Abstract

RIBEIRO, Silmara de Fátima Teixeira  and  FERNANDES, Rosa Aurea Quintella. Nursing mothers that use drugs and the breastfeeding outcome: a cohort study. SMAD, Rev. Eletrônica Saúde Mental Álcool Drog. (Ed. port.) [online]. 2021, vol.17, n.1, pp. 32-38. ISSN 1806-6976.  http://dx.doi.org/10.11606/issn.1806-6976.smad.2021.156968.

OBJECTIVE: to identify the breastfeeding outcome for mothers that use licit and illicit drugs, to verify the severity of their dependence and to relate this to the breastfeeding duration. METHOD: cohort study with 108 women. The Alcohol Smoking and Substance Involvement Screening Test (ASSIST) was used to establish drug dependence. Breastfeeding maintenance was assessed on the 7^th, 15^th and 30^th days of life. To assess the breastfeeding continuity, Kaplan-Meier and Cox survival analysis was used. RESULTS: 42.6% of the mothers presented an score indicative of abuse for marijuana and 37.0% for cocaine. The mean length of breastfeeding was 28.8 days. The abuse of tobacco and alcohol represented, respectively, 6.6 and 11.0 times more risk of discontinuing the breastfeeding. It was not possible to establish this relationship in relation to marijuana and cocaine. CONCLUSION: the mothers that used drugs practiced exclusive breastfeeding, even those that used marijuana and cocaine in an abusive way. Drug use, even if legal, represents a risk for early weaning.

Keywords : Breast Feeding; Street Drugs; Maternal-Child Nursing; Nursing Care; Drug Users.

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