perinatal substance use

The Breastfeeding Triple Step: Three Steps That Can Improve Your Care of Infants Affected by Substance Use Disorder and Their Families

In 2015, the Academy of Breastfeeding Medicine published ABM Clinical Protocol #21, Guidelines for Breastfeeding and Substance Use or Substance Use Disorder. In 2023, the ABM updated the publication. The new recommendations included the recommendations that "individuals who discontinue non-prescribed substance use by the time of delivery hospitalization can be support to initiate breastfeeding." This presentation reviews current information specific to human milk feeding and substance use.

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Patrick Jones - Course author
Meet the instructor

Paula K. Schreck, MD, NABBLM-C, IBCLC, FABM

Paula K. Schreck, MD, IBCLC, FABM, is Chief Medical Officer of Coffective and medical director of the St. John Mother Nurture Network and Lactation Consultant Program. She leads Baby-Friendly and quality improvement initiatives nationwide and serves on the Board of the Academy of Breastfeeding Medicine and the NABBLM.


The speaker has no relevant financial relationships with ineligible companies.*

Learning Outcomes

At the conclusion of this activity, participants will be able to:
  • List 3 key steps in the Baby-Friendly Hospital Initiatives 10 Steps to Successful Breastfeeding that can affect the clinical course of the infant at risk for substance withdrawal
  • Describe the Academy of Breastfeeding's recommendations for breastfeeding in the birthing person with SUD.


Accreditation Statements

Continuing Medical Education

The Wisconsin Association for Perinatal Care is accredited by the Wisconsin Medical Society to provide continuing medical education for physicians.

The Wisconsin Association for Perinatal Care (WAPC) designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Course Content

Planning Committee

No one in control of content has any relevant financial relationships with ineligible companies.*

Course Information

This webinar was recorded on July 16, 2024.

The expiration date for this course is October 6, 2028.

*Ineligible companies are those whose primary business in producing, marketing, selling, reselling, or distributing health care products used by or on patients.