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Background <p>Decision-making around medication use during lactation is often challenging for both parents and healthcare providers. The purpose of this study is to understand preferences, factors, and needs related to decision-making of parents and healthcare providers regarding medication use during lactation.</p> Method <p>Two separate online surveys were disseminated to Canadian mothers/birthing parents and healthcare providers from November 2021 to February 2022. Participants were recruited through advertisements on social media. The surveys collected demographic information and participants’ decision-making factors regarding medication use during infant feeding.</p> Results <p>There were 165 parents and 47 healthcare providers (<i>n</i> = 44 physicians; <i>n</i> = 2 nurses; <i>n</i> = 1 pharmacist) who completed the survey. Over half (54.7%) of parent participants found decision-making on medication use while nursing to be difficult and very few participants felt certain when making decisions (8.6%). Parents and healthcare providers ranked the leading factor impeding decision-making to be lacking information.</p> Conclusion <p>Many parents and healthcare providers identified a lack of information available to help guide the decision to use medication during lactation. Findings highlight the need for better evidence and a shared decision-making tool on medication use during lactation.</p>

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Preferences, factors, and needs involved in decision-making on medication use during lactation among parents and healthcare providers: a Canada-wide cross-sectional survey study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月3日

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  • Uma Yakandawala,
  • Laurie Proulx,
  • Christina Raimondi,
  • Katherine Kearns,
  • Angela Blouin,
  • Karine Toupin April,
  • Dana Turcotte,
  • Lauren E. Kelly,
  • Christine Leong

摘要

Background

Decision-making around medication use during lactation is often challenging for both parents and healthcare providers. The purpose of this study is to understand preferences, factors, and needs related to decision-making of parents and healthcare providers regarding medication use during lactation.

Method

Two separate online surveys were disseminated to Canadian mothers/birthing parents and healthcare providers from November 2021 to February 2022. Participants were recruited through advertisements on social media. The surveys collected demographic information and participants’ decision-making factors regarding medication use during infant feeding.

Results

There were 165 parents and 47 healthcare providers (n = 44 physicians; n = 2 nurses; n = 1 pharmacist) who completed the survey. Over half (54.7%) of parent participants found decision-making on medication use while nursing to be difficult and very few participants felt certain when making decisions (8.6%). Parents and healthcare providers ranked the leading factor impeding decision-making to be lacking information.

Conclusion

Many parents and healthcare providers identified a lack of information available to help guide the decision to use medication during lactation. Findings highlight the need for better evidence and a shared decision-making tool on medication use during lactation.