ArticleInternational breastfeeding journal2026
Preferences, factors, and needs involved in decision-making on medication use during lactation among parents and healthcare providers: a Canada-wide cross-sectional survey study.
Article in International breastfeeding journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundDecision-making around medication use during lactation is often challenging for both parents and healthcare providers. The purpose of this study is to understand preferences, factors, and needs related to decision-making of parents and healthcare providers regarding medication use during lactation.
methodTwo separate online surveys were disseminated to Canadian mothers/birthing parents and healthcare providers from November 2021 to February 2022. Participants were recruited through advertisements on social media. The surveys collected demographic information and participants' decision-making factors regarding medication use during infant feeding.
resultsThere were 165 parents and 47 healthcare providers (n = 44 physicians; n = 2 nurses; n = 1 pharmacist) who completed the survey. Over half (54.7%) of parent participants found decision-making on medication use while nursing to be difficult and very few participants felt certain when making decisions (8.6%). Parents and healthcare providers ranked the leading factor impeding decision-making to be lacking information.
conclusionMany parents and healthcare providers identified a lack of information available to help guide the decision to use medication during lactation. Findings highlight the need for better evidence and a shared decision-making tool on medication use during lactation.
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