Breastfeeding Support and Opiate Dependence: A Think Aloud Study

MacVicar, Sonya; Humphrey, Tracy; Forbes-McKay, Katrina E.

Abstract

Objective: international guidelines recommend the promotion and protection of breastfeeding for the substance exposed mother and baby. Yet few studies have explored the facilitators, moderators and barriers to successful breastfeeding for women enrolled on opiate maintenance treatment, or suggested targeted support strategies. The aim of this study was to explore the views of women with opiate dependence on proposed elements for inclusion in a breastfeeding support intervention.

Design: a qualitative study using think aloud technique.

Setting: tertiary maternity hospital in the North-East of Scotland. Interviews conducted between November 2013 and March 2014.

Participants: 6 opiate dependent women within 6 months of giving birth. Participants were enrolled on opiate medication treatment during their pregnancy, had initiated breastfeeding and accessed in-hospital breastfeeding support.

Findings: an intervention founded on practical, informational and environmental elements was endorsed as supportive of continued breastfeeding of an infant at risk of Neonatal Abstinence Syndrome. Opiate dependent women were more receptive to strategies promoting a person-centered approach that were specific to their individualized infant feeding needs and delivered within an emotionally supportive environment. Barriers to the acceptability of breastfeeding advice included discouraging, prescriptive and judgemental healthcare actions and attitudes.

Key conclusions: there are distinct facilitators, modifiers and barriers to breastfeeding within the context of opiate exposure. Using this awareness to underpin the key features of the design should enhance maternal receptiveness, acceptability and usability of the support intervention.
Implications for practice: additional and tailored support interventions are required to meet the specific needs of breastfeeding an infant experiencing opiate withdrawal. The elimination of disempowering institutional actions and attitudes is imperative if a conducive environment in which opiate dependent women feel supported
is to be achieved.

Citation

MacVicar, S., Humphrey, T., & Forbes-McKay, K. E. (2017). Breastfeeding Support and Opiate Dependence: A Think Aloud Study. Midwifery, 50, 239-245. https://doi.org/10.1016/j.midw.2017.04.013

• Journal Article Type: Article
• Acceptance Date: Apr 25, 2017
• Online Publication Date: Apr 27, 2017
• Publication Date: 2017-07
• Deposit Date: May 8, 2017
• Publicly Available Date: Apr 28, 2018
• Journal: Midwifery
• Print ISSN: 0266-6138
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 50
• Pages: 239-245
• DOI: https://doi.org/10.1016/j.midw.2017.04.013
• Keywords: Opiate dependence; Substance use; Breastfeeding support; Healthcare intervention; Think aloud technique; Neonatal Abstinence Syndrome
• Public URL: http://researchrepository.napier.ac.uk/Output/841030
• Contract Date: Jul 13, 2017