{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:23:02Z","timestamp":1785392582596,"version":"3.55.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2018,5,3]],"date-time":"2018-05-03T00:00:00Z","timestamp":1525305600000},"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":[[2019,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Women taking methadone or buprenorphine are encouraged to breastfeed if stable without polysubstance use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Aim:<\/jats:title>\n                    <jats:p>We aimed to determine the difference between stated intention to breastfeed prenatally in women taking methadone or buprenorphine compared with breastfeeding at discharge and 2 months postpartum. Secondary outcomes were determining whether breastfeeding was more common in women taking buprenorphine, in women without hepatitis C infection, and in women without a history of heroin use, and whether breastfeeding reduced the need for pharmacological treatment of neonatal opioid withdrawal syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a retrospective cohort study of 228 women enrolled in a perinatal substance abuse treatment program. Electronic medical records were reviewed to abstract data on mother-infant dyads. Chi-square tests were used to analyze our outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Women taking buprenorphine had a higher prevalence of breastfeeding compared with women taking methadone (83% [ n = 100] vs. 71% [ n = 76]; \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      = 4.35, p = .03), despite no difference in their prenatal intention to breastfeed (87% vs. 81%; \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      = 1.28, p = .25). Only 31% ( n = 38) of women taking buprenorphine and 19.6% ( n = 21) of women taking methadone exclusively breastfed at discharge (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      = 5.43, p = .06). Exclusively breastfed infants required less pharmacological treatment for neonatal opioid withdrawal syndrome compared with formula-fed infants (15.8% [ n = 21] vs. 47.4% [ n = 38]; \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      = 19.72, p &lt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Despite most women reporting a high prenatal intention to breastfeed, exclusive breastfeeding at hospital discharge postpartum was low. Breastfeeding was associated with a decreased likelihood of pharmacological treatment for neonatal opioid withdrawal syndrome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890334418769637","type":"journal-article","created":{"date-parts":[[2018,5,3]],"date-time":"2018-05-03T17:42:59Z","timestamp":1525369379000},"page":"71-79","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Breastfeeding Intention Compared With Breastfeeding Postpartum Among Women Receiving Medication-Assisted Treatment"],"prefix":"10.1177","volume":"35","author":[{"given":"Nicole","family":"Yonke","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine, University of New Mexico, Albuquerque, NM, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebekah","family":"Maston","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of New Mexico, Albuquerque, NM, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherry","family":"Weitzen","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of New Mexico, Albuquerque, NM, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Leeman","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of New Mexico, Albuquerque, NM, USA"},{"name":"Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,5,3]]},"reference":[{"key":"bibr1-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002235"},{"key":"bibr2-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2010.0060"},{"key":"bibr3-0890334418769637","unstructured":"Centers for Disease Control and Prevention. (2017, December 1). Breastfeeding among U.S. children born 2002\u20132014, CDC national immunization survey. Retrieved from https:\/\/www.cdc.gov\/breastfeeding\/data\/nis_data\/results.html"},{"key":"bibr4-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2013.12.035"},{"key":"bibr5-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1177\/0890334415590782"},{"key":"bibr6-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1097\/anc.0000000000000392"},{"key":"bibr7-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2014.902417"},{"key":"bibr8-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1177\/0890334416680789"},{"key":"bibr9-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12426"},{"key":"bibr10-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"bibr11-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1097\/MCO.0000000000000453"},{"key":"bibr12-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1177\/0890334416663198"},{"key":"bibr13-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-212"},{"key":"bibr14-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2017.0105"},{"key":"bibr15-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000204"},{"key":"bibr16-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1891\/0730-0832.35.5.297"},{"key":"bibr17-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1600879"},{"key":"bibr18-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1097\/adm.0000000000000092"},{"key":"bibr19-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12009"},{"key":"bibr20-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-1295"},{"key":"bibr21-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12332"},{"key":"bibr22-0890334418769637","doi-asserted-by":"publisher","DOI":"10.3390\/nu9060547"},{"key":"bibr23-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1111\/1552-6909.12242"},{"key":"bibr24-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2015.9992"},{"key":"bibr25-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1038\/npp.2014.147"},{"key":"bibr26-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-1985"},{"key":"bibr27-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2016.0084"},{"key":"bibr28-0890334418769637","unstructured":"Smith K., Lipari R. N. (2017, January 17). Women of childbearing age and opioids. The CBHSQ Report. Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Rockville, MD. Retrieved from https:\/\/www.samhsa.gov\/data\/sites\/default\/files\/report_2724\/ShortReport-2724.html"},{"key":"bibr29-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009240"},{"key":"bibr30-0890334418769637","unstructured":"StataCorp. (2015). Stata Statistical Software (Version 14.2). College Station, TX: StataCorp LP."},{"key":"bibr31-0890334418769637","doi-asserted-by":"publisher","DOI":"10.1177\/0890334416641909"},{"key":"bibr32-0890334418769637","unstructured":"UNM Hospital MCH Committee. (2013). UNMH breastfeeding, substance abuse, and infectious diseases guideline. Retrieved from http:\/\/unmfm.pbworks.com\/w\/file\/76803359\/UNM%20Breastfeeding%20%26%20Substance%20Abuse%20Policy.pdf"},{"key":"bibr33-0890334418769637","unstructured":"UNOCD United Nations Office on Drugs and Crime. (2017, June 16). World drug report 2017, pre-briefing to the member states. Vienna. Retrieved from https:\/\/www.unodc.org\/wdr2017\/field\/WDR_2017_presentation_lauch_version.pdf"},{"key":"bibr34-0890334418769637","unstructured":"U.S. Department of Health & Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children\u2019s Bureau. (2018). Child Maltreatment 2016. 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