Journal of Human Lactation最新文献

{"title":"Flange Fit in the Real World: A NICU Clinician's Perspective on Pumping Research.","authors":"Mina Ognjanovic-Jasovic","doi":"10.1177/08903344251367071","DOIUrl":"https://doi.org/10.1177/08903344251367071","url":null,"abstract":"","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344251367071"},"PeriodicalIF":1.8,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956916","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":"A Drop in Supply, a Rise in Questions: Counseling Beyond the Data.","authors":"Amy G Bryant","doi":"10.1177/08903344251361036","DOIUrl":"https://doi.org/10.1177/08903344251361036","url":null,"abstract":"","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344251361036"},"PeriodicalIF":1.8,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956922","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":"Perceptions of Media and Advertisements on Breastfeeding Decisions of Mothers in Turkey: A Qualitative Study.","authors":"Ayse Gul Sener Arslan, Aysun Eksioglu","doi":"10.1177/08903344251363609","DOIUrl":"https://doi.org/10.1177/08903344251363609","url":null,"abstract":"<p><strong>Background: </strong>Media and advertising significantly shape mothers' infant feeding decisions, influencing whether to breastfeed or formula feed. Understanding these influences is crucial for promoting informed feeding practices.</p><p><strong>Research aim: </strong>This study explored how media and advertisements influence Turkish mothers' decisions regarding breastfeeding or formula feeding.</p><p><strong>Methods: </strong>This qualitative study, in which a phenomenological design was used, was conducted with 20 mothers of 0-12-month-old infants who were followed up in the healthy child clinic of a public hospital in the Bursa province located in the South Marmara region of Turkey. Descriptive characteristics were collected and semi-structured interviews were carried out and analyzed thematically.</p><p><strong>Results: </strong>We identified four main themes: mothers' use of media apps, factors influencing breastfeeding, the influence of media and advertising on feeding choices, and mothers' expectations of media and health professionals. Mothers reported using the media to share their experiences of infant development and breastfeeding. They reported that the media often showed celebrities promoting infant formula, and this, combined with advice from health professionals and family members, strongly influenced their feeding decisions. Mothers emphasized the need for the media to take a more positive approach to promoting breastfeeding.</p><p><strong>Conclusion: </strong>Reducing the impact of formula advertisements and offering accurate breastfeeding information through social media could better support mothers' feeding decisions. Health information would be clearer if policymakers and healthcare professionals prioritized regulating infant formula advertising and promoting breastfeeding on social platforms. Family health center professionals play a crucial role in comprehensive breastfeeding counseling.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344251363609"},"PeriodicalIF":1.8,"publicationDate":"2025-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862251","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":"Three Seeds of Inspiration: How I Published My First Case Study Without a PhD.","authors":"Indira Lopez-Bassols","doi":"10.1177/08903344251355194","DOIUrl":"10.1177/08903344251355194","url":null,"abstract":"<p><p>This article narrates a lived experience of how to write a case study. The essential ingredient to get started is wonder-some sparkle of awe. As International Board Certified Lactation Consultants, we are in privileged position as we witness how families find the strength and courage to overcome puzzling situations to forge their own breastfeeding paths. In addition to a story, the author explains that she also needed a map and compass to write her first case study. She explored the medical literature and read many cases studies where she found guidance on developing the backbone of her first case study. This article explains how writing should be accessible to all-even to those who are not in academia. One does not have to have a PhD to get published.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344251355194"},"PeriodicalIF":1.8,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775571","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":"Two Cases of Reduced Mother's Milk Production During Use of Combined Oral Contraceptives.","authors":"Linnéa Karlsson Lind, Patrik Dreher Sköld, Marina Wallström, Shahideh Rezai, Eva Wikström","doi":"10.1177/08903344251357624","DOIUrl":"10.1177/08903344251357624","url":null,"abstract":"<p><strong>Introduction: </strong>Existing evidence on the effects of combined hormonal contraception on mothers' milk production is inconclusive. This report describes two breastfeeding Swedish women who used combined hormonal contraceptives containing drospirenone (3 mg) and ethinylestradiol (0.03 mg).</p><p><strong>Main issue: </strong>Both participants experienced decreased milk production after initiating the combined hormonal contraceptives. The growth charts of their children show decreased growth during the same period and recovery after combined hormonal contraception was discontinued.</p><p><strong>Management: </strong>Combined hormonal contraception was discontinued, and measures were taken to increase milk production and follow infant growth.</p><p><strong>Conclusion: </strong>These cases follow two experiences of low milk production after initiation of combined oral contraceptives. In these cases, there was a resolution of infant weight gain with discontinuation of the medication.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344251357624"},"PeriodicalIF":1.8,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775572","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":"About Research: Intervention Studies.","authors":"Jung Eun Lee","doi":"10.1177/08903344251345706","DOIUrl":"10.1177/08903344251345706","url":null,"abstract":"","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"313-317"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317099","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":"Donor Human Milk Bacterial Microbiota Composition is Shaped by Breastfeeding Mode.","authors":"Xufei Wang, Xiaoyu Pan, Fangfei Xiao, Qiao Xu, Xiaolu Li, Lin Ye, Dan Li, Ting Zhang, Yizhong Wang","doi":"10.1177/08903344251343033","DOIUrl":"10.1177/08903344251343033","url":null,"abstract":"<p><strong>Background: </strong>Human milk contains a diverse community of microbes. The composition of this microbiota varies across different regions, and there is ongoing debate regarding its determinants.</p><p><strong>Research aim: </strong>To profile the bacterial composition of donor human milk samples from Shanghai, China, and to explore the factors influencing its composition.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from February 2018 to July 2022, involving 252 participants from the Shanghai Donor Human Milk Bank, Shanghai Children's Hospital. 16S rRNA sequencing was performed, and the microbiota composition was analyzed using K-means clustering, multiple linear regression, and sparse estimation of correlations among microbiomes.</p><p><strong>Results: </strong>The majority of detected taxa belonged to the phyla Firmicutes, Proteobacteria, Bacteroidota, and Actinobacteriota. Four clusters enriched with <i>Staphylococcus</i>, <i>Staphylococcus</i> and <i>Achromobacter</i>, <i>Achromobacter</i>, <i>Streptococcus</i>, <i>Streptococcus</i>, and <i>Acinetobacter</i> were identified. Multivariable linear regression showed that at least some indirect breastfeeding was independently associated with lower bacterial diversity. Also, at least some indirect breastfeeding, preterm birth, and Cesarean section were associated with a higher relative abundance of <i>Staphylococcus</i>. Higher milk protein content was linked to increased levels of <i>Lactobacillus</i> and <i>Enterococcus</i>, while lactation stage at sample collection inversely related to these genera. More linear and nonlinear relationships among the predominant genera of the direct breastfeeding group were found compared to the indirect breastfeeding group.</p><p><strong>Conclusion: </strong>Breastfeeding mode was identified as a pivotal determinant of human milk microbial composition. Investigation of the milk microbiota composition may provide clues for optimizing donor human milk collection, processing, and utilization practices.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"359-370"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505925","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":"Lower Adherence to Breastfeeding Recommendations in Mothers Treated With Antirheumatic and Antidepressant Medications.","authors":"Essi Whaites Heinonen, Diana L Johnson, Alec Todd, Christina D Chambers","doi":"10.1177/08903344251337384","DOIUrl":"10.1177/08903344251337384","url":null,"abstract":"<p><strong>Background: </strong>Exclusive breastfeeding for 6 months is recommended, but breastfeeding safety data is insufficient for several medications.</p><p><strong>Aim: </strong>To determine if mothers treated with chronic medications are less likely to breastfeed.</p><p><strong>Methods: </strong>For this secondary analysis, 6383 pregnant women in the MotherToBaby cohort recruited from the United States and Canada between 2010 and 2022 were included. Participants treated with antirheumatic medications (ARM), selective serotonin reuptake inhibitors (SSRIs), and asthma medications during pregnancy were divided into two groups based on their medication use: continuers and discontinuers. Breastfeeding initiation, supplementation with commercial milk formula, and discontinuation of breastfeeding before 6 months were compared between those exposed and unexposed to medication use. Adjusted risk and hazard ratios (aRR, aHR) and 95% Confidence Intervals (CI) were calculated with modified Poisson and Cox regressions adjusted for year, parity, socioeconomic status, body mass index, smoking, illicit drug use, race and ethnicity.</p><p><strong>Results: </strong>The sample included 799 (12.5%) continuers and 475 (7.4%) discontinuers of ARM, 293 continuers (4.6%) and 63 (1.0%) discontinuers of SSRIs, and 217 (3.4%) continuers and 97 (1.5%) discontinuers of asthma medications. There were 4,439 (69.6%) participants who were unexposed to the study medications. Both ARM continuers and discontinuers were more likely to not breastfeed (aRRs 95% CI: 3.92 [3.03, 5.07] and 3.08 [2.19, 4.33]), to supplement (aRRs 95% CI: 1.12 [1.01, 1.26] and 1.25 [1.10, 1.43]) and stop breastfeeding before 6 months (aHRs 95% CI: 1.72 [1.29, 2.31] and 1.41 [0.92, 2.15]). SSRI continuers were more likely to supplement (aRR 95% CI: 1.26 [1.08, 1.47]).</p><p><strong>Conclusion: </strong>Participants treated with chronic medications, primarily ARMs, were less likely to breastfeed. Targeted lactation support for mothers with chronic illnesses is recommended along with development of breastfeeding safety data for these medications.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"412-422"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144159622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reasons for Breastfeeding Avoidance: A Multicenter Insight in Mothers With Systemic Lupus Erythematosus.","authors":"Massimo Radin, Silvia G Foddai, Karen Schreiber, Irene Cecchi, Flavio Signorelli, Guilherme de Jesús, Kuniyuki Aso, Michihito Kono, Maria Letizia Urban, Beatrice Bacco, Silvia Gallo Cassarino, Luca Lo Sardo, Marta Arbrile, Alice Barinotti, Ignacio Gómez García, María Isabel Quaglia, Yohana Tissera, Fiammetta Gervasoni, María Ángeles Aguirre-Zamorano, Paula Alba, Chiara Benedetto, Tatsuya Atsumi, Olga Amengual, Giacomo Emmi, Danieli Andrade, Luca Marozio, Dario Roccatello, Savino Sciascia","doi":"10.1177/08903344251338242","DOIUrl":"10.1177/08903344251338242","url":null,"abstract":"<p><strong>Background: </strong>Limited research exists on breastfeeding among women with systemic lupus erythematosus, despite known benefits of human milk.</p><p><strong>Research aim: </strong>To investigate reasons for breastfeeding avoidance among postpartum women with systemic lupus erythematosus.</p><p><strong>Methods: </strong>This is a descriptive study, conducted in January 2023, combining retrospective pregnancy outcome data collection with a structured telephone questionnaire.</p><p><strong>Results: </strong>Almost half of respondents (<i>n</i> = 22; 54.5%) experienced a disease flare within 24 months post-delivery. Reasons given by participants for breastfeeding avoidance included healthcare professional advice (<i>n</i> = 8; 36.4%), fear of medication harm (<i>n</i> = 5; 22.7%), and maternal/neonatal complications (<i>n</i> = 10; 45%). Most participants (<i>n</i> = 21; 95.5%) expressed a willingness to breastfeed if possible.</p><p><strong>Conclusion: </strong>Breastfeeding rates and breastfeeding specific care could be enhanced for patients with systemic lupus erythematosus through patient networks and appropriate practitioner education.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"392-400"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225690","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 Knowledge and Associated Factors Among Nursing Students in China: A Nationwide Cross-Sectional Study.","authors":"Mingzhu Chen, Jinxin Zhao, Fengling Lu, Zhihong Chen, Lijuan Zhang, Jun Lei","doi":"10.1177/08903344251344909","DOIUrl":"10.1177/08903344251344909","url":null,"abstract":"<p><strong>Background: </strong>Nurses' breastfeeding knowledge plays a significant role in promoting breastfeeding. Assessing nursing students' breastfeeding knowledge is crucial to devise effective educational strategies.</p><p><strong>Research aims: </strong>To assess breastfeeding knowledge among nursing students in mainland China and identify the factors associated with it.</p><p><strong>Methods: </strong>A cross-sectional study was conducted to investigate the status of breastfeeding knowledge and its associated factors among Chinese nursing students (<i>N</i> = 1606). Data were collected through a network survey platform (WJX), utilizing a researcher-designed questionnaire and the Nursing Student's Knowledge about Breastfeeding Questionnaire. The associated factors were analyzed using independent sample <i>t</i> tests, one-way ANOVA, Pearson correlations, and multiple linear regression analyses.</p><p><strong>Results: </strong>The mean score for breastfeeding knowledge was 52.37 (<i>SD</i> = 27.39) out of 100. Passing is considered > 60. The breastfeeding knowledge score was higher in participants in their 3rd (<i>β</i> = 0.11, <i>p</i> < 0.001) and 4th year of study (<i>β</i> = 0.08, <i>p</i> = 0.006), and when participants reported deep breastfeeding-related learning (<i>β</i> = 0.21, <i>p</i> < 0.001). Lower knowledge levels were associated with incomplete breastfeeding related courses (<i>β</i> = -0.11, <i>p</i> < 0.001), no reported exposure to seeing breastfeeding (<i>β</i> = -0.08, <i>p</i> = 0.001), low confidence in effectively supporting breastfeeding (<i>β</i> = -0.11, <i>p</i> < 0.001), and a lack of enthusiasm for the profession of nursing (<i>β</i> = -0.06, <i>p</i> = 0.018).</p><p><strong>Conclusion: </strong>This study suggests there is a need to adopt a more comprehensive approach to breastfeeding education in order to enhance nursing students' breastfeeding knowledge. This could improve what they can offer in practical experience towards supporting breastfeeding.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"345-358"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505923","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}