Breastfeeding support and opiate dependence: A think aloud study
Sonya MacVicar1, Tracy Humphrey2, Katrina E Forbes-McKay3
1Institute of Health and Wellbeing, Robert Gordon University, Garthdee Road, Aberdeen AB10 7QB, United Kingdom; School of Health and Social Care, Edinburgh Napier University, Sighthill Court, Edinburgh EH11 4BN, United Kingdom.
Midwifery
|May 12, 2017
Summary
Breastfeeding support interventions for opiate-dependent mothers should be person-centered and tailored to individual infant feeding needs. Addressing barriers like judgmental healthcare attitudes is crucial for enhancing maternal receptiveness and support.
Area of Science:
- Maternal and Child Health
- Addiction Medicine
- Qualitative Research
Background:
- International guidelines advocate for breastfeeding support for mothers undergoing opiate maintenance treatment.
- Limited research exists on facilitators, moderators, and barriers to breastfeeding for this population.
- Targeted support strategies are needed to address the unique challenges faced by substance-exposed mothers and infants.
Purpose of the Study:
- To explore the views of women with opiate dependence on proposed elements for a breastfeeding support intervention.
- To identify key components for an effective breastfeeding support program for mothers on opiate maintenance treatment.
Main Methods:
- A qualitative study employing the think-aloud technique.
- Interviews were conducted with six opiate-dependent women within six months postpartum.
- Participants were receiving opiate medication treatment, had initiated breastfeeding, and accessed in-hospital support.
Main Results:
- An intervention incorporating practical, informational, and environmental elements was favored.
- Opiate-dependent women preferred person-centered strategies tailored to their infant feeding needs within an emotionally supportive setting.
- Judgmental and prescriptive healthcare attitudes were identified as significant barriers to breastfeeding advice acceptability.
Conclusions:
- Breastfeeding for infants at risk of Neonatal Abstinence Syndrome presents unique facilitators, modifiers, and barriers.
- Intervention design should incorporate these factors to enhance maternal receptiveness and usability.
- Tailored support and the elimination of disempowering institutional attitudes are imperative for creating a supportive environment.
Keywords:
Breastfeeding supportHealthcare interventionNeonatal Abstinence SyndromeOpiate dependenceSubstance useThink aloud techniqueMore Related Videos
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