{"id":"https://openalex.org/W2902494566","doi":"https://doi.org/10.1542/hpeds.2018-0116","title":"The Joys and Frustrations of Breastfeeding and Rooming-In Among Mothers With Opioid Use Disorder: A Qualitative Study","display_name":"The Joys and Frustrations of Breastfeeding and Rooming-In Among Mothers With Opioid Use Disorder: A Qualitative Study","publication_year":2018,"publication_date":"2018-11-30","ids":{"openalex":"https://openalex.org/W2902494566","doi":"https://doi.org/10.1542/hpeds.2018-0116","mag":"2902494566","pmid":"https://pubmed.ncbi.nlm.nih.gov/30401783"},"language":"en","primary_location":{"id":"doi:10.1542/hpeds.2018-0116","doi":"https://doi.org/10.1542/hpeds.2018-0116","is_oa":false,"landing_page_url":"https://doi.org/10.1542/hpeds.2018-0116","pdf_url":null,"source":{"id":"https://openalex.org/S2764949224","display_name":"Hospital Pediatrics","issn_l":"2154-1663","issn":["2154-1663","2154-1671"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310315734","host_organization_name":"American Academy of Pediatrics","host_organization_lineage":["https://openalex.org/P4310315734"],"host_organization_lineage_names":["American Academy of Pediatrics"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hospital Pediatrics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5000063750","display_name":"Mary Beth Howard","orcid":"https://orcid.org/0000-0002-2654-5442","observed_orcids":["https://orcid.org/0000-0002-2654-5442"]},"institutions":[{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]},{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mary Beth Howard","raw_affiliation_strings":["Boston Combined Residency Program in Pediatrics, Boston Children\u2019s Hospital, Boston, Massachusetts;","Department of Pediatrics, Boston Medical Center, Boston, Massachusetts; and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Boston Combined Residency Program in Pediatrics, Boston Children\u2019s Hospital, Boston, Massachusetts;","institution_ids":["https://openalex.org/I1288882113"]},{"raw_affiliation_string":"Department of Pediatrics, Boston Medical Center, Boston, Massachusetts; and","institution_ids":["https://openalex.org/I1286490081"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049382686","display_name":"Elisha M. Wachman","orcid":"https://orcid.org/0000-0002-6307-6999","observed_orcids":["https://orcid.org/0000-0002-6307-6999","https://orcid.org/0000-0001-9742-2434"]},"institutions":[{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elisha Wachman","raw_affiliation_strings":["Department of Pediatrics, Boston Medical Center, Boston, Massachusetts; and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Boston Medical Center, Boston, Massachusetts; and","institution_ids":["https://openalex.org/I1286490081"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Emily M. Levesque","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Emily M. Levesque","raw_affiliation_strings":["Department of Pediatrics, Boston Medical Center, Boston, Massachusetts; and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Boston Medical Center, Boston, Massachusetts; and","institution_ids":["https://openalex.org/I1286490081"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062174401","display_name":"Davida M. Schiff","orcid":"https://orcid.org/0000-0002-6435-1016","observed_orcids":["https://orcid.org/0000-0002-6435-1016"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Davida M. Schiff","raw_affiliation_strings":["Division of General Academic Pediatrics, Massachusetts General Hospital for Children and Harvard Medical School, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Academic Pediatrics, Massachusetts General Hospital for Children and Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984","https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081534373","display_name":"Caroline J. Kistin","orcid":"https://orcid.org/0000-0002-5575-1552","observed_orcids":["https://orcid.org/0000-0002-5575-1552"]},"institutions":[{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Caroline J. Kistin","raw_affiliation_strings":["Boston Combined Residency Program in Pediatrics, Boston Children\u2019s Hospital, Boston, Massachusetts;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Boston Combined Residency Program in Pediatrics, Boston Children\u2019s Hospital, Boston, Massachusetts;","institution_ids":["https://openalex.org/I1288882113"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5018050977","display_name":"Margaret G. K. Parker","orcid":"https://orcid.org/0000-0001-6338-3350","observed_orcids":["https://orcid.org/0000-0001-6338-3350"]},"institutions":[{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Margaret G. Parker","raw_affiliation_strings":["Department of Pediatrics, Boston Medical Center, Boston, Massachusetts; and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Boston Medical Center, Boston, Massachusetts; and","institution_ids":["https://openalex.org/I1286490081"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.3385,"has_fulltext":false,"cited_by_count":42,"citation_normalized_percentile":{"value":0.88516201,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":94,"max":99},"biblio":{"volume":"8","issue":"12","first_page":"761","last_page":"768"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10979","display_name":"Breastfeeding Practices and Influences","score":0.9672999978065491,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10979","display_name":"Breastfeeding Practices and Influences","score":0.9672999978065491,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11633","display_name":"Prenatal Substance Exposure Effects","score":0.009200000204145908,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11060","display_name":"Infant Development and Preterm Care","score":0.0052999998442828655,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/breastfeeding","display_name":"breastfeeding","score":0.7770000100135803},{"id":"https://openalex.org/keywords/rooming-in","display_name":"rooming-in","score":0.9890000224113464},{"id":"https://openalex.org/keywords/opioid-use-disorder","display_name":"opioid use disorder","score":0.9330000281333923},{"id":"https://openalex.org/keywords/opioid-withdrawal","display_name":"opioid withdrawal","score":0.5899999737739563},{"id":"https://openalex.org/keywords/infant-feeding-decisions","display_name":"infant feeding decisions","score":0.5350000262260437},{"id":"https://openalex.org/keywords/stigma","display_name":"stigma","score":0.5979999899864197},{"id":"https://openalex.org/keywords/maternal-autonomy","display_name":"maternal autonomy","score":0.5400000214576721},{"id":"https://openalex.org/keywords/maternal-resilience","display_name":"maternal resilience","score":0.6370000243186951},{"id":"https://openalex.org/keywords/postpartum-recovery","display_name":"postpartum recovery","score":0.6890000104904175},{"id":"https://openalex.org/keywords/birth-hospitalization","display_name":"birth hospitalization","score":0.6399999856948853}],"concepts":[{"id":"https://openalex.org/C2776283161","wikidata":"https://www.wikidata.org/wiki/Q174876","display_name":"Breastfeeding","level":2,"score":0.8740417957305908},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8204761743545532},{"id":"https://openalex.org/C2778949969","wikidata":"https://www.wikidata.org/wiki/Q407721","display_name":"Buprenorphine","level":4,"score":0.6426974534988403},{"id":"https://openalex.org/C2779418921","wikidata":"https://www.wikidata.org/wiki/Q1639178","display_name":"Opioid use disorder","level":4,"score":0.615261435508728},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.5719510316848755},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5706026554107666},{"id":"https://openalex.org/C65414064","wikidata":"https://www.wikidata.org/wiki/Q484105","display_name":"Autonomy","level":2,"score":0.5505530834197998},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.5444844365119934},{"id":"https://openalex.org/C156325361","wikidata":"https://www.wikidata.org/wiki/Q1152864","display_name":"Grounded theory","level":3,"score":0.4400448203086853},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.40194639563560486},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.26517409086227417},{"id":"https://openalex.org/C2781063702","wikidata":"https://www.wikidata.org/wiki/Q427523","display_name":"Opioid","level":3,"score":0.23164954781532288},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C170493617","wikidata":"https://www.wikidata.org/wiki/Q208467","display_name":"Receptor","level":2,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001942","descriptor_name":"Breast Feeding","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D001942","descriptor_name":"Breast Feeding","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005639","descriptor_name":"Frustration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007227","descriptor_name":"Infant Nutritional Physiological Phenomena","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007231","descriptor_name":"Infant, Newborn","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008425","descriptor_name":"Maternal Behavior","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D008430","descriptor_name":"Maternal-Child Health Centers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009035","descriptor_name":"Mothers","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D009293","descriptor_name":"Opioid-Related Disorders","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D009293","descriptor_name":"Opioid-Related Disorders","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D012386","descriptor_name":"Rooming-in Care","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D012386","descriptor_name":"Rooming-in Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D012944","descriptor_name":"Social Support","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055500","descriptor_name":"Resilience, Psychological","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D066296","descriptor_name":"Grounded Theory","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1542/hpeds.2018-0116","doi":"https://doi.org/10.1542/hpeds.2018-0116","is_oa":false,"landing_page_url":"https://doi.org/10.1542/hpeds.2018-0116","pdf_url":null,"source":{"id":"https://openalex.org/S2764949224","display_name":"Hospital Pediatrics","issn_l":"2154-1663","issn":["2154-1663","2154-1671"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310315734","host_organization_name":"American Academy of Pediatrics","host_organization_lineage":["https://openalex.org/P4310315734"],"host_organization_lineage_names":["American Academy of Pediatrics"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hospital Pediatrics","raw_type":"journal-article"},{"id":"pmid:30401783","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30401783","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hospital pediatrics","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":28,"referenced_works":["https://openalex.org/W1161604932","https://openalex.org/W1485720135","https://openalex.org/W1607675442","https://openalex.org/W1991059074","https://openalex.org/W1991971944","https://openalex.org/W2023564793","https://openalex.org/W2029540523","https://openalex.org/W2048870090","https://openalex.org/W2065409747","https://openalex.org/W2082563645","https://openalex.org/W2082869959","https://openalex.org/W2113583180","https://openalex.org/W2117713721","https://openalex.org/W2143144451","https://openalex.org/W2171778209","https://openalex.org/W2329395632","https://openalex.org/W2336145284","https://openalex.org/W2475192536","https://openalex.org/W2516384801","https://openalex.org/W2521606666","https://openalex.org/W2602250679","https://openalex.org/W2736240441","https://openalex.org/W2783300048","https://openalex.org/W2790324550","https://openalex.org/W2792207983","https://openalex.org/W2794657070","https://openalex.org/W2796095066","https://openalex.org/W2801866105"],"related_works":["https://openalex.org/W7127940360","https://openalex.org/W4367310995","https://openalex.org/W4401069283","https://openalex.org/W2783300048","https://openalex.org/W2912789294","https://openalex.org/W2794657070","https://openalex.org/W7152900126","https://openalex.org/W2608731084","https://openalex.org/W2984463922","https://openalex.org/W2460166180"],"abstract_inverted_index":{"OBJECTIVES:":[0],"To":[1],"investigate":[2],"perspectives":[3],"of":[4,61,74,80,108,119,141,171,177,184,206],"mothers":[5,31,81,113,180],"with":[6,29,32,53],"opioid":[7,33,123],"use":[8,34],"disorder":[9,35],"regarding":[10,203],"breastfeeding":[11,192,207],"and":[12,18,21,58,84,110,131,143,149,160,163,173,193,208,220],"rooming-in":[13,194],"during":[14,195],"the":[15,56,91,101,117,196,204],"birth":[16,197],"hospitalization":[17,198],"identify":[19],"facilitators":[20],"barriers.":[22],"METHODS:":[23],"We":[24,89],"conducted":[25],"in-depth":[26],"qualitative":[27],"interviews":[28],"25":[30,70],"1-12":[36],"weeks":[37],"after":[38],"delivery.":[39],"Grounded":[40],"theory":[41],"analysis":[42],"was":[43,48],"used":[44],"until":[45,87],"thematic":[46],"saturation":[47],"reached.":[49],"Findings":[50],"were":[51],"triangulated,":[52],"experts":[54],"in":[55,116,213],"field":[57],"a":[59,106,169,175],"subset":[60],"informants":[62],"themselves,":[63],"to":[64],"ensure":[65],"data":[66],"reliability.":[67],"RESULTS:":[68],"Among":[69],"infant-mother":[71],"dyads,":[72],"36%":[73],"infants":[75,158],"required":[76],"pharmacologic":[77],"treatment,":[78],"72%":[79],"initiated":[82],"breastfeeding,":[83],"40%":[85],"continued":[86],"discharge.":[88],"identified":[90],"following":[92],"themes:":[93],"(1)":[94],"information":[95],"drives":[96],"maternal":[97],"feeding":[98,147],"choice;":[99],"(2)":[100],"hospital":[102],"environment":[103],"is":[104,168],"both":[105],"source":[107,170],"support":[109],"tension":[111],"for":[112,156,179,215],"exerting":[114],"autonomy":[115,212],"care":[118],"their":[120,146,157,182,216],"infants;":[121],"(3)":[122],"withdrawal":[124],"symptoms":[125],"negatively":[126,134],"impact":[127,135],"breastfeeding;":[128],"(4)":[129],"internal":[130],"external":[132],"stigma":[133],"mothers'":[136,139,152,211],"self-efficacy;":[137],"(5)":[138],"histories":[140],"abuse":[142],"trauma":[144],"affect":[145],"choice":[148],"bonding;":[150],"(6)":[151],"recovery":[153],"makes":[154],"caring":[155,214],"emotionally":[159],"logistically":[161],"challenging;":[162],"(7)":[164],"having":[165],"an":[166],"infant":[167],"resilience":[172],"provides":[174],"sense":[176],"purpose":[178],"on":[181,201],"path":[183],"recovery.":[185],"CONCLUSIONS:":[186],"Future":[187],"interventions":[188],"aimed":[189],"at":[190],"increasing":[191],"should":[199],"focus":[200],"education":[202],"benefits":[205],"rooming-in,":[209],"supporting":[210],"infants,":[217],"minimizing":[218],"stigma,":[219],"maximizing":[221],"resilience.":[222]},"counts_by_year":[{"year":2026,"cited_by_count":6},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":11},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":6},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2018-12-11T00:00:00"}