Graves Lisa E, Turner Suzanne, Nader Maya, Sinha Sucheta
Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, USA.
University of Toronto, Toronto, ON, Canada.; St. Michael's Hospital, Toronto, ON, Canada.
Subst Abuse. 2016 Jul 12;10(Suppl 1):43-7. doi: 10.4137/SART.S34553. eCollection 2016.
Despite research demonstrating the safety and benefit of breastfeeding in opioid substitution therapy, few women in treatment breastfeed. Understanding the factors contributing to the choices women on opioid substitution therapy make about infant feeding is important.
The aim of this study was to better understand and support infant feeding choices and breastfeeding experiences in women on opioid substitution therapy.
A systematic review was conducted on five databases: (1) Ovid MEDLINE(R) without revisions, (2) Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations, (3) EMBASE, (4) CINAHL, and (5) FRANCIS. From 1081 articles, 46 articles were reviewed.
The literature supports breastfeeding as an appropriate and safe option for women on opioid substitution treatment. Breastfeeding and rooming-in reduce neonatal abstinence. Women face barriers to breastfeeding due to societal stigma and the lack of patient and health-care provider education.
Efforts are needed to increase the knowledge that women and health-care professionals have about the safety and benefits of breastfeeding.
尽管研究表明母乳喂养在阿片类药物替代疗法中具有安全性和益处，但接受治疗的女性中很少有人进行母乳喂养。了解影响接受阿片类药物替代疗法的女性在婴儿喂养方面做出选择的因素非常重要。
本研究的目的是更好地了解和支持接受阿片类药物替代疗法的女性的婴儿喂养选择和母乳喂养经历。
对五个数据库进行了系统综述：（1）未修订的Ovid MEDLINE(R)，（2）Ovid MEDLINE(R) 正在处理及其他未索引引文，（3）EMBASE，（4）CINAHL，以及（5）FRANCIS。从1081篇文章中筛选出46篇进行综述。
文献支持母乳喂养是接受阿片类药物替代治疗的女性的合适且安全的选择。母乳喂养和母婴同室可减少新生儿戒断症状。由于社会污名以及患者和医护人员缺乏相关教育，女性在母乳喂养方面面临障碍。
需要努力增加女性和医护人员对母乳喂养安全性和益处的了解。
