Breastfeeding with Opioid Use Disorder...Breastfeeding Guidelines in the Setting of Maternal Opioid...
1
Breastfeeding with Opioid Use Disorder Breastfeeding Recommendations RECOMMENDED Breastfeeding is recommended for women with opioid use disorder (OUD) who are being treated with methadone or buprenorphine. Levels of buprenorphine and methadone are very low in breast milk. Healthcare professionals should take time to talk about the benefits of breastfeeding. 1 1 Substance Abuse and Mental Health Services Administration. Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants. HHS Publication No. (SMA) 18-5054. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2018. Benefits Breastfeeding infants with neonatal abstinence syndrome can: shorten hospitalizations 2 2 Holmes, A. P., Schmidlin, H. N. and Kurzum, E. N. (2017), Breastfeeding Considerations for Mothers of Infants with Neonatal Abstinence Syndrome. Pharmacotherapy, 37: 861-869. doi:10.1002/phar.1944. reduce need for medication treatment by 30 % to 50 % 3 3 Wachman EM, Saia K, Humphreys R, Minear S, Combs G, Philipp BL. Revision of Breastfeeding Guidelines in the Setting of Maternal Opioid Use Disorder: One Institution’s Experience. Journal of Human Lactation. 2015;32(2):382-387. Breastfeeding benefits such as skin-to-skin contact and holding the infant closely outweigh risks of maternal opioid secretion into breast milk. 4 4 Kaltenbach K, Jones HE. Neonatal Abstinence Syndrome: Presentation and Treatment Considerations. Journal of Addiction Medicine. 2016 Jul-Aug;10(4):217-223. Breastfeeding Considerations Although a stable mother being treated for OUD with medication is encouraged to breastfeed her infant, sometimes breastfeeding is not recommended: If the mother • is HIV-positive, • has tuberculosis, • has cracked or bleeding nipples, • is hepatitis C-positive, • has returned to illicit drug use including cannabis. HIV Sources: www.jbsinternational.com
Transcript of Breastfeeding with Opioid Use Disorder...Breastfeeding Guidelines in the Setting of Maternal Opioid...
Breastfeedingwith Opioid Use Disorder
Breastfeeding Recommendations
RECOMMENDED
Breastfeeding is recommended for women with opioid use disorder (OUD) who are being treated with
methadone or buprenorphine.
Levels of buprenorphine and methadone
are very low in breast milk.
Healthcare professionals should take time to talk about the
benefits of breastfeeding.1
1 Substance Abuse and Mental Health Services Administration. Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants. HHS Publication No. (SMA) 18-5054. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2018.
Benefits
Breastfeeding infants with neonatal abstinence syndrome can:
shorten hospitalizations2
2 Holmes, A. P., Schmidlin, H. N. and Kurzum, E. N. (2017), Breastfeeding Considerations for Mothers of Infants with Neonatal Abstinence Syndrome. Pharmacotherapy, 37: 861-869. doi:10.1002/phar.1944.
reduce need for medication treatment by 30% to 50%3
3 Wachman EM, Saia K, Humphreys R, Minear S, Combs G, Philipp BL. Revision of Breastfeeding Guidelines in the Setting of Maternal Opioid Use Disorder: One Institution’s Experience. Journal of Human Lactation. 2015;32(2):382-387.
Breastfeeding benefits such as skin-to-skin contact and holding
the infant closely
outweigh risks of maternal opioid
secretion into breast milk.4
4 Kaltenbach K, Jones HE. Neonatal Abstinence Syndrome: Presentation and Treatment Considerations. Journal of Addiction Medicine. 2016 Jul-Aug;10(4):217-223.
Breastfeeding Considerations
Although a stable mother being treated for OUD with medication is encouraged to breastfeed her infant, sometimes breastfeeding is not recommended:
If the mother • is HIV-positive,
• has tuberculosis,• has cracked or
bleeding nipples,
• is hepatitis C-positive,
• has returned to illicit druguse including cannabis.
HIV
Sources:
www.jbsinternational.com
