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Knowledge, attitudes and practices of health professionals and women towards medication use in breastfeeding: A review

By Safeera Y Hussainy and Narmin Dermele


Many breastfeeding women require and regularly take medicines, especially those available over-the-counter, and the safe use of these is dependent on the advice provided by health professionals such as general practitioners and pharmacists. The primary aim of this review therefore, was to investigate the literature relating to health professionals' and women's knowledge, attitudes and practices towards medication use and safety in breastfeeding. The limited literature that was uncovered identified that general practitioners and pharmacists have poor knowledge, but positive attitudes, and variable practices that are mostly guided by personal experience. They tend to make decisions about the use of a medicine whilst breastfeeding based on the potential 'risk' that it poses to the infant in terms of possible adverse reactions, rather than its 'compatibility' with breast milk. The decision-making process between health professionals and women is usually not a negotiated process, and women are often asked to stop breastfeeding whilst taking a medicine. Women, in turn, are left dissatisfied with the advice received, many choosing not to initiate therapy or not to continue breastfeeding. Some directions for future research have been suggested to address the issues identified in this critical area. This review is important from a societal perspective because many breastfeeding women require and regularly take medications, especially those available without prescription, and the safe use of these is dependent on the advice provided by health professionals, which is ultimately influenced by their knowledge, attitudes and practices. However, there is an absence of high quality evidence from randomised controlled trials on the safety of medications taken during breastfeeding, which naturally would hinder health professionals from appropriately advising women. It is equally important to know about women's experiences of advice received from health professionals, and whether there is consistency between recommendations made across resources on medication safety in breastfeeding, in order to gain a full understanding of the issues prevalent in this area of practice

Topics: Review
Publisher: BioMed Central
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Provided by: PubMed Central

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  2. (1995). Breast-feeding education and practice in family medicine.
  3. (1995). Breastfeeding attitudes and knowledge of pediatricians-in-training.
  4. (2009). Breastfeeding knowledge -the experiences of Australian general practice registrars. Aust Fam Physician
  5. (2004). C: Women’s views of antidepressants in the treatment of postnatal depression.
  6. (2004). de Jong-van den Berg LT: Drug use during breastfeeding: A survey from the Netherlands. Eur J Clin Nutr
  7. (1997). Drug distribution in human milk. Australian Prescriber
  8. (1998). Drug use in pregnancy and breast feeding: the role of the pharmacist.
  9. (1993). Einarson TR: Maternal noncompliance with antibiotics during breastfeeding. Ann Pharmacother
  10. (2000). Freed G: Resident physician’s knowledge of breastfeeding and infant growth. Birth
  11. (2001). Gait KA: Pharmacist counseling of pregnant or lactating women. J Am Pharm Assoc (Wash)
  12. (2004). How physicians perceive and utilize information from a teratogen information service: The Motherisk Program. BMC Med Educ
  13. (2009). L: An evaluation of pharmacists’ knowledge of women’s issues in epilepsy. Epilepsy Behav
  14. (2007). Lactation safety recommendations and reliability compared in 10 medications resources. Ann Pharmacother
  15. (1990). Lunde PKM: Drug utilization in breast-feeding women: A survey in Oslo.
  16. (2001). Medicines and breastfeeding. Pract Midwife
  17. (2005). Montouris G: Knowledge of women’s issues and epilepsy (KOWIE-II): a survey of health care professionals. Epilepsy Behav
  18. (2006). Multiprofessional training for breastfeeding management in primary care in the UK.
  19. (2008). Occurrence of lactational mastitis and medical management: a prospective cohort study in Glasgow. Int Breastfeed J
  20. (1995). P: National assessment of physicians’ breastfeeding knowledge, attitudes, training and experience. JAMA
  21. (1999). Pediatricians’ practices and attitudes regarding breastfeeding promotion. Pediatrics
  22. (1997). Physicians and breastfeeding: beliefs, knowledge, self-efficacy and counselling practices.
  23. (2010). Pirotta MV: GPs’ decision-making when prescribing medicines for breastfeeding women: Content analysis of a survey.
  24. (2009). Pirotta MV: Medicines for breastfeeding women: a postal survey of general practitioners in Victoria.
  25. (2010). Pirotta MV: Medicines for breastfeeding women: a postal survey of knowledge, attitudes and practices of general practitioners in
  26. (2003). Research Council: Dietary guidelines for children and adolescents in Australia incorporating the infant feeding guidelines for health workers.
  27. (2002). Schellpfeffer M: Best start breastfeeding promotion campaign. Pediatrics
  28. (2009). The identifying and counseling of breastfeeding women by pharmacists. Breastfeed Med
  29. (2003). The medication vs breastfeeding dilemma.
  30. (2000). The pharmacist’s contribution to primary care support for lactating mothers requiring medication.
  31. (2008). The relationship between personal breastfeeding experience and breastfeeding attitudes, knowledge, confidence and effectiveness of general practice registrars. Matern Child Nutr
  32. (2007). Vinker S: Attitudes and knowledge on breastfeeding among pediatricians, family physicians, and gynaecologists in Israel. Acta Paediatr
  33. (2008). Women’s views and experiences of antidepressants as a treatment for postnatal depression: a qualitative study. Fam Pract