the potential physical and psychological benefits that breastfeeding offers for methadone-exposed mothers and infants, the rate of breastfeeding initiation in this population is about half that reported nationally. This study describes the perceptions surrounding breastfeeding decisions and management among pregnant and postpartum women taking methadone.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Seven pregnant women and 4 postpartum women enrolled in methadone maintenance programs participated in semistructured, audiotaped interviews and focus groups, respectively, about their breastfeeding experiences. Transcripts were analyzed and coded using qualitative content analysis.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Three major content categories were identified: (1) fears, barriers, and misconceptions about breastfeeding while taking methadone; (2) motivation and perceived benefits of breastfeeding; and (3) sources of information, support, and anxiety about general breastfeeding management and breastfeeding while taking methadone. Lack of support from the health care community and misinformation about the dangers of combining breastfeeding and methadone therapy represented significant, yet modifiable, barriers to breastfeeding success in methadone-exposed women.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Interventions to increase the prevalence of breastfeeding among women taking methadone should address identified logistical, educational, and psychological barriers and consider inclusion of women themselves, partners, peers, and clinicians. In particular, clinicians who care for methadone-exposed mothers and infants should be educated on therapeutic communication, up-to-date breastfeeding contraindications, and the health benefits of breastfeeding in this population.</AbstractText>
</Abstract>
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<LastName>Demirci</LastName>
<ForeName>Jill R</ForeName>
<Initials>JR</Initials>
<AffiliationInfo>
<Affiliation>a Department of Pediatrics , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA.</Affiliation>
</AffiliationInfo>
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<LastName>Bogen</LastName>
<ForeName>Debra L</ForeName>
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<LastName>Klionsky</LastName>
<ForeName>Yael</ForeName>
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<Acronym>NR</Acronym>
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<Country>United States</Country>
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<GrantID>R21 DA023263</GrantID>
<Acronym>DA</Acronym>
<Agency>NIDA NIH HHS</Agency>
<Country>United States</Country>
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<Acronym>DA</Acronym>
<Agency>NIDA NIH HHS</Agency>
<Country>United States</Country>
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<Agency>PHS HHS</Agency>
<Country>United States</Country>
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<NameOfSubstance UI="D008691">Methadone</NameOfSubstance>
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<CommentsCorrectionsList>
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