title: The Effect of Sexual Abuse and Prenatal Substance Use on Successful Breastfeeding.
abstract: Barriers to breastfeeding in women with substance use disorders (SUDs) often exist. Neonatal abstinence syndrome-related feeding difficulties, maternal SUD-related maladaptive behaviors, and psychological comorbidities can adversely affect breastfeeding. A neglected barrier that frequently occurs in women with SUDs is a history of sexual abuse. It is important that nurses and providers understand each maternal and/or infant factor that can affect the breastfeeding course to assist effectively with lactation support for these frequently misunderstood dyads.
authors.forename: Lauren M
authors.initials: LM
authors.lastname: Jansson
authors.forename: Martha L
authors.initials: ML
authors.lastname: Velez
authors.forename: Arlene M
authors.initials: AM
authors.lastname: Butz
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001942:Breast Feeding / Q000009:adverse effects / Q000379:methods* / Q000523:psychology*; D002657:Child Development / Q000502:physiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008691:Methadone / Q000627:therapeutic use*; D009357:Neonatal Abstinence Syndrome / Q000188:drug therapy* / Q000517:prevention & control; D058850:Opiate Substitution Treatment; D009293:Opioid-Related Disorders / Q000175:diagnosis / Q000188:drug therapy; D011181:Postnatal Care / Q000379:methods; D011247:Pregnancy; D018570:Risk Assessment; D012742:Sex Offenses / Q000523:psychology*
chemical_list: D008691:Methadone
keywords: breastfeeding; lactation; maternal drug abuse; neonatal abstinence syndrome; opioid use disorder; sexual abuse; substance use disorder