Journal of Human Lactation最新文献

{"title":"Effectiveness of Highly Purified Anhydrous Lanolin Versus Extra-Virgin Coconut Oil in Preventing Subacute Lactation Mastitis.","authors":"Sonia Griffin Riley, Sandra Cesario","doi":"10.1177/08903344261458636","DOIUrl":"https://doi.org/10.1177/08903344261458636","url":null,"abstract":"<p><strong>Problem: </strong>This study was designed to test the effectiveness of the application of extra virgin coconut oil (EVCO) versus highly purified anhydrous (HPA) lanolin in preventing nipple pain and cracking with the goal of preventing subacute lactation mastitis in breastfeeding women during the first 6 weeks postpartum.</p><p><strong>Method: </strong>Randomized controlled study design using random assignment was conducted in a large urban hospital in the southern part of the United States.</p><p><strong>Procedure: </strong>Participants assigned to the control group received the standard postpartum breast care cream-HPA lanolin-to prevent nipple pain and cracking while the other group was assigned to receive the experimental product of EVCO for breast care. Both products were dispensed by the research pharmacist prior to hospital discharge following an uncomplicated singleton birth. Measures of study variables were completed at baseline, 1 week, 3 weeks, and 6 weeks postpartum using the Storr Nipple Tenderness Scale (NTS) and the Numeric Pain Rating Scale (NPS).</p><p><strong>Results: </strong>A total of 97 participants agreed to participate in the study, and 47 were enrolled. Due to high attrition, only 27 participants completed the full 6 weeks of the study. This early work suggests that EVCO was more effective than HPA lanolin in preventing nipple trauma and cracking (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Study findings suggest that EVCO should be considered as a frontline treatment for aid in preventing subacute lactation mastitis.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261458636"},"PeriodicalIF":2.0,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148857353","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":"Nutritional Composition of Breastmilk in the Context of Maternal Diet and Cannabis Use: A Narrative Review.","authors":"Cinthya R Moshtagh, Leticia Hernandez Galan, Alison K Shea","doi":"10.1177/08903344261479232","DOIUrl":"https://doi.org/10.1177/08903344261479232","url":null,"abstract":"<p><strong>Background: </strong>Human milk is a dynamic biofluid influenced by maternal health, diet, and environmental exposures, including cannabis consumption.</p><p><strong>Objective: </strong>To synthesize current evidence on whether maternal cannabis consumption is directly associated with alterations in the macronutrient and immunological composition of breastmilk, and to identify dietary patterns and social adversity as key confounding variables requiring methodological consideration in future research.</p><p><strong>Methods: </strong>A narrative review of the peer-reviewed literature was conducted. Relevant studies were identified using selected keywords searched individually and in combination. Search was not restricted by date but prioritized recent literature, with seminal studies included where relevant. Studies were selected based on relevance to the review questions; no formal inclusion or exclusion criteria were applied, consistent with the narrative review methodology.</p><p><strong>Results: </strong>Maternal diet is a key determinant of breastmilk composition, particularly for fatty acids. Emerging evidence suggests that cannabis consumption may be associated with alterations in fat and protein concentrations, and may affect immune components such as Secretory Immunoglobulin A (SIgA). However, these associations may be confounded by cannabis-related changes in dietary patterns and by socioeconomic disadvantages that influence maternal nutrition and health. Findings remain limited and inconsistent, and underlying biological mechanisms remain poorly understood.</p><p><strong>Conclusions: </strong>Current evidence on the impact of maternal cannabis use on breastmilk composition is sparse and inconclusive. Further research is needed to disentangle the direct effects of cannabis exposure from related dietary and social determinants to clarify implications for infant growth, immune development, and long-term health outcomes.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261479232"},"PeriodicalIF":2.0,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148857409","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":"Exploring the Efficacy and Safety of a Nursing Gel Formulation in Pregnant and Lactating Women With Cracked and Painful Nipples: An Open-Label, Single-Arm Clinical Study.","authors":"Trupti Patel, Ramesh Prajapati, Virendra Narkhede M, Rutu Bhimani, Tejas Vyas, Mrityunjay Tiwari","doi":"10.1177/08903344261474490","DOIUrl":"https://doi.org/10.1177/08903344261474490","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding women often experience nipple pain, usually caused by incorrect newborn positioning in the first 10 days after childbirth.</p><p><strong>Aim: </strong>To explore the efficacy and safety of a novel gel-based formulation in healthy pregnant and lactating women with cracked and painful nipples.</p><p><strong>Method: </strong>Sixty participants were instructed to gently apply approximately 0.5 g of test product onto the nipples and surrounding area for 14 days (an open-label, single-arm study). Nipple pain, nipple skin physical parameters, skin hydration, and skin barrier function were assessed at various time points.</p><p><strong>Results: </strong>The nipple pain significantly reduced at all visits following the application of the test product, with a 43.7% decrease by 24 hours (Day 2; <i>p</i> < 0.0001) and a complete relief at Day 14 (<i>p</i> < 0.0001) after application of the test product compared to the baseline. The dermatological assessment of nipple skin conditions revealed a significant improvement in dryness, nipple skin roughness, nipple skin redness/erythema, burning, itching, and stinging at all visits compared to the baseline. Skin hydration significantly improved by 23.55% by 24 hours (<i>p</i> < 0.0001) and 42.25% at Day 14 (<i>p</i> < 0.0001) as compared to baseline. Additionally, trans-epidermal water loss (TEWL) significantly reduced by 8.78% by 24 hours (<i>p</i> < 0.0001) and 21.52% at Day 14 (<i>p</i> < 0.0001) as compared to baseline.</p><p><strong>Conclusion: </strong>The gel-based formulation was well-tolerated and safe, with participants showing marked improvement in nipple symptoms within 24 hours and complete resolution by Day 14. These findings are preliminary and further controlled studies are needed to confirm the results.Clinical trial registry name:Clinical Trials Registry-IndiaURL:www.ctri.nic.in.</p><p><strong>Registration number: </strong>CTRI/2022/08/044645.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261474490"},"PeriodicalIF":2.0,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148857368","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 Influencing Breastfeeding Practices for Women at Discharge in a Regional Hospital in Australia.","authors":"Robert Kibuuka, Joshua Chu, Jonathan Lam, Penelope Fotheringham","doi":"10.1177/08903344261470634","DOIUrl":"https://doi.org/10.1177/08903344261470634","url":null,"abstract":"<p><strong>Background: </strong>Most data investigating factors influencing exclusive breastfeeding in Australia is metropolitan based.</p><p><strong>Aim: </strong>This study aims to evaluate how maternal, birth, and neonatal characteristics relate to exclusive breastfeeding at discharge at a regional Australian hospital.</p><p><strong>Methods: </strong>This was a retrospective observational study of perinatal data from 2018 to 2022. Exclusion criteria included maternal mastectomy, unknown breastfeeding status at discharge, maternal medications precluding breastfeeding and preterm birth. Univariate and multivariate analyses were completed against the outcome of breastfeeding status at discharge. Breastfeeding status was determined by recorded feeding status at discharge, which may not reflect feeding practices during the admission.</p><p><strong>Results: </strong>There were 14,291 eligible participants including 11,612 (81%) who exclusively breastfed at discharge, and 2679 (19%) who did not. Statistically significant (<i>p</i> < 0.05) factors demonstrated a lower likelihood to exclusively breastfeed on discharge with higher maternal BMI (a<i>OR</i> = 0.96, 95% CI [0.95, 0.97]), not intending to breastfeed during the pregnancy (a<i>OR</i> = 0.07, 95% CI [0.06, 0.08]), smoking in pregnancy (a<i>OR</i> = 0.68, 95% CI [0.59, 0.79]), prior breast surgery (a<i>OR</i> = 0.84, 95% CI [0.71, 1.00]), not having midwifery-based antenatal care (a<i>OR</i> = 0.68, 95% CI [0.61, 0.76]), higher antenatal EPDS score (a<i>OR</i> = 0.97, 95% CI [0.96, 0.99]), Caesarean birth (a<i>OR</i> = 0.53, 95% CI [0.48, 0.60]), > = 60 minutes from birth to the first feed (a<i>OR</i> = 0.71, 95% CI [0.63, 0.80]), unplanned pregnancy (a<i>OR</i> = 0.88, 95% CI [0.78, 0.98]), birth weight < 2500 g (a<i>OR</i> = 0.51, 95% CI [0.39, 0.69]), nursery admission (a<i>OR</i> = 0.54, 95% CI [0.47, 0.62]) and no skin-to-skin at birth (a<i>OR</i> = 0.78, 95% CI [0.66, 0.92]).</p><p><strong>Conclusion: </strong>Considering these factors while designing breastfeeding interventions may allow for a more targeted and person-centered approach.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261470634"},"PeriodicalIF":2.0,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148857377","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":"Mapping Breastfeeding Indicators in Brazil: An Analysis of Regional Differences From the Brazilian National Survey on Child Nutrition (ENANI) 2019.","authors":"Micaela Rabelo Quadra, Antônio Augusto Schäfer, Gabriela Evaldt Espíndola, Luisa Pillon Mendes, Nicolly Ribeiro, Fernanda Oliveira Meller","doi":"10.1177/08903344261475013","DOIUrl":"https://doi.org/10.1177/08903344261475013","url":null,"abstract":"<p><strong>Objectives: </strong>Brazil has implemented important public policies to promote breastfeeding. However, differences in breastfeeding indicators across the country's regions persist. Therefore, this study aimed to assess regional differences in breastfeeding indicators in Brazil.</p><p><strong>Participants: </strong>Children under 5 years from the five Brazilian regions (North, Northeast, Southeast, South and Central-West).</p><p><strong>Method: </strong>This cross-sectional study used data from the Brazilian National Survey on Child Nutrition (ENANI-2019), conducted from February 2019 to March 2020. Breastfeeding indicators included: ever breastfed (EB), early initiation of breastfeeding (EIBF), exclusive breastfeeding under 6 months (EBF), and continued breastfeeding 12-23 months (CBF). Associations between region of residency and breastfeeding indicators were assessed using the Rao-Scott corrected chi-square test and adjusted Poisson regression.</p><p><strong>Findings: </strong>In total, 14,558 children were studied. Crude analysis found associations between region of residence and three breastfeeding indicators. The associations remained after adjustment for potential confounders. EB was more prevalent in the North (PR = 1.04), Northeast (PR = 1.03), and Central-West (PR = 1.03) regions. The North region had a higher prevalence of EIBF (PR = 1.11), while Southeast (PR = 0.87) had lower prevalence. EBF showed a lower prevalence in the Central-West (PR = 0.89), whereas CBF (PR = 1.30) was more prevalent in the Northeast. The South region was the reference for all comparisons.</p><p><strong>Conclusions: </strong>The findings underscore the need for tailored regional public health strategies to achieve the World Health Organization-recommended breastfeeding practices in the Brazilian territory.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261475013"},"PeriodicalIF":2.0,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148857420","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":"Disaster Exposure and Postpartum Caregiving: Breastfeeding and Rooming-In After the 2024 Hualien Earthquake.","authors":"Shu-Fang Wang, Abigail Sharon Kusuma","doi":"10.1177/08903344261479564","DOIUrl":"https://doi.org/10.1177/08903344261479564","url":null,"abstract":"<p><strong>Background: </strong>Natural disasters disrupt maternal and infant care and may influence breastfeeding and rooming-in practices during the vulnerable postpartum period.</p><p><strong>Aim: </strong>To investigate how exposure to the April 3, 2024, Hualien earthquake influenced maternal breastfeeding attitudes and rooming-in preferences during the perinatal period.</p><p><strong>Methods: </strong>A cross-sectional comparative design was employed to compare mothers exposed to the earthquake (<i>n</i> = 102) with a control group (<i>n</i> = 88) who had delivered during the same period in the previous year. Using a Chinese-language online questionnaire, data were collected on demographics, infant feeding practices, breastfeeding willingness, and rooming-in willingness. Statistical analyses included descriptive statistics, independent <i>t</i>-tests, chi-square tests, and the calculation of odds ratios (<i>OR</i>s) with 95% confidence intervals (CIs).</p><p><strong>Results: </strong>Breastfeeding willingness did not differ significantly between the exposure and control groups (<i>OR</i> = 1.25, 95% CI [0.66, 2.38], <i>p</i> = 0.605). However, infant feeding methods differed significantly between groups, with higher rates of breastfeeding, expressed human milk feeding, and mixed feeding among exposed mothers, χ²(3, <i>N</i> = 190) = 16.02, <i>p</i> = 0.001. Earthquake exposure was associated with higher rooming-in willingness (<i>OR</i> = 1.89, 95% CI [1.06, 3.37], <i>p</i> = 0.030). Maternal location during the earthquake was not associated with breastfeeding or rooming-in willingness within the exposure group.</p><p><strong>Conclusion: </strong>Exposure to a major earthquake may influence postpartum caregiving behaviors and highlights the importance of maintaining breastfeeding support and mother-infant proximity during emergencies.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261479564"},"PeriodicalIF":2.0,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148840557","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":"Exploring the Role of Anticipated Maternal Work Resumption Stress on Breastfeeding and Room-Sharing Durations.","authors":"Hellen Lustermans, Marjolein Anne Missler, Lotte Peters, Nina Bruinhof, Carolina de Weerth, Roseriet Beijers","doi":"10.1177/08903344261460249","DOIUrl":"https://doi.org/10.1177/08903344261460249","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding and room‑sharing rates decline during the first postpartum months despite World Health Organization (WHO) recommendations and known benefits. The reasons behind these declining rates remain poorly understood. Investigating the transition period leading up to the return to work after maternity leave may reveal factors affecting breastfeeding and room-sharing discontinuation.</p><p><strong>Research aim: </strong>In this pre-registered study, we investigated anticipated work resumption stress associations with exclusive breastfeeding, any breastfeeding and room-sharing durations, and the moderating role of partner support.</p><p><strong>Methods: </strong>Dutch mothers (<i>N</i> = 101) reported on their emotions in anticipation of work resumption at 6 and 12 weeks postpartum. Partner support was assessed at 12 weeks postpartum. Breastfeeding duration was reported at 8 and 24 months postpartum, and room-sharing duration was reported at 8 months postpartum.</p><p><strong>Results: </strong>Exclusive breastfeeding between 0-6 months lasted on average 15.76 weeks (<i>SD</i> = 9.26), any breastfeeding between 0-2 years averaged 44.03 weeks (<i>SD</i> = 35.21), and room‑sharing between 0-6 months averaged 3.87 months (<i>SD</i> = 2.09). Mothers reported a mix of positive and negative emotions at 6 and 12 weeks postpartum. At 12 weeks postpartum, 22.8% of mothers (<i>n</i> = 21) rated their anticipated return‑to‑work experience as 5 or lower on a 10‑point scale. No associations were observed between anticipated work resumption stress and breastfeeding and room-sharing durations. Partner support was not identified as moderator.</p><p><strong>Conclusion: </strong>This study highlights the mix of emotions mothers experience before returning to work. Research with larger samples, and in countries with different leave policies, is needed to further understand the impact of anticipated work resumption stress on breastfeeding practices.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261460249"},"PeriodicalIF":2.0,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148813069","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":"Maternal Knowledge, Attitudes, and Practices of Exclusive Breastfeeding: A Cross-Sectional Study in the Primary Health Care Centers of Gusau, Nigeria (2025).","authors":"Muhammad Abubakar Nuhu, Abdulhamid Umar Abdulkadir, Hussaini Yakubu Anka","doi":"10.1177/08903344261470707","DOIUrl":"https://doi.org/10.1177/08903344261470707","url":null,"abstract":"<p><strong>Background: </strong>This study assessed the knowledge, attitudes, and practices (KAPs) of exclusive breastfeeding (EBF) among mothers visiting Shagari, Kwata, and Dr. Karima Primary Health Care in Gusau, Nigeria. EBF, defined as providing only breast milk for the first 6 months, is not universally practiced in Nigeria, particularly in rural areas. This research aimed to identify the factors influencing mothers' decisions to adopt EBF.</p><p><strong>Methods: </strong>A facility-based cross-sectional study was conducted in 2025 at three primary healthcare centers. Using systematic random sampling, 400 breastfeeding mothers aged 18-41 years were selected to complete a semistructured questionnaire. The data were analyzed via logistic regression to determine associations.</p><p><strong>Results: </strong>The results revealed a high prevalence of EBF, with 77.8% of mothers practicing it. The key factors significantly associated with a greater likelihood of EBF practices included having knowledge of EBF (AOR = 3.85, <i>p</i> = 0.001), receiving EBF training (AOR = 7.343, <i>p</i> < 0.001), and obtaining community support (AOR = 12.22, <i>p</i> < 0.001). Other influential factors included having a secondary education and a positive attitude toward EBF.</p><p><strong>Conclusion: </strong>This study revealed that most mothers demonstrated good knowledge, positive attitudes, and strong practices regarding EBF. To sustain and improve these outcomes, the findings suggest increased investment in educating mothers about the benefits of EBF during and after pregnancy. This enables informed decision-making, ultimately benefiting both maternal and child health.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261470707"},"PeriodicalIF":2.0,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148813136","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 Impact of Mental Health on Breastfeeding Practices in Women of Color: A Cohort Study.","authors":"Susan Gennaro, Bernadette Mazurek Melnyk, Zina Aghdasi, Caitlin M O'Connor, Andrea Cooper, Melanie M Aviles, Anne M Gibeau, Laura A Szalacha","doi":"10.1177/08903344261475026","DOIUrl":"https://doi.org/10.1177/08903344261475026","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding intent and practices have not been well explicated in women of color, who are likely to experience perinatal anxiety, depression, or stress.</p><p><strong>Research aim: </strong>The aim of this study was to examine factors influencing intent and infant feeding practices in pregnant people of color with heightened mental health conditions through 6 months postpartum.</p><p><strong>Method: </strong>As part of a larger longitudinal randomized control trial, 154 Black and/or Hispanic pregnant participants reported infant feeding intent at approximately 31 weeks' gestation, and feeding practices at 6 weeks and 6 months postpartum. Hierarchical logistic regression models examined sociodemographic characteristics, Baby-Friendly designation, and antenatal mental health symptoms as predictors of breastfeeding at 6 weeks and 6 months postpartum.</p><p><strong>Results: </strong>In this study, compared to national statistics, intent to breastfeed and initiation rates respectively, were higher in Hispanic women (96.9% and 90.6%) than in Black women (91.1% and 94.1%). In multivariable models (<i>n</i> = 147), maternal age was positively associated with breastfeeding at 6 weeks (aOR ≈ 1.10 per year). Delivery in a Baby-Friendly site was independently associated with higher odds of breastfeeding (aOR = 2.74-2.83 across models). Anxiety, depressive, and stress symptoms did not meaningfully attenuate this association, and none were independently associated with breastfeeding.</p><p><strong>Conclusion: </strong>With supportive breastfeeding practices, women can successfully initiate breastfeeding. Mothers experiencing increased anxiety, depression, or stress, breastfed, irrespective of their mental health. Nonetheless, breastfeeding decreased over time. Further research on community resources that can continue to support vulnerable women in their breastfeeding practices is needed.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261475026"},"PeriodicalIF":2.0,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148813116","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 Effects of Antenatal Expression of Milk in Late Pregnancy by Diabetic Mothers on Exclusive Breastfeeding: A Prospective Cohort Study.","authors":"Mervi Hakala, Riitta Marttila, Marja Vääräsmäki, Tarja Pölkki","doi":"10.1177/08903344261460170","DOIUrl":"https://doi.org/10.1177/08903344261460170","url":null,"abstract":"<p><strong>Background: </strong>The infants of diabetic mothers are at higher risk of hypoglycemia and admittance to neonatal intensive-care units leading to failure in exclusive breastfeeding.</p><p><strong>Aim: </strong>To determine the effects of antenatal expression of milk in late pregnancy by diabetic women on exclusive breastfeeding during the first days and 2 months after birth.</p><p><strong>Design: </strong>This was a prospective cohort study.</p><p><strong>Methods: </strong>A total of 106 pregnant women with diabetes who were treated at one outpatient maternity clinic and three local maternity units over a period of 2 years were recruited for the study. Patient records and structured interviews by phone were conducted to collect the data 2 months after birth. The data was analyzed statistically.</p><p><strong>Results: </strong>Most of the participants expressed breast milk during late pregnancy and did so for an average of 10 days before birth. Half of the women had challenges in breastfeeding, and only 14% exclusively breastfed their infants. The proportion of women exclusively breastfeeding was similar between those who antenatally expressed and those who did not. Women who had antenatal expressed milk were slightly more likely to use their own milk as a supplement feed. Women who found antenatal expression easy exclusively breastfed more. A higher amount of antenatal expressed milk increased exclusive breastfeeding at the hospital.</p><p><strong>Conclusion: </strong>Antenatal expression of milk had no effect on exclusive breastfeeding later at home. The infants of diabetic women are at a high risk of receiving supplemental feeding after birth.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261460170"},"PeriodicalIF":2.0,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148813134","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}