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Am J Perinatol 2024; 41(01): 082-088
DOI: 10.1055/s-0041-1740145
Original Article

Breastfeeding Intention, Knowledge, and Attitude of Pregnant Women in Treatment for Opioid Use Disorder

Vanessa L. Short 
1   Department of Obstetrics and Gynecology, Sydney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania
,
Diane J. Abatemarco
1   Department of Obstetrics and Gynecology, Sydney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania
,
Meghan Gannon
1   Department of Obstetrics and Gynecology, Sydney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania
› Author Affiliations Funding U.S. Department of Health and Human Services, National Institutes of Health, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD; identifier no.: 1 R03 HD092825-01A1).
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Abstract

Objective The objective of this study was to describe breastfeeding intention, knowledge, and attitude, and sources of infant feeding information during the prenatal period among a cohort of pregnant women in treatment for opioid use disorder (OUD).

Study Design Pregnant women who were receiving treatment for OUD and in the third trimester completed a questionnaire that measured demographic characteristics, infant feeding intentions, breastfeeding beliefs and attitudes, and sources of breastfeeding information. Frequency counts and percentages and means and standard deviations were used to describe data.

Results Sixty-five women completed the survey. Three-fourths reported some intention to breastfeeding. While attitudes around breastfeeding were generally positive, less than half of respondents knew the recommendations and infant health benefits of breastfeeding.

Conclusion Prenatal programs for women in treatment for OUD should consider addressing patient-reported concerns and gaps in knowledge regarding the benefits of and recommendation for breastfeeding.

Key Points

  • Breastfeeding has unique benefits for mother-infant dyads affected by maternal OUD.

  • Breastfeeding decisions are influenced by maternal psychosocial factors (e.g., knowledge and attitudes), however, such factors have not been previously assessed in women in treatment for OUD.

  • Results indicate that attitudes around breastfeeding are positive but knowledge gaps exist.

Keywords

breastfeeding - intention - knowledge - opioid use disorder - pregnancy - survey


Publication History

Received: 26 April 2021

Accepted: 03 October 2021

Article published online:
28 November 2021

© 2021. Thieme. All rights reserved.

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