Journal of Human Lactation最新文献

{"title":"Does the Grandmother Matter? Knowledge and Attitudes in Intergenerational Transmission of Breastfeeding: A Cross-Sectional Study.","authors":"Jing-Ling Wu, Xiao-Yun Zhang, Xiu-Min Jiang","doi":"10.1177/08903344261434533","DOIUrl":"https://doi.org/10.1177/08903344261434533","url":null,"abstract":"<p><strong>Background: </strong>Grandmothers are vital holders of breastfeeding knowledge and play a crucial role in breastfeeding practices. However, their role in supporting exclusive breastfeeding is frequently overlooked.</p><p><strong>Research aim: </strong>To investigate grandmothers' breastfeeding knowledge and attitudes, explore mothers' perceptions of grandmothers' breastfeeding support, and analyze factors among mothers and grandmothers associated with breastfeeding practices.</p><p><strong>Methods: </strong>A cross-sectional study with a six-week postpartum breastfeeding mode assessment was conducted at a baby-friendly tertiary Maternity and Children's Hospital in China between March and June 2021. The validated Breastfeeding Knowledge Questionnaire, Iowa Infant Feeding Attitude Scale, and Mothers' Perceptions of Grandmothers' Breastfeeding Support Scale were used. Using multivariable logistic regression, the association between study variables and exclusive breastfeeding within 6 weeks postpartum was explored.</p><p><strong>Results: </strong>In total, 310 mother-grandmother dyads completed structured questionnaires, and 292 mothers were followed at 6 weeks postpartum. The mean score for grandmothers' breastfeeding knowledge was 9.32 (SD = 2.33) out of 14 points. One hundred and seventy-nine (57.7%) of the grandmothers exhibited positive attitudes towards breastfeeding. Mothers perceived that grandmothers provided positive family support (<i>M</i> = 27.77, <i>SD</i> = 3.40). Mothers' breastfeeding plans and perceived breastfeeding support, grandmothers' education levels, and breastfeeding attitudes were independent factors associated with exclusive breastfeeding within 6 weeks postpartum.</p><p><strong>Conclusion: </strong>Grandmothers' involvement in breastfeeding remains influential; however, they lack sufficient breastfeeding knowledge and put pressure on mothers concerning formula milk use. The study provides a basic framework for future prospective and interventional research to exert grandmothers' roles effectively and promote exclusive breastfeeding rates.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261434533"},"PeriodicalIF":1.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773462","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":"Integrating Osteopathic Care Into Treatment of the Breastfeeding Dyad: Anatomic and Physiologic Considerations.","authors":"Eileen Conaway, A Hope Tobey, Alice I Chen, Anna Mercer, Kimberly Wolf","doi":"10.1177/08903344261434473","DOIUrl":"https://doi.org/10.1177/08903344261434473","url":null,"abstract":"<p><p>Care of the breastfeeding dyad involves an interprofessional and multidisciplinary team that may include lactation consultants, physicians, bodyworkers, and more. One often underutilized resource in the care of both breastfeeding parents and their infants is osteopathic physicians (Doctors of Osteopathic Medicine or DOs). DOs are full-scope physicians who have additional training in osteopathic manipulative treatment (OMT). Osteopathic manipulative treatment is a form of manual medicine that can be utilized to optimize the breastfeeding relationship. It can be useful to address latch challenges, tongue dysfunction, torticollis, plagiocephaly, colic, reflux, and more in breastfeeding infants. Osteopathic manipulative treatment can also be incorporated into the management of the breastfeeding parents to help with engorgement, low milk supply, mastitis, associated postural issues, and/or address other sources of pain. There is a growing body of evidence to support the use of osteopathic manipulative treatment in this population. This paper aims to provide insight and education on osteopathic manipulative treatment and how osteopathic physicians can uniquely contribute to the care of the breastfeeding dyad as both physicians and manual medicine practitioners.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261434473"},"PeriodicalIF":1.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773552","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":"Mothers' Perceptions of Climate Change and Its Effects on Breastfeeding in Türkiye: A Qualitative Study.","authors":"Havva Yesildere Saglam, Berrak Mizrak Sahin","doi":"10.1177/08903344261431657","DOIUrl":"https://doi.org/10.1177/08903344261431657","url":null,"abstract":"<p><strong>Background: </strong>Climate change is a global issue that poses potential risks to breastfeeding practices and outcomes. Therefore, it is important for breastfeeding mothers to understand the changes caused by climate change and what they mean.</p><p><strong>Research aim: </strong>This study aimed to examine in depth the effects of climate change on breastfeeding mothers' experiences and to explore their perspectives on how environmental changes are reflected in their breastfeeding processes.</p><p><strong>Methods: </strong>This study used a qualitative descriptive design and an inductive approach. The interviews continued until data saturation was reached, and 19 breastfeeding mothers living in Türkiye completed the study. The interviews were conducted via telephone. Thematic analysis was used to analyse the data.</p><p><strong>Results: </strong>Through the thematic analysis of the interviews, four main themes and 14 subthemes were identified. The themes were: 1) impacts of climate crisis, 2) breastfeeding negatively affected by climate crisis, 3) increasing breastfeeding to mitigate the effects of climate crisis, and 4) coping with climate crisis.</p><p><strong>Conclusion: </strong>Our study found that climate change and related events affect mothers' breastfeeding experiences and cause them to worry about long-term negative health outcomes such as food insecurity and economic and psychological problems. In line with the goals of combating climate change and reducing resource consumption, breastfeeding promotion should be strengthened through policy development and awareness-raising strategies.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261431657"},"PeriodicalIF":1.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773639","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":"Editorial-Breastfeeding Support: Are We Actually Providing It?","authors":"Kathleen A Kendall-Tackett","doi":"10.1177/08903344261437208","DOIUrl":"https://doi.org/10.1177/08903344261437208","url":null,"abstract":"","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261437208"},"PeriodicalIF":1.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773468","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":"Linking Early Infant Growth With Milk-Derived Antibodies, Hormones, and Macronutrients During Exclusive Breastfeeding.","authors":"Laura Herrera-Astorga, Julieta Pomi, Carolina Farías, Arturo Puyol, Valentina Colistro, Karina Machado, Paula Arbildi, Claudio Rodríguez-Camejo, Ana Hernández","doi":"10.1177/08903344261430138","DOIUrl":"https://doi.org/10.1177/08903344261430138","url":null,"abstract":"<p><strong>Background: </strong>The relevance of exclusive breastfeeding to infant development is widely recognized. However, evidence linking the contents of specific milk components during lactation and infant growth is limited and sometimes controversial.</p><p><strong>Research aims: </strong>(a) To examine a set of nutritional and bioactive milk components at two time points during exclusive lactation, and their potential influence on child growth, in a well-defined cohort of Uruguayan mothers. (b) To analyze the association between the content of these components and the anthropometric growth parameters during the first year of life.</p><p><strong>Methods: </strong>This observational study comprises 49 Uruguayan mother/child dyads. Macronutrients, cortisol, adiponectin, leptin, and antibodies were measured by ELISA in two sequential milk samples after 2.5 and 5.5 months post-delivery. The maternal perceived stress was self-reported using standardized questionnaires simultaneously. The core child's anthropometric growth parameters (body weight gain and weight-to-length ratio) were considered for simple and multivariable analysis.</p><p><strong>Results: </strong>The levels of most milk components analyzed were similar between the two time points studied, and all of them were independent of the delivery type and infant sex. The prepregnancy BMI was positively correlated with the leptin content. The cortisol level was inversely correlated with infant growth at 6 months age and was significantly lower in the group of infants with overweight/obesity at this time.</p><p><strong>Conclusion: </strong>Maternal metabolic status influences leptin levels in mature milk, while cortisol content emerges as a key factor associated with infant growth during exclusive lactation, suggesting a potential protective effect against early overweight.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261430138"},"PeriodicalIF":1.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773475","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":"Unveiling Milk Kinship: Profiling MicroRNAs in Milk Siblings for Epigenetic Insights.","authors":"Wan Alif Afiq Wan Nor Ruddin, Hamizah Ismail, Mohd Arifin Kaderi, Nurul Yaqin Mohd Nor, Normadiah Daud, Norafiza Zainuddin","doi":"10.1177/08903344261430156","DOIUrl":"https://doi.org/10.1177/08903344261430156","url":null,"abstract":"<p><strong>Background: </strong>Milk kinship, in some cultures, posits that infants who receive breast milk from non-biological mothers establish a consanguinity, prohibiting future marriage between the recipient infants and the biological children of the breastfeeding mother. This kinship may be influenced by specific miRNAs in breast milk that modulate gene expression epigenetically, leaving marks within the recipient infants.</p><p><strong>Research aim: </strong>This study aims to identify lactation-specific miRNAs shared among milk siblings, compare miRNA similarity between a breastfeeding mother's milk and milk siblings' plasma, and determine their persistence post-infancy.</p><p><strong>Methods: </strong>RNA was extracted from plasma and breast milk samples, followed by NanoString miRNA analysis to profile individual miRNAs. Differential Gene Expression (DGE) analysis using the R studio NOISeq package identified significantly expressed miRNAs across all samples.</p><p><strong>Results: </strong>Detailed comparisons revealed that several similarly detected miRNAs in milk siblings were present in their corresponding breastfeeding mother's milk. DGE analysis identified five miRNAs: hsa-let-7b-5p, hsa-miR-223-3p, hsa-miR-873-3p, hsa-miR-23a-3p, and hsa-miR-378e, with hsa-miR-23a-3p exhibiting the most consistent expression pattern throughout the study.</p><p><strong>Conclusion: </strong>This study successfully identifies potential lactation-specific miRNAs that may be shared between milk siblings, providing valuable insights and laying a foundation for future identification of milk kinship biomarkers. However, despite promising findings, current evidence remains insufficient to establish a definitive link between these miRNAs and milk kinship. Further research is required to confirm these findings.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261430156"},"PeriodicalIF":1.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773431","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":"Qualitative Content Analysis of Reddit User's Posts About Exclusive Pumping.","authors":"Kelsey Palmer Bianca","doi":"10.1177/08903344261435731","DOIUrl":"https://doi.org/10.1177/08903344261435731","url":null,"abstract":"<p><strong>Background: </strong>Research suggests that people who exclusively express their breast milk often consult social media for information and resources and may use this even more often than lactation professionals, but little research has explored the content of social media information on exclusive expression.</p><p><strong>Research aim: </strong>The aim of this study was to identify patterns in exclusive expression information exchange on the social media platform Reddit, a naturalistic social environment where niche community discussions occur.</p><p><strong>Methods: </strong>This qualitative study explored the content on a Reddit community for exclusive expression. Publicly available posts were scraped, and a total of 989 posts were analyzed.</p><p><strong>Results: </strong>The analysis revealed four main themes of content: supply, device, maternal nutrition, and mental health. Four forms of communication were identified: asking for tips or advice, giving tips or advice, stories, and vents. The most common post themes were supply (38.3%) and specifically discussions of schedules or weaning. Devices were discussed in 23.2% of posts and specifically pumps (12.4%) and pump parts (e.g., flanges, batteries, and duck bills/membranes; 9.8%).</p><p><strong>Conclusion: </strong>This study addresses a gap in the current literature and is the first to explore exclusive expression information on the social media platform Reddit. Although most posts pertain to asking for tips or advice, use of the platform for emotional support and as a community also was common. This knowledge can inform lactation professionals of common questions about expression and therefore allow for targeted resources about pump schedules, device selection, and technical troubleshooting.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261435731"},"PeriodicalIF":1.8,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773576","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":"Risk Factors Associated With Delayed Secretory Activation in a Cohort of Nulliparous Women in Western Australia.","authors":"Cassandra Cuffe, Roslyn Giglia, Julie Hill, Matthew N Cooper, Anita M Moorhead, Joshua R Lewis, Deborah Ireson, Therese A O'Sullivan","doi":"10.1177/08903344261435721","DOIUrl":"https://doi.org/10.1177/08903344261435721","url":null,"abstract":"<p><strong>Background: </strong>Delayed secretory activation can negatively impact maternal and child health through increasing the risk of early cessation of breastfeeding. Early cessation of breastfeeding is known to be associated with increased health risks.</p><p><strong>Aim: </strong>To determine the occurrence of, and risk factors associated with, delayed secretory activation in nulliparous women in Western Australia.</p><p><strong>Methods: </strong>This analysis used a subset of participants (<i>n</i> = 183) enrolled in a multicentre trial. Nulliparous low-risk pregnant women were enrolled between 28-32 weeks' gestation and followed until 1 week after birth. The association between self-reported delayed secretory activation status (onset 4 days or more postpartum) and potential risk factors across the following five dimensions was examined: maternal demographics and health behaviours during pregnancy; maternal anthropometry; obstetric and birth outcomes; newborn characteristics; and infant feeding. Any variables that demonstrated significance (<i>p</i> ≤ 0.10) were entered into binary logistic regression models to quantify their association with delayed secretory activation and adjusted for known confounders.</p><p><strong>Results: </strong>The rate of delayed secretory activation was 43.2% (<i>n</i> = 79) and was significantly associated with body mass index (BMI) category 25 kg to <30 kg/m²: OR 2.83 (95% CI 1.39, 5.77), BMI ≥30 kg/m²: OR 2.51 (95% CI 1.13, 5.55), and gestational diabetes mellitus (GDM): OR (5.06; 95% CI 1.28, 20.08) in bivariate analysis and in the adjusted multivariable model. Among mothers with GDM, 78.6% experienced delayed secretory activation, compared to 21.4% of mothers who did not have GDM.</p><p><strong>Conclusion: </strong>Nulliparous women, particularly those with GDM, should be supported to initiate early, frequent, and optimal breast stimulation to exclusively breastfeed.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261435721"},"PeriodicalIF":1.8,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773637","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":"From Mother-Infant Dyad to Mother-Father-Infant Triad: A Cross-Sectional Study on Fathers' Breastfeeding Attitudes and Participation.","authors":"Zehra Çerçer, Fadime Biçer Şahin, Tuğba Kanarya","doi":"10.1177/08903344261434532","DOIUrl":"https://doi.org/10.1177/08903344261434532","url":null,"abstract":"<p><strong>Background and aim: </strong>It is important to include fathers in the evaluation of the breastfeeding process. This study aimed to assess fathers' breastfeeding attitudes and participation.</p><p><strong>Methods: </strong>The cross-sectional study data were collected between March and June 2024 in a maternity and child hospital and completed with the participation of 194 fathers. The study data were collected using the Personal Information Form, Fathers' Breastfeeding Attitude Scale (F-BA), and Fathers' Participation in Breastfeeding Process Scale (F-PB). Descriptive statistics, one-way ANOVA, independent t-tests, and Pearson correlation were used in the analysis.</p><p><strong>Results: </strong>It was determined that the fathers' total F-BA mean score was 58.24 ± 5.62, and the total F-PB mean score was 57.09 ± 6.84. A total of 81% of fathers stated that breastfeeding was healthy for the baby. No statistical significance was found between the fathers' sociodemographic and breastfeeding characteristics and F-BA (<i>p</i> > 0.05). A statistical significance was found between the child's age, the child's nutritional method in the first 6 months, the effect of the father figure during the breastfeeding process, and F-PB (<i>p</i> < 0.05). A positive, moderate, highly significant correlation was found between the total F-BA and the total F-PB (<i>r</i> = 0.476, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Fathers in this study exhibited generally favorable attitudes toward breastfeeding. However, mean scores were close to the scale's cutoff value. Their level of participation varied based on contextual factors. These findings emphasize that positive attitudes are not necessarily associated with higher levels of active participation and highlight the importance of a deeper understanding of fathers' roles in the breastfeeding process.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261434532"},"PeriodicalIF":1.8,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773527","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, Attitudes, and Intentions Among Female Human Nutrition and Dietetics Students in Ibadan, Nigeria.","authors":"Ifeoluwa Omolara Bodunde, Mariam Oyindamola Adebayo, Oluwamayowa Fortune Abiola, Tobi Janet Olatunji","doi":"10.1177/08903344261434528","DOIUrl":"https://doi.org/10.1177/08903344261434528","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding is essential for a child's growth and development, and beneficial for both mother and child. Nutritionists are at the forefront of promoting exclusive breastfeeding and are expected to have good knowledge, attitudes, and intentions towards breastfeeding. However, there is no information on the breastfeeding knowledge, attitudes, and intentions among female nutrition and dietetics students.</p><p><strong>Research aim: </strong>This study aimed to assess the breastfeeding knowledge, attitudes, and intentions of human nutrition and dietetics students in Nigeria.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was conducted among 154 proportionately sampled Human Nutrition and Dietetics students using a validated, structured, web-based, self-administered questionnaire to obtain information. The questionnaire was developed based on previous literature from which questions and scales were constructed. Each variable (knowledge, attitude, and intention) was scored and categorized. The data were analyzed using SPSS (Version 26).</p><p><strong>Results: </strong>The mean age of the students was 20.97 ± 2.9 years. About 80% of the students indicated that breastfeeding should be initiated within 1 hour of birth and a correct definition of exclusive breastfeeding was given by 76.3% of the students. Of all the students, 89.9% had good breastfeeding knowledge, 93.5% students had a positive attitude towards breastfeeding, while about three out of 10 students had poor breastfeeding intention. Almost all (92.4%) students who had a positive attitude towards breastfeeding had good knowledge of breastfeeding (X² = 16.3, <i>p</i> = 0.000).</p><p><strong>Conclusion: </strong>This study revealed that the students possessed good breastfeeding knowledge and attitudes towards breastfeeding. This shows an increased likelihood of an increased rate of breastfeeding practices in the future.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261434528"},"PeriodicalIF":1.8,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773459","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}