Breastmilk is best for babies. How does a maternal substance use disorder change that? This forum discussion will help providers navigate the challenges faced by women who want to do what is best for their infants.
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About the Forum
The regional forums will focus on educating providers on strategies for supporting women with substance use disorders who want to breastfeed their babies.
This is intended for anyone who wants to support women with substance use disorders to breastfeed their infants. Including: community-based organizations providing support for women and families affected by substance use disorders, home visitors, dieticians, lactation counselors and consultants, doulas, nurses in inpatient and outpatient settings, nurse midwives, medical assistants and other front-line clinic staff, mental health professionals, pharmacists, physicians, prenatal care coordination providers, public health professionals, social workers, and supportive community members.
1. Describe two factors relevant to substance use disorders, breastfeeding, and safety.
2. Describe two challenges to supporting women with substance use disorders who want to breastfeed their babies.
3. Describe two strategies for supporting women with substance use disorders who want to breastfeed their babies.
At three months, 80% of respondents will pass a post-test on breastfeeding and substance use content from the Regional Forum.
The Wisconsin Association for Perinatal Care (WAPC) is accredited by the Wisconsin Medical Society to provide continuing medical education for physicians. The Wisconsin Association for Perinatal Care (WAPC) designates this internet live course for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Wisconsin Association for Perinatal Care (WAPC) is an approved provider of continuing nursing education by the Wisconsin Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This internet live course meets the criteria for a maximum of 2.0 contact hours.
Planning Committee: Ann M. Ebert, PharmD; Charlene Galston, RNC-OB, BSN, ME-PD, IBCLC; Elizabeth Goetz MD, MPH, IBCLC, FAAP; Russell S. Kirby, PhD, MS, FACE; Janet Letter, MSN, RNC-OB, C-EFM; Kyle O. Mounts, MD, MPH; Paul J. Neary, MD; Michelle Pranghofer, BSN, MSN; Jeanne Rosendale, MSN, RNC, C-EFM; Kimberly J. Seeger Langlais, MD, FAAP; Brittny Tody Erickson, BSN, RNC-OB, C-EFM; Chris Van Mullem, MS, RNC-OB, C-EFM; Mindy Wara Maciolek, BS; Eileen Zeiger, MA
Members of the planning committee disclosed no relevant conflicts of interest.
Did You Know?
Only 9.3% of women who need treatment for substance use disorders receive it.*
source: Martin CE, Scialli A, Terplan M. Unmet substance use disorder treatment need among reproductive age women. Drug and Alcohol Dependence. 2020 Jan 1;206:107679.
Younger age and history of substance use in the past year are associated with greater substance co-use in pregnant women.*
source:Qato DM, Zhang C, Gandhi AB, Simoni-Wastila L, Coleman-Cowger VH. Co-use of alcohol, tobacco, and licit and illicit controlled substances among pregnant and non-pregnant women in the United States: Findings from 2006 to 2014 National Survey on Drug Use and Health (NSDUH) data. Drug and Alcohol Dependence. 2020 Jan 1;206:107729.I
Despite policy statements from ACOG, the Academy of Breastfeeding Medicine, the AAP, AWHONN, and other professional organizations supporting breastfeeding for women who are stable on opioid maintenance therapy, rates remain low compared with women in the general population.
source: Clark RRS. Breastfeeding in Women on Opioid Maintenance Therapy: A Review of Policy and Practice. Journal of Midwifery & Women’s Health. 2019;64(5):545–58.
According to a national survey conducted in the United States in 2012, 5.9% of pregnant women use illicit drugs.
source: United States Department of H, Human Services. Substance A, Mental Health Services Administration. Center for Behavioral Health S Quality: National Survey on Drug Use and Health, 2012. Inter-university Consortium for Political and Social Research (ICPSR) [distributor].2013. 10.3886/ICPSR34933.v3