Breastfeeding Grand Rounds 2019

Breastfeeding Recommendations for Women Impacted by Opioid Use Disorder and Infants with Neonatal Abstinence Syndrome

Originally presented on August 1, 2019

Lisa M. Cleveland PhD, RN, CPNP, IBCLC, NTMNC, FAAN
Associate Professor of Nursing
Texas Center for Health Disparities STAR Fellow, School of Nursing
University of Texas Health San Antonio

Matthew Grossman, MD
Associate Professor of Pediatrics
Interim Chief, Section of Pediatric Hospital Medicine, Department of Pediatrics
Yale School of Medicine & Yale-New Haven Children’s Hospital

The prevalence of Opioid Use Disorder (OUD) among pregnant women and neonatal abstinence syndrome (NAS) by infants have been rising with the increasing severity of the opioid crisis. Improving the identification and treatment of pregnant women with OUD and the care of infants with NAS (a type of withdrawal syndrome that can cause hyperirritability, feeding challenges and respiratory issues), is critically needed. When women with OUD seek medical care and support, it is an opportunity for them to receive prenatal care appropriate to their needs. Women should be made aware that breastfeeding can play a key role in the treatment of NAS by decreasing its duration and severity. Providers should understand that some women may feel ashamed to discuss their struggle with opioids or fear the consequences. This webcast will provide resources for identifying pregnant, breastfeeding, and post-partum women with OUD, strategies and tools for discussing it with them, and approaches to refer them to the most appropriate options for support and follow up.

Learning Outcome
As a result of this activity, the learner will be able to improve their practice treating patients with OUD/NAS and empower women to provide support and treatment to their baby through skin-to-skin contact and breastfeeding.

Learning Objectives
After watching this webcast participants will be able to:

  • Summarize the impact of opioid use on maternal and infant health outcomes;
  • Explain how to identify women and infants impacted by opioid use;
  • Describe the importance of breastfeeding and mother-infant bonding during OUD and NAS;
  • Discuss best practices to support women with OUD to successfully breastfeed their infants; and
  • Identify strategies and referral practices to enhance the continuity of care and follow-up support across service areas.

Target Audience
Local and state public health professionals, clinicians (physicians, midwives, health care providers, nurses) and lactation specialists.

Federally funded through the New York State Special Supplemental Nutrition Program for Women, Infants and Children (WIC).

To Obtain Continuing Education Credits:
Each participant interested in CE credits must complete an evaluation and post-test, which is available above under "Evaluation, Post-test & Credits". A score of 80% and above on the post-test will generate a certificate indicating the requested credits. Registered Dietitians see the link above.

The planners, moderator, and presenters do not have any financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in this activity.

No commercial funding has been accepted for this activity.

Continuing Medical Education Contact Hours

The School of Public Health, University at Albany is accredited by the Medical Society of the State of New York (MSSNY) to provide continuing medical education for physicians.

The School of Public Health, University at Albany designates this enduring material for a maximum of 2.0 AMA PRA Category 1 CreditsTM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Continuing Education Contact Hours are offered until August 31, 2022. 

Continuing Nurse Education Contact Hours

University at Albany School of Public Health is approved with distinction as a provider of nursing continuing professional development by the Northeast Multistate Division Education Unit, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

This offering is approved for 2 nursing contact hour(s).

Nursing Contact Hours are offered until August 31, 2022.

Certified Health Education Specialists

Sponsored by the School of Public Health, University at Albany, SUNY, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES®) and/or Master Certified Health Education Specialists (MCHES®) to receive up to 2 total Category I contact education contact hours. Maximum advanced-level continuing education contact hours available are 0. Continuing Competency credits available are 2. Provider ID# 99086.

Continuing Education Contact Hours are offered until August 31, 2022.