Journal of Human Lactation最新文献

{"title":"Research Trends of Breastfeeding and Infant Formula in Relation to Neurological Disorders: A Bibliometric Mapping Analysis.","authors":"Hamid Abbasi, Zahra Mirzaei Fashtali, Mahshad Mohtadi, Ali Jafari","doi":"10.1177/08903344261451998","DOIUrl":"https://doi.org/10.1177/08903344261451998","url":null,"abstract":"<p><strong>Background: </strong>Neurological disorders (NDs) represent the leading cause of disability and the second most significant contributor to global mortality. Exclusive breastfeeding supports early neural development and may provide protective effects against NDs. This study aimed to examine the foundational concepts and intellectual framework of the existing literature concerning breastfeeding in the context of NDs.</p><p><strong>Methods: </strong>Literature published from 1956 to 2025 was retrieved from the Web of Science Core Collection. A total of 252 English-language articles were analyzed using VOSviewer (v1.6.20) and R software (v4.3.3). The analysis examined publication trends, countries, institutions, authors, journals, and keywords.</p><p><strong>Results: </strong>Annual publication trends indicated an overall upward trajectory, peaking at 25 in 2024. The United States was the most productive country, followed by Italy and Germany. Leading institutions included Ruhr University Bochum and the University of British Columbia. The most influential authors were K. Hellwig and A. Langer Gould. Core journals were <i>Breastfeeding Medicine</i>, <i>Epilepsia</i>, and <i>Multiple Sclerosis and Related Disorders</i>. Keyword analysis identified \"pregnancy,\" \"breastfeeding,\" and \"multiple sclerosis\" as dominant themes, with research evolving from pharmacological concerns toward risk-benefit evaluations and exposure assessments.</p><p><strong>Conclusion: </strong>This study provides the first bibliometric analysis of research linking breastfeeding and infant formula with NDs. It maps the growth, key contributors, and thematic evolution of the field, highlighting a transition toward evidence-based clinical guidance and identifying gaps for future research.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261451998"},"PeriodicalIF":2.0,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148562018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated With Breastfeeding Success: Postpartum Depressive Symptoms, Breastfeeding Self-Efficacy, and Technique (LATCH)-A Cross-Sectional Study.","authors":"Gülberat Totur, Oğuzhan Çam, Adem Aydın, Tolga İnce","doi":"10.1177/08903344261460212","DOIUrl":"https://doi.org/10.1177/08903344261460212","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding is more than nourishment; it strengthens the physiological and psychosocial bond between mother and infant.</p><p><strong>Aim: </strong>We examined the relationships among postpartum depressive symptoms, breastfeeding self-efficacy, and LATCH-assessed breastfeeding technique, which are known to influence breastfeeding outcomes but have generally been evaluated separately, and we also assessed relevant sociodemographic and obstetric factors.</p><p><strong>Methods: </strong>This cross-sectional study was conducted at a University Hospital. Data were collected using a structured sociodemographic/obstetric form, the Edinburgh Postnatal Depression Scale (EPDS), the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), and observation of a breastfeeding session with the LATCH tool. Analyses included descriptive statistics, group comparisons, correlation analyses, and multivariable linear regression.</p><p><strong>Results: </strong>In our study, mothers' mean (<i>SD</i>) scores were EPDS 9.0 (5.43), LATCH 10.0 (1.06), and BSES-SF 62.0 (7.05). EPDS correlated negatively with BSES-SF, not with LATCH, whereas LATCH correlated positively with BSES-SF. In adjusted models, higher maternal age and better economic status were associated with lower EPDS scores; lack of breastfeeding training and a partner not employed predicted lower LATCH scores; and lower BSES-SF scores were associated with no prior breastfeeding experience, not being employed, lack of training, and maternal smoking.</p><p><strong>Conclusion: </strong>Breastfeeding success was associated with the interplay of a mother's psychological health, technical performance at the breast, and breastfeeding self-efficacy. Perinatal care practices should incorporate breastfeeding education, smoking cessation support, direct skin-to-skin contact with early breastfeeding initiation, and integrated mental health support, particularly for primiparous and socioeconomically disadvantaged women.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261460212"},"PeriodicalIF":2.0,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148562320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinic-Integrated IBCLC Care is Associated With Higher Breastfeeding Goal Achievement and Faster Time to Goal Attainment Compared With Home-Visit Care.","authors":"Mina Ognjanovic-Jasovic","doi":"10.1177/08903344261435718","DOIUrl":"https://doi.org/10.1177/08903344261435718","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding outcomes are influenced not only by the quality of lactation support but also by the manner in which lactation care is delivered. While home-visit lactation services offer convenience, clinic-integrated International Board Certified Lactation Consultant care embedded within pediatric practices may facilitate earlier interventions and interdisciplinary collaborations. Comparative real-world evidence evaluating these models is limited.</p><p><strong>Research aim: </strong>To examine whether clinic-integrated International Board Certified Lactation Consultant care is associated with higher breastfeeding goal achievement and shorter time to goal attainment compared with home-visit International Board Certified Lactation Consultant care.</p><p><strong>Method: </strong>A quantitative, observational, two-group comparative study was conducted using clinical data collected during routine lactation care. Postpartum dyads received either clinic-integrated or home-visit care from an International Board Certified Lactation Consultant (<i>N</i> = 100). Consecutive eligible participants were included until 50 dyads per group were reached. Breastfeeding goals were documented at the initial consultation and reassessed at 8 weeks postpartum to determine goal achievement and time to goal attainment.</p><p><strong>Results: </strong>Breastfeeding goals were achieved by 82% (41/50) of participants receiving clinic-integrated care, compared with 54% (27/50) of participants receiving home-visit care. The mean time to goal attainment was shorter in the clinic-integrated group (<i>M</i> = 2.5 weeks, <i>SD</i> = 1.2) than in the home-visit group (<i>M</i> = 3.5 weeks, <i>SD</i> = 1.4).</p><p><strong>Conclusion: </strong>Clinic-integrated International Board Certified Lactation Consultant care within pediatric practices is associated with higher breastfeeding goal attainment and faster resolution of feeding concerns. These findings support the integration of International Board Certified Lactation Consultants into pediatric primary care settings.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261435718"},"PeriodicalIF":2.0,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148562288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individualizing Care and Setting Realistic Expectations: How Clinicians Support Lactation Induction in Transgender, Two-Spirit, and Non-Binary People.","authors":"Caitlin Botkin, Drew B A Clark, Helen Brown","doi":"10.1177/08903344261452625","DOIUrl":"https://doi.org/10.1177/08903344261452625","url":null,"abstract":"<p><strong>Background: </strong>People who induce lactation may be of any sex or gender and may pursue lactation induction to feed an infant, to develop their breast tissue, or for gender affirmation. Existing research focuses on cisgender women and research into lactation induction for transgender, Two-Spirit, and non-binary (TTNB) people is limited to experiences of transgender women.</p><p><strong>Research aim: </strong>The aim was to explore how clinicians support TTNB people with lactation induction.</p><p><strong>Methods: </strong>An online qualitative survey was distributed internationally to clinicians providing lactation induction support to TTNB people. The responses of 14 participants were analyzed using qualitative directed content analysis.</p><p><strong>Results: </strong>Participants supported TTNB people inducing lactation by individualizing care, modifying expectations, and building a support team. Care was individualized by adjusting lactation induction protocols according to each client's goals and gender health. Clinicians modified expectations by encouraging clients to set achievable goals and focus on the experience of infant feeding rather than the amount of milk produced. Finally, recognizing that TTNB clients often experience anti-trans bias when accessing healthcare, the participants emphasized the critical need for clinical and social support when inducing lactation and for gender-affirming infant feeding care. Recommendations are provided for clinicians supporting TTNB clients to induce lactation.</p><p><strong>Conclusion: </strong>The research findings indicate the importance of a flexible, holistic approach to provide gender-affirming support to TTNB clients who are inducing lactation.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261452625"},"PeriodicalIF":2.0,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148562291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tools and Criteria Used to Indicate Frenotomy/Frenectomy in Infants With Ankyloglossia: A Scoping Review.","authors":"Mikaella Gomes Valadares, Kamilla Mahy Silva Araújo, Isabela Melo Martins, Mariana Passos De Luca, Patrícia Corrêa-Faria","doi":"10.1177/08903344261460203","DOIUrl":"https://doi.org/10.1177/08903344261460203","url":null,"abstract":"<p><strong>Background: </strong>The number of surgical interventions in infants to resolve ankyloglossia (tongue-tie) has been increasing. However, there seems to be no consensus on the criteria used to indicate frenotomy or frenectomy.</p><p><strong>Research aim: </strong>To identify the assessment tools and criteria used to support surgical decision-making in cases of ankyloglossia in infants.</p><p><strong>Methods: </strong>A scoping review was conducted. Studies were retrieved from six electronic databases: PubMed, Embase, Central, LILACS, Scopus, and ProQuest. The articles were assessed in two stages: (1) title/abstract screening and (2) full-text analysis. Clinical trials and observational studies involving infants less than 23 months of age with tongue-tie and submitted to frenotomy or frenectomy were included. Data on the assessment tools and criteria used to diagnose ankyloglossia and indicate surgery were extracted from the studies.</p><p><strong>Results: </strong>A total of 606 documents were identified and 53 were included. Surgical decision-making was based on assessment tools, such as the Coryllos classification (<i>n</i> = 17), Hazelbaker Assessment Tool for Lingual Frenulum Function (ATLFF; <i>n</i> = 12), Bristol Tongue Assessment Tool (BTAT; <i>n</i> = 3), and Lingual Frenulum Evaluation Protocol for Infants/Tongue-Tie Test (<i>n</i> = 4). Other studies adopted a combination of clinical criteria and complaints related to breastfeeding.</p><p><strong>Conclusion: </strong>The findings show that heterogeneity in the choice of assessment tool differences in cut-off points, and in the interpretation of anatomical, functional, and breastfeeding-related findings used to justify surgery. This underscores the need for standardized, evidence-based criteria to guide when frenotomy should be recommended in infants with ankyloglossia.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261460203"},"PeriodicalIF":2.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breastfeeding Experiences of Black African Immigrant Women in Saskatoon, Saskatchewan: An Interpretative Phenomenological Analysis.","authors":"Nneka Christina Kene-Ibeagha, Premkumar Kalyani, Yolanda Palmer-Clarke, Jacob Alhassan","doi":"10.1177/08903344261451915","DOIUrl":"https://doi.org/10.1177/08903344261451915","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding offers significant health benefits for mothers and infants, but global breastfeeding rates continue to fall short of the World Health Organization's goals. Migration presents additional challenges that influence breastfeeding practices.</p><p><strong>Objective: </strong>This qualitative study explored the lived breastfeeding experiences of Black African immigrant women before and after migration, identifying key facilitators and barriers to breastfeeding.</p><p><strong>Methods: </strong>Using an interpretative phenomenological approach, we recruited five participants between August and October 2024 through purposive and snowball sampling. Semi-structured interviews were audio-recorded, transcribed, and analyzed using interpretative phenomenological analysis. Data was managed using Microsoft Word and Excel. Rigour was ensured through member checking, peer debriefing, and reflexive journaling. The Behavioural Research Ethics Board of the University of Saskatchewan granted ethics approval.</p><p><strong>Results: </strong>Five themes emerged: (a) positive breastfeeding experiences and maternal satisfaction, (b) family and community support, (c) cultural practices and societal acceptance, (d) healthcare support and access to resources, and (e) barriers and challenges to breastfeeding. Although the first three themes relate to overall breastfeeding experiences, the fourth and fifth themes highlight critical facilitators and obstacles. Migration introduced barriers such as cultural transitions, navigating healthcare systems, language barriers, and social isolation. Despite these barriers, the women demonstrated resilience, drawing on traditional knowledge and community support to continue breastfeeding.</p><p><strong>Conclusion: </strong>This study underscores the need for culturally sensitive support services and healthcare interventions that empower Black African immigrant women to overcome breastfeeding challenges in Canada and promote positive health outcomes for mothers and children.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261451915"},"PeriodicalIF":2.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effectiveness of Midwife-Led and Nurse-Led Interventions on Breastfeeding Self-Efficacy and Exclusive Breastfeeding Rates: A Systematic Review and Meta-Analysis.","authors":"Gloria Anderson, Jessica Preziosi, Giorgia Gabrielli, Simona Proia, Erika Colagiovanni, Francesca Rizzi, Silvia Salvi, Angela Durante, Maria Luisa Rega, Sofia Colaceci, Antonio Lanzone, Tullio Ghi, Michelangela Danza","doi":"10.1177/08903344261451214","DOIUrl":"https://doi.org/10.1177/08903344261451214","url":null,"abstract":"<p><strong>Introduction: </strong>Several factors influence breastfeeding, including breastfeeding self-efficacy, which can be enhanced through midwives' or nurses' interventions. While previous reviews have evaluated the effectiveness of programs targeting breastfeeding self-efficacy, none have specifically assessed the impact of nurse- or midwife-led interventions.</p><p><strong>Research aim: </strong>To systematically review the literature and evaluate studies assessing the efficacy of nurse-led and midwife-led interventions on BSE and exclusive breastfeeding rates.</p><p><strong>Methods: </strong>This systematic review and meta-analysis, conducted per PRISMA guidelines, searched databases such as MEDLINE, Scopus, Web of Science, CINAHL, the Cochrane Database, and PsycINFO. We included randomized controlled trials enrolling healthy pregnant or postpartum women (P), comparing nurse‑ or midwife‑led interventions (I) with usual care (C). The primary outcome was breastfeeding self-efficacy; secondary outcomes were exclusive breastfeeding rates and exclusive breastfeeding duration (O). The Cochrane Risk of Bias Tool assessed study quality, and a random-effects meta-analysis calculated standardized mean differences for breastfeeding self-efficacy and risk ratio for exclusive breastfeeding.</p><p><strong>Results: </strong>A total of 21 randomized controlled trials encompassing 2,415 participants were identified, primarily conducted in Asia and the Middle East. The interventions significantly increased breastfeeding self-efficacy from 15 days (<i>N</i> = 1343; SMD = 1.75; 95% CI [0.94; 2.56], I² = 97%, <i>p</i> < 0.01) up to 6 months (<i>N</i> = 246; SMD: 0.56; 95% CI [0.31; 0.82]; I² = 0%, <i>p</i> = 0.48) postpartum and improved exclusive breastfeeding rates at 4 (<i>N</i> = 650; RR = 1.22; 95% CI [1.04; 1.41], I² = 0%, <i>p</i> = 0.48), 12 (<i>N</i> = 718; RR = 1.61; 95% CI [1.25; 2.08], I² = 52%, <i>p</i> = 0.05), and 20 weeks (<i>N</i> = 487; RR = 2.35; 95% CI [1.47; 3.76], I² = 52%, <i>p</i> = 0.06) postpartum. Subgroup analyses highlighted that interventions were particularly effective in the Middle East, during the immediate postpartum, with durations exceeding 1 day, and through mono-component strategies. However, substantial heterogeneity was observed across studies, driven by different geographical location, timing, duration, and intervention type.</p><p><strong>Conclusion: </strong>Postpartum support from nurses and midwives is vital for promoting breastfeeding. Results emphasize the importance of tailored, long-term interventions to improve maternal and infant health outcomes, with further research needed to align strategies with World Health Organization recommendations. However, the high heterogeneity observed for breastfeeding self-efficacy limits the certainty of the pooled estimate, and should be carefully considered when interpreting the results.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261451214"},"PeriodicalIF":2.0,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148471086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Effectiveness of Myofunctional Therapy and Breastfeeding Education for Ankyloglossia: A Randomized Controlled Trial.","authors":"Gemma López-Segura, Raúl Romero-Del Rey, María Del Mar Murillo-de Las Heras, Mar Requena-Mullor, Mónica Rodríguez-Pérez, Raquel Alarcón-Rodríguez, Jessica García-González","doi":"10.1177/08903344261459944","DOIUrl":"https://doi.org/10.1177/08903344261459944","url":null,"abstract":"<p><strong>Background: </strong>While breastfeeding support and feeding therapy are first-line interventions for ankyloglossia, specific oral-motor protocols, often categorized as passive Myofunctional Therapy (MFT), have mainly been studied as an adjunct to surgery. Evidence on their effectiveness as a primary conservative approach in infants remains limited, highlighting the need for randomized controlled trials.</p><p><strong>Research aim: </strong>To compare the effectiveness of an infant-appropriate oral-motor MFT protocol on lingual frenulum function, breastfeeding establishment, and nipple pain, compared with breastfeeding education (BE) in infants with ankyloglossia.</p><p><strong>Methods: </strong>This two-arm, single-blind randomized trial (July-November 2023) assigned 200 infants to passive MFT (oral-motor stretches and massages; <i>n</i> = 100) or BE (<i>n</i> = 100) for 1 month. The primary outcomes were lingual frenulum function (Assessment Tool for Lingual Frenulum Function, ATLFF), and breastfeeding establishment (LATCH scale). Maternal nipple pain (Visual Analogue Scale, VAS) was the secondary outcome.</p><p><strong>Results: </strong>No significant differences were found in ATLFF-Appearance scores pre- and post-intervention (<i>p</i> = 0.28, <i>p</i> = 0.42). Post-intervention, the MFT group showed higher ATLFF-Function scores (<i>r</i> = 0.33; <i>p</i> < 0.001), lower maternal nipple pain (<i>r</i> = -0.38; <i>p</i> < 0.001), and higher LATCH scores (<i>r</i> = 0.26; <i>p</i> < 0.001). Infants receiving MFT were more likely to avoid surgery (<i>OR</i> = 4.63; <i>p</i> = 0.005), particularly with higher LATCH (<i>OR</i> = 2.74; <i>p</i> < 0.001) and ATLFF-Function scores (OR= 1.83; <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>An infant-appropriate MFT protocol based on passive oral-motor techniques significantly improved tongue function, breastfeeding establishment, and reduced nipple pain, with a higher likelihood of avoiding surgery compared to BE.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261459944"},"PeriodicalIF":2.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148471074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immigrant Fathers' Perceptions of Human Milk Banks and Pasteurized Donor Human Milk in the United States: A Qualitative Study.","authors":"Cecilia S Obeng, Frederica Jackson, Harriet Ayiku, Sophia Salem, Ines Gonzalez Casanova, Cydne A Perry, Kourtney A Byrd","doi":"10.1177/08903344261461896","DOIUrl":"https://doi.org/10.1177/08903344261461896","url":null,"abstract":"<p><strong>Background: </strong>Pasteurized donor human milk (DHM)is the best alternative for sick and preterm infants when mother's own milk is unavailable. Prior studies have examined perceptions of human milk banks (HMBs) and pasteurized DHM among mothers of diverse backgrounds, yet little is known about fathers' perceptions. It is important to understand fathers' beliefs about DHM and their role in infant feeding decisions to inform public health programs and interventions that promote infant wellbeing.</p><p><strong>Research aim: </strong>This study aimed to explore immigrant fathers' perceptions of pasteurized DHM and HMBs in the United States, including perceived benefits, concerns, and conditions shaping acceptability.</p><p><strong>Methods: </strong>This descriptive qualitative study involved semi-structured interviews with 19 immigrant fathers from East and West Africa and South Asia. Participants were recruited in the United States using snowball sampling through community organizations and social media. Interviews were audio-recorded, transcribed, and analyzed using rapid qualitative methods, including matrix-based synthesis and thematic analysis with constant comparison.</p><p><strong>Results: </strong>Participants described limited awareness of DHM and milk banks. Acceptability was shaped by concerns about safety and process transparency (screening, storage, and disease transmission) and by cultural and religious meanings of shared milk, including beliefs about transfer of traits, bonding, and kinship. Despite reservations, fathers viewed DHM as acceptable when medically indicated and if communicated clearly through trusted institutions.</p><p><strong>Conclusion: </strong>Immigrant fathers' perspectives suggest the need for father-inclusive, culturally responsive education that emphasizes safety processes, clarifies clinical indications, and transparently addresses access and costs.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261461896"},"PeriodicalIF":2.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148471111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Quality and Reliability of Short Videos About Lactational Mastitis on TikTok: A Cross-Sectional Study.","authors":"Lin Xie, Yingda Song, Yafen Zhang","doi":"10.1177/08903344261452013","DOIUrl":"https://doi.org/10.1177/08903344261452013","url":null,"abstract":"<p><strong>Background: </strong>Lactational mastitis is a prevalent postpartum infection that significantly impacts maternal health and the continuation of breastfeeding. While TikTok has emerged as a major platform for health information dissemination, concerns persist regarding the scientific quality and reliability of its content. To date, a systematic evaluation of lactational mastitis-related videos on this platform is lacking.</p><p><strong>Objective: </strong>To evaluate the characteristics, content completeness, quality, and reliability of Chinese TikTok videos on lactational mastitis.</p><p><strong>Methods: </strong>A cross-sectional content analysis was conducted on videos related to lactational mastitis on TikTok (Douyin). Between October 26 and 30, 2025, the top 150 videos returned under the default ranking were consecutively screened, of which 124 met the eligibility criteria and were included in the analysis. We used the Global Quality Score (GQS) to evaluate overall educational value, flow, and usefulness, and the modified DISCERN (mDISCERN) to assess information reliability and traceability; both are widely used and validated instruments for assessing online health information. Data were analyzed using descriptive statistics, group comparisons (Kruskal-Wallis), and Spearman correlations (two-sided <i>p</i> < 0.05) in R 4.3.2.</p><p><strong>Results: </strong>Of 150 consecutively retrieved videos, 124 met the eligibility criteria. Videos were brief (median 68.00 s; IQR 42.00-111.75) and highly engaging, but overall educational quality and reliability were low, with median GQS and mDISCERN scores of 2.00 (IQR 2.00-3.00) and 3.00 (IQR 2.00-4.00), respectively. Content emphasized precipitating factors, clinical presentation, and treatment, whereas epidemiology and diagnosis were least covered; 83.9% of videos mentioned neither. Healthcare professionals scored higher than nonprofessionals on both GQS and mDISCERN (both <i>p</i> < 0.05). Video duration was weakly positively correlated with GQS (<i>r</i> = 0.35, <i>p</i> < 0.001), whereas engagement metrics were not meaningfully associated with GQS or mDISCERN (all ∣r∣ ≤ 0.18, <i>p</i> ≥ 0.05).</p><p><strong>Conclusion: </strong>The overall quality and reliability of TikTok videos on lactational mastitis are suboptimal. Future efforts should prioritize improving content completeness and scientific rigor; fostering greater participation by qualified health professionals; and promoting transparent citation of sources, clear disclosure of credentials and conflicts of interest, and routine updates to reflect current evidence. Educational interventions and authoring guidance tailored to short-video formats may further support accuracy and clarity for lay audiences.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261452013"},"PeriodicalIF":2.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148471057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}