{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:38:49Z","timestamp":1792089529849,"version":"4.4.0"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,2,7]],"date-time":"2018-02-07T00:00:00Z","timestamp":1517961600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"NHS Grampian Perinatal and Neonatal Endowment Fund"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Birth"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Breastfeeding rates are typically low for women with a substance\u2010use disorder. This is despite the specific benefits of breastfeeding to alleviate the severity of neonatal abstinence syndrome and the well\u2010documented generic advantages. This study explored the feasibility of in\u2010hospital, tailored breastfeeding support for the substance\u2010exposed mother and baby.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a mixed\u2010methods feasibility study undertaken in Scotland from April 2014 to May 2015. Women with a substance\u2010use disorder either received standard Baby\u2010Friendly Initiative care only or were given additional support which included a dedicated breastfeeding support worker, personalized capacity\u2010building approach, and a low\u2010stimuli environment for 5\u00a0days. Feasibility outcome measures were maternal recruitment, satisfaction and acceptability of support, breastfeeding on fifth postnatal day, and severity of neonatal abstinence syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fourteen mother\u2010infant dyads participated. Intervention participants demonstrated higher rates of continued breastfeeding and reported a greater degree of satisfaction with support and confidence in their breastfeeding ability. Maternal experience of health care practices, attitudes, and postnatal environment influenced their perceptions of breastfeeding support. Breastfed infants were less likely to require pharmacotherapy for neonatal withdrawal and had a shorter hospital stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings highlight the feasibility of tailored breastfeeding support for the substance\u2010exposed mother and baby and endorse the promotion and support of breastfeeding for this group. Future research should include a statistically powered randomized controlled trial to evaluate clinical efficacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/birt.12338","type":"journal-article","created":{"date-parts":[[2018,2,7]],"date-time":"2018-02-07T07:27:01Z","timestamp":1517988421000},"page":"450-458","source":"Crossref","is-referenced-by-count":28,"title":["Breastfeeding and the substance\u2010exposed mother and baby"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0618-6005","authenticated-orcid":false,"given":"Sonya","family":"MacVicar","sequence":"first","affiliation":[{"name":"School of Health and Social Care Edinburgh Napier University  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy","family":"Humphrey","sequence":"additional","affiliation":[{"name":"School of Health and Social Care Edinburgh Napier University  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4076-610X","authenticated-orcid":false,"given":"Katrina E.","family":"Forbes\u2010McKay","sequence":"additional","affiliation":[{"name":"School of Social Studies Robert Gordon University  Aberdeen UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,7]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2015-308948"},{"key":"e_1_2_5_3_1","volume-title":"Guidelines for the Identification and Management of Substance Use and Substance Use Disorders in Pregnancy","author":"World Health 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