Evidence map›Paper›PMID 24702686›Full record

ArticleSubstance abuse2015

Breastfeeding and Methadone Therapy: The Maternal Experience.

Jill R Demirci, Debra L Bogen, Yael Klionsky

Open access · bronzeAbstract read
In one paragraph

Article in Substance abuse, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Supporting breastfeeding for women on opioid maintenance therapy: a systematic review.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Pooled it
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  15. Postpartum contraceptive planning of women with substance abuse disorders.International journal of clinical pharmacy · 2021
    Article
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  19. ABM clinical protocol #21: guidelines for breastfeeding and substance use or substance use disorder, revised 2015.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2015
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Jill R Demircia Department of Pediatrics , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA.
Debra L Bogen
Yael Klionsky
University of Pittsburgh · USTechnion – Israel Institute of Technology · IL

Funding

Methadone Maintenance Therapy: a Breastfeeding Intervention for Pregnant WomenR21DA023263 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BOGEN, DEBRA L · 2008 to 2009
$442k
Preventing Perceived Insufficient Milk: Development of a Text Message-Based InterK99NR015106 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DEMIRCI, JILL RADTKE · 2014 to 2015
$175k
NIDA NIH HHS R21 DA023263NIDA NIH HHS R21DA023263NINR NIH HHS K99 NR015106PHS HHS T32HP22240
6 · The paper itself

Abstract

backgroundDespite evidence of low transfer of methadone into breast milk and the potential physical and psychological benefits that breastfeeding offers for methadone-exposed mothers and infants, the rate of breastfeeding initiation in this population is about half that reported nationally. This study describes the perceptions surrounding breastfeeding decisions and management among pregnant and postpartum women taking methadone.

methodsSeven pregnant women and 4 postpartum women enrolled in methadone maintenance programs participated in semistructured, audiotaped interviews and focus groups, respectively, about their breastfeeding experiences. Transcripts were analyzed and coded using qualitative content analysis.

resultsThree major content categories were identified: (1) fears, barriers, and misconceptions about breastfeeding while taking methadone; (2) motivation and perceived benefits of breastfeeding; and (3) sources of information, support, and anxiety about general breastfeeding management and breastfeeding while taking methadone. Lack of support from the health care community and misinformation about the dangers of combining breastfeeding and methadone therapy represented significant, yet modifiable, barriers to breastfeeding success in methadone-exposed women.

conclusionsInterventions to increase the prevalence of breastfeeding among women taking methadone should address identified logistical, educational, and psychological barriers and consider inclusion of women themselves, partners, peers, and clinicians. In particular, clinicians who care for methadone-exposed mothers and infants should be educated on therapeutic communication, up-to-date breastfeeding contraindications, and the health benefits of breastfeeding in this population.

Indexed as

Health Knowledge, Attitudes, PracticeAdolescentAdultAnalgesics, OpioidBreast FeedingContraindicationsFemaleFocus GroupsHumansMethadoneMothersOpiate Substitution TreatmentPregnancyYoung AdultAnalgesics, OpioidMethadoneBreastfeedingmethadoneopioid-related disorderspostpartum periodpregnancysubstance-related disorders

Identifiers

PMID24702686
PMCPMC4185250
OpenAlexW2056263580

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.