{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T20:42:59Z","timestamp":1793652179453,"version":"4.5.1"},"reference-count":32,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2018,1,11]],"date-time":"2018-01-11T00:00:00Z","timestamp":1515628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Several professional health organizations have made statements endorsing the safety of breastfeeding for women taking medication-assisted treatment for an opioid use disorder. Yet, breastfeeding initiation rates for this population are approximately 50% lower than the general United States\u2019 population. Furthermore, little is known about what influences the infant-feeding decisions of these women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research aim:<\/jats:title>\n                    <jats:p>This study aimed to describe what influences the infant-feeding decisions of women taking medication-assisted treatment for an opioid use disorder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Qualitative description was used. We conducted semistructured, individual interviews with mothers ( N = 8) who were receiving medication-assisted treatment during the postpartum period. We analyzed our data using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We identified two themes: (a) what I heard about breastfeeding, and (b) doing what I feel is best for my baby. What I heard about breastfeeding reflects the information and misinformation that women received about breastfeeding. Doing what I feel is best for my baby describes the inner conflict that the women experienced. Most of the women in this study desired to breastfeed; however, all women reported that the social stigma surrounding methadone use strongly influenced their infant-feeding decision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study sheds new light on what influences the infant-feeding decisions of women taking medication-assisted treatment and represents an initial step toward the development of targeted interventions to improve breastfeeding rates for this unique population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890334417745521","type":"journal-article","created":{"date-parts":[[2018,1,12]],"date-time":"2018-01-12T02:18:38Z","timestamp":1515723518000},"page":"535-542","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":38,"title":["\u201cI\u2019m Doing the Best That I Can for Her\u201d: Infant-Feeding Decisions of Mothers Receiving Medication-Assisted Treatment for an Opioid Use Disorder"],"prefix":"10.1177","volume":"34","author":[{"given":"Kelly S.","family":"McGlothen","sequence":"first","affiliation":[{"name":"School of Nursing, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa M.","family":"Cleveland","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara L.","family":"Gill","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,1,11]]},"reference":[{"key":"bibr1-0890334417745521","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318256496e"},{"key":"bibr2-0890334417745521","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"bibr3-0890334417745521","doi-asserted-by":"crossref","unstructured":"Cleveland L. M. (2016). Breastfeeding recommendations for women who receive medication-assisted treatment for opioid use disorders: AWHONN practice brief number 4. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 45(4), 574-576. Retrieved from http:\/\/dx.doi.org\/10.1016\/j.jogn.2016.06.004","DOI":"10.1016\/j.jogn.2016.06.004"},{"key":"bibr4-0890334417745521","doi-asserted-by":"crossref","unstructured":"Cleveland L. M., Bonugli R. (2014). Experiences of mothers of infants with neonatal abstinence syndrome in the neonatal intensive care unit. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 43(3), 318-329. Retrieved from http:\/\/dx.doi.org\/10.1111\/1552-6909.12306","DOI":"10.1111\/1552-6909.12306"},{"key":"bibr5-0890334417745521","doi-asserted-by":"publisher","DOI":"10.1097\/ANS.0000000000000118"},{"key":"bibr6-0890334417745521","doi-asserted-by":"crossref","unstructured":"Cleveland L. M., Gill S. L. (2013). \u201cTry not to judge\u201d: Mothers of substance exposed infants. American Journal of Maternal Child Nursing, 38, 200-205. Retrieved from http:\/\/dx.doi.org\/10.1097\/NMC.0b013e31827816de","DOI":"10.1097\/NMC.0b013e31827816de"},{"key":"bibr7-0890334417745521","doi-asserted-by":"crossref","unstructured":"Demirci J. R., Bogen D. L., Klionsky Y. (2015). Breastfeeding and methadone therapy: The maternal experience. Journal of Substance Abuse, 36(2), 203-208. Retrieved from http:\/\/dx.doi.org\/10.1080\/08897077.2014.902417","DOI":"10.1080\/08897077.2014.902417"},{"key":"bibr8-0890334417745521","doi-asserted-by":"publisher","DOI":"10.1177\/0890334416681496"},{"key":"bibr9-0890334417745521","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.7645.1"},{"key":"bibr10-0890334417745521","doi-asserted-by":"publisher","DOI":"10.1177\/0890334416663198"},{"key":"bibr11-0890334417745521","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogn.2017.02.002"},{"key":"bibr12-0890334417745521","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000308"},{"key":"bibr13-0890334417745521","doi-asserted-by":"publisher","DOI":"10.1558\/mmwr.mm6609a2"},{"key":"bibr14-0890334417745521","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001446"},{"key":"bibr15-0890334417745521","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"bibr16-0890334417745521","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1600879"},{"key":"bibr17-0890334417745521","doi-asserted-by":"crossref","unstructured":"McQueen K. A., Murphy-Oikonen J., Gerlach K., Montepare W. (2011). The impact of infant feeding method on neonatal abstinence scores of methadone-exposed infants. Advances in Neonatal Care, 11(4), 282-290. Retrieved from http:\/\/www.drugabuse.gov\/sites\/default\/files\/prenatal.pdf","DOI":"10.1097\/ANC.0b013e318225a30c"},{"key":"bibr18-0890334417745521","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2015.36"},{"key":"bibr19-0890334417745521","doi-asserted-by":"crossref","unstructured":"Patrick S. W., Schumacher R. E., Bennyworth B. D., Krans E. E., McAllister J. M., Davis M. M. (2012). Neonatal abstinence syndrome and associated health care expenditures. The Journal of the American Medical Association, 307(18), 1934-1940. Retrieved from http:\/\/dx.doi.org\/10.1001\/jama.2012.3951","DOI":"10.1001\/jama.2012.3951"},{"key":"bibr20-0890334417745521","doi-asserted-by":"crossref","unstructured":"Pritham U. (2013). Breastfeeding promotion for management of neonatal abstinence syndrome. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 42(5), 517-526. Retrieved from http:\/\/dx.doi.org\/10.1111\/1552-6909.12242","DOI":"10.1111\/1552-6909.12242"},{"key":"bibr21-0890334417745521","doi-asserted-by":"crossref","unstructured":"Reece-Stremtan S., Marinelli K. A. (2015). ABM clinical protocol #21: Guidelines for breastfeeding and substance use or substance use disorder, revised 2015. Breastfeeding Medicine, 10(3), 135-141. Retrieved from http:\/\/dx.doi.org\/10.1089\/bfm.2015.9992","DOI":"10.1089\/bfm.2015.9992"},{"key":"bibr22-0890334417745521","doi-asserted-by":"publisher","DOI":"10.1177\/0890334414548070"},{"key":"bibr23-0890334417745521","doi-asserted-by":"crossref","unstructured":"Sachs H. C. & Committee on Drugs. (2013). The transfer of drugs and therapeutics into human breast milk: An update on selected topics. Pediatrics, 132(3), e796-e809. 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