Breastfeeding Intention Compared With Breastfeeding Postpartum Among Women Receiving Medication-Assisted Treatment / Nicole Yonke in Journal of Human Lactation, Vol. 35, n°1 (Février 2019)

[article]  inJournal of Human Lactation > Vol. 35, n°1 (Février 2019) . - pp. 71-79 Titre : Breastfeeding Intention Compared With Breastfeeding Postpartum Among Women Receiving Medication-Assisted Treatment Type de document : texte imprimé Auteurs : Nicole Yonke, Auteur ; Rebekah Maston, Auteur Année de publication : 2019 Article en page(s) : pp. 71-79 Langues : Anglais (eng) Catégories : Allaitement exclusif Démarrage de l'allaitement Drogue Etude de cas ou de cohorte Frein à l'allaitement Hépatite C Hépatite virale Héroïne Médicament Méthadone Morphine Nutrition du nourrisson Période prénatale Physiologie nutrition Post-partum Pratique de l'allaitement Produit de substitution Taux d'allaitement Résumé : "Background: Women taking methadone or buprenorphine are encouraged to breastfeed if stable without polysubstance use. Research Aim: We aimed to determine the difference between stated intention to breastfeed prenatally in women taking methadone or buprenorphine compared with breastfeeding at discharge and 2 months postpartum. Secondary outcomes were determining whether breastfeeding was more common in women taking buprenorphine, in women without hepatitis C infection, and in women without a history of heroin use, and whether breastfeeding reduced the need for pharmacological treatment of neonatal opioid withdrawal syndrome. Methods: This was a retrospective cohort study of 228 women enrolled in a perinatal substance abuse treatment program. Electronic medical records were reviewed to abstract data on mother-infant dyads. Chi-square tests were used to analyze our outcomes. Results: Women taking buprenorphine had a higher prevalence of breastfeeding compared with women taking methadone (83% [n = 100] vs. 71% [n = 76]; χ2 = 4.35, p = .03), despite no difference in their prenatal intention to breastfeed (87% vs. 81%; χ2 = 1.28, p = .25). Only 31% (n = 38) of women taking buprenorphine and 19.6% (n = 21) of women taking methadone exclusively breastfed at discharge (χ2 = 5.43, p = .06). Exclusively breastfed infants required less pharmacological treatment for neonatal opioid withdrawal syndrome compared with formula-fed infants (15.8% [n = 21] vs. 47.4% [n = 38]; χ2 = 19.72, p < .05). Conclusion: Despite most women reporting a high prenatal intention to breastfeed, exclusive breastfeeding at hospital discharge postpartum was low. Breastfeeding was associated with a decreased likelihood of pharmacological treatment for neonatal opioid withdrawal syndrome."[Résumé de l'auteur] Permalink : ./index.php?lvl=notice_display&id=1146 [article]

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