“Bottles fill his stomach, but breastfeeding fills his soul.”
-Diane Wiessinger, IBCLC (International Board of Lactation Consultant Examiners)
“Breastfeeding is nature's health plan.”
“Breastfeeding is an instinctual and natural act, but it is also an art that is learned day by day. The reality is that almost all women can breastfeed, have enough milk for their babies and learn how to overcome problems both large and small. It is almost always simply a matter of practical knowledge and not a question of good luck.”
-La Leche League
Indeed, breastfeeding is the most instinctual way to nourish our infants, providing natural antibodies to fight infections and creating a unique bond between mom and baby. Most women are able to breastfeed effectively.
For these reasons, all major health organizations recommend breastfeeding as the optimal source of infant nutrition, with exclusive breastfeeding recommended for the first six months of life. After six months, complementary foods may be introduced, and most organizations recommend continuing breastfeeding for 1-2 years.
Benefits to mom:
Benefits to baby:
The transfer of medication for addiction treatment (MAT), including buprenorphine/naloxone (Suboxone) and methadone, through breast milk is minimal.
So, breastfeeding while on buprenorphine/naloxone (Suboxone) is safe for your baby!
The American Academy of Pediatrics recommends breastfeeding for women taking buprenorphine/naloxone (Suboxone) or methadone as long as moms:
Note: Moms should suspend breastfeeding if they return to using illicit opioids.
No, since there is very minimal buprenorphine/naloxone (Suboxone) that is excreted into breast milk, babies will NOT experience withdrawal after they are weaned from breast milk.
Babies born to moms taking buprenorphine/naloxone (Suboxone)--the evidence-based treatment for opioid addiction--may experience withdrawal symptoms after they are born. This is called neonatal abstinence syndrome. NAS is considered expected, common, and treatable.
Some babies who experience NAS may require medications (generally morphine) to help them comfortably and safely withdraw.
Breastfeeding and skin-to-skin contact can be used to minimize these side effects. In fact, when moms breastfeed in the hospital after giving birth, the bond and attachment formed between mom and baby have been shown to console the infant, decrease NAS symptoms, and sometimes even prevent the need for medications, thus promoting shorter hospital stays for your baby.
Bicycle Health is a telehealth company that provides evidence-based treatment for opioid dependence with buprenorphine/naloxone (Suboxone), including patients who are pregnant.
To learn more about the success rates and safety of Bicycle Health’s telemedicine addiction treatment in comparison to other common treatment options, learn more about our process, call us at (844) 943-2514, or schedule an appointment here.
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Wojnar-Horton RE, Kristensen JH, Yapp P, Ilett KF, Dusci LJ, Hackett LP. Methadone distribution and excretion into breast milk of clients in a methadone maintenance programme. Br J Clin Pharmacol 1997;44:543–7.