Journal of Human Lactation最新文献

{"title":"Ten-Year Evaluation of Quality Control Indicators in a Brazilian Human Milk Bank.","authors":"Renata Venturim, Mônica Aparecida Pessoto","doi":"10.1177/08903344261470648","DOIUrl":"https://doi.org/10.1177/08903344261470648","url":null,"abstract":"<p><strong>Background: </strong>Human milk banks play a critical role in neonatal care by providing donor human milk when maternal milk is unavailable, particularly for preterm and medically vulnerable infants. Despite global expansion, long-term evaluations of discard rates and quality indicators remain limited.</p><p><strong>Research aim: </strong>To assess discard rates due to nonconformities, temporal trends in quality indicators, and nutritional characteristics of donor human milk processed in a tertiary-care milk bank over a 10-year period.</p><p><strong>Methods: </strong>This retrospective longitudinal study analyzed routinely collected data from a Brazilian tertiary-care human milk bank between January 2014 and December 2023. Outcomes included collected and pasteurized milk volumes, and discard reasons: labeling, storage, packaging, physical contaminants, acidity ≥ 8°D, and microbiological positivity (BGBL+). Nutritional quality was evaluated using crematocrit-derived caloric classification. Temporal trends were examined using linear regression.</p><p><strong>Results: </strong>Over the study period, 11,758.2 L of milk were collected and 7,851 L pasteurized. A total of 387.2 L (3.3%) was discarded due to nonconformities. Storage-related issues accounted for most losses (56.2%), followed by microbiological positivity (21.9%). Overall, discard rates remained low and stable (<i>p</i> = .924). Labeling errors declined (<i>p</i> = .044), while physical contaminants (<i>p</i> < .001) and microbiological positivity increased (<i>p</i> = .032). Dornic acidity exceeded thresholds in only 0.04% of samples. Among 47,919 pasteurized bottles, caloric composition remained stable: 54.7% normocaloric, 39.7% hypercaloric, 5.6% hypocaloric.</p><p><strong>Conclusions: </strong>Standardized quality-control procedures were associated with consistently low discard rates and stable nutritional quality. Improving cold-chain logistics and microbiological monitoring may further reduce losses and enhance donor milk availability.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261470648"},"PeriodicalIF":2.0,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701374","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":"Enhancing Care for Lactation After a Second Trimester Abortion or Fetal Loss: A Qualitative Study.","authors":"Eri Shindo, Meghan R Longacre, Amy E Paris","doi":"10.1177/08903344261463221","DOIUrl":"https://doi.org/10.1177/08903344261463221","url":null,"abstract":"<p><strong>Background: </strong>Milk secretion following abortion or fetal loss in the second trimester is common and can be physically and emotionally challenging. To date, research surrounding lactation after loss has focused on those experiencing a third trimester stillbirth or loss of an infant.</p><p><strong>Research aim: </strong>To explore lactation counseling and support in the unique care setting of second trimester abortion or fetal loss patients.</p><p><strong>Methods: </strong>This was a qualitative study involving semi-structured interviews with nine providers and community partners who intersect with second trimester abortion and fetal loss patients, recruited at an academic medical center in the northeast United States. Thematic analysis was used to identify and interpret meaningful patterns across the dataset.</p><p><strong>Results: </strong>Five themes were identified: (1) Lactation guidance in the second trimester should be tailored to unique patient characteristics, (2) Varying care scenarios for second trimester abortion and fetal loss dictate the feasibility of offering lactation guidance, (3) An educational brochure would help second trimester abortion and fetal loss patients access necessary lactation information at their desired timing, (4) Providers feel they could benefit from more information on lactation in the second trimester, (5) While donation of milk by patients undergoing second trimester abortion and fetal loss was rare, stakeholders perceived the experience as positive for patients who chose to do it.</p><p><strong>Conclusion: </strong>Diverse patient scenarios and time-sensitive care schemes are important considerations for lactation options counseling in the second trimester. Distribution of an informational brochure, coordination between departments, and educational opportunities for providers can enhance lactation support in the second trimester.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261463221"},"PeriodicalIF":2.0,"publicationDate":"2026-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697672","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 Benefits and Biological Risks in Breastfeeding and Sharing Human Milk: Have We Got it Right?","authors":"John Cassey, Richard Banati","doi":"10.1177/08903344261451926","DOIUrl":"https://doi.org/10.1177/08903344261451926","url":null,"abstract":"<p><strong>Background: </strong>Implementation of the strong recommendation by the World Health Organization (WHO), the United Nations Children's Fund (UNICEF), and others, to increase use of donor human milk in cases where breastfeeding cannot be provided, requires a flexible, knowledge-based and risk-informed approach.</p><p><strong>Methods: </strong>Based on an extensive literature review, we present the evidence for potential biological risks of breastmilk in three scenarios: fresh, unmodified milk from breast to baby (breastfeeding and wet-nursing); expressed and unmodified milk stored at < 4 ºC until just before consumption; and milk modified by some form of pasteurization.</p><p><strong>Results: </strong>With the exception of contamination by some viruses and syphilis, breastfeeding is the safest way to feed a baby, despite its highly variable microbiome and virome-including organisms that, in other circumstances, can cause disease. Wet-nursing, where the donor has been appropriately screened, carries a similar risk profile to mother's own feeding. Whilst expression and storage of raw milk at < 4 °C adds a bacterial load, the additional risk, with knowledge and screening of the donor and careful attention to all steps in delivery, seems small and is smaller than using bovine-based formulae-especially in low resource circumstances. Donated milk from unknown donors carries additional risks. A decision to reduce these risks through thermal pasteurization must be weighed against the loss of breastmilk's natural protective components.</p><p><strong>Conclusions: </strong>Not only have the biological risks of both informal and formal milk sharing for healthy infants been greatly exaggerated, but that they are often quoted without consideration of the overall risks of alternatives.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261451926"},"PeriodicalIF":2.0,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684746","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":"Intentions and Barriers to Exclusive Breastfeeding Among Jordanian Mothers: A Qualitative Descriptive Study.","authors":"Ghada Yaghmour, Ahmad Yahya Al-Sagarat, Maha Atout, Amira Mohammed Ali","doi":"10.1177/08903344261451916","DOIUrl":"https://doi.org/10.1177/08903344261451916","url":null,"abstract":"<p><strong>Background: </strong>Despite the generally recognised best practices of breastfeeding as the best method of feeding newborns, the rate of exclusive breastfeeding in Jordan is still way below the global average. Although cultural and religious beliefs promote breastfeeding by mothers, other mothers end up quitting earlier than the advised time. It is critical to know the intentions of mothers and the barriers they encounter to develop effective nursing and policy interventions.</p><p><strong>Methods: </strong>This was a qualitative descriptive study carried out in a single hospital, which is a government hospital located in Amman, Jordan. It involved the semi-structured interviews on 15 pregnant women in their second or third trimester, and data were recorded, transcribed and analysed via content analysis.</p><p><strong>Results: </strong>Most of the mothers were highly motivated to breastfeed because they found it to be natural, healthy and cost-effective, and they felt emotionally rewarded to do so. Nevertheless, it had serious obstacles. Mothers had fears of poor body image, poor milk supply and physical discomfort and felt that maternity leave was too short and that breastfeeding could not be accommodated within their work schedule. Lack of professional help made many mothers turn to their families or online media to get their help.</p><p><strong>Conclusion: </strong>Jordanian mothers are found to be highly motivated to breastfeed, yet they face long-term cultural, social and occupational barriers to exclusive breastfeeding. Although breastfeeding is widely regarded as optimal for infant feeding, exclusive breastfeeding rates in Jordan remain far below global targets. Despite cultural and religious values encouraging mothers to breastfeed, many mothers stop earlier than recommended. Understanding mothers' intentions and the obstacles they face is essential to designing practical nursing and policy interventions.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261451916"},"PeriodicalIF":2.0,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684768","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 Concept Analysis of Intergenerational Legacies in Lactation Decision-Making.","authors":"Alicia M Logan, Katilya S Ware","doi":"10.1177/08903344261470642","DOIUrl":"https://doi.org/10.1177/08903344261470642","url":null,"abstract":"<p><strong>Background: </strong>Intergenerational influences on infant feeding are widely recognized across disciplines, yet the concept of intergenerational legacies in lactation decision-making remains inconsistently defined in the literature. Terms such as \"intergenerational transmission,\" \"generational influence,\" \"grandmother support,\" and \"cultural transmission\" are used interchangeably without conceptual precision. For African American women, intergenerational legacies carry the additional weight of American enslavement, forced wet nursing, and structural racism, adding distinct dimensions that have not been formally analyzed.</p><p><strong>Research aim: </strong>The purpose of this concept analysis is to identify the defining attributes, antecedents, and consequences of intergenerational legacies in lactation decision-making.</p><p><strong>Methods: </strong>Walker and Avant's eight-step framework guided this analysis. An interdisciplinary literature search was conducted across PubMed, CINAHL, PsycINFO, Embase, and Scopus for peer-reviewed articles published in English from 2000 through 2025, spanning nursing, public health, anthropology, sociology, and family science.</p><p><strong>Results: </strong>Three defining attributes were identified: (1) intergenerational transmission of lactation knowledge and beliefs, (2) historical and cultural context shaping feeding perceptions, and (3) adaptive responses across generations. Model, borderline, related, and contrary cases illustrate the concept's boundaries. Antecedents include multigenerational family structures, previous generations' feeding experiences, intergenerational communication pathways, and the historical context of enslavement. Consequences include shaping of maternal feeding attitudes, influence on lactation self-efficacy, and perpetuation or disruption of feeding norms.</p><p><strong>Conclusions: </strong>This analysis provides the first formal definition of intergenerational legacies in lactation decision-making, offering a theoretical foundation for culturally responsive research and practice across populations, with particular application to communities shaped by historical disruption of intergenerational knowledge transmission.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261470642"},"PeriodicalIF":2.0,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684667","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 Prevalence During the First 3 Years: A New Zealand Study of Electronic Health Records.","authors":"Lisa Daniels, Bailey Bruckner, Jillian J Haszard, Barry J Taylor, Justine Camp, Karen L Magrath, Zoe K Tipa, Emma Heydon, Victoria Bryant, Sheree J Gibb","doi":"10.1177/08903344261468562","DOIUrl":"https://doi.org/10.1177/08903344261468562","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding has known health benefits and recommendations are to exclusively breastfeed for the first 6 months and continue to 2 years or beyond. While breastfeeding in early infancy has been previously estimated in New Zealand (NZ), these data are limited, and little is known about breastfeeding prevalence beyond the first 6 months, or how it varies between population groups.</p><p><strong>Research aims: </strong>Describe breastfeeding prevalence in NZ infants by age; and examine differences by infant, maternal and household factors.</p><p><strong>Method: </strong>Observational study using routinely collected breastfeeding data from 103,893 maternal-infant dyads in NZ between January 2023 and June 2024. Seven contacts occurred between the ages of 4-6 weeks and 2-3 years. Infant, maternal and household data were also collected at contacts.</p><p><strong>Results: </strong>The prevalence of 'any' breastfeeding declined from 85% at around 1 month to 12% by 28 months. The prevalence of exclusive/full breastfeeding was around 57% at 1-3 months and dropped to 32% by around 5 months. Breastfeeding prevalence was highest for those living in the least socioeconomically deprived neighbourhoods, those with comprehensive knowledge and service literacy, those with mothers aged >20 years, and those of MELAA or Asian ethnicity. Infant sex, first-time parenting status, and region appeared to have little impact on breastfeeding prevalence.</p><p><strong>Conclusion: </strong>In NZ, the majority of infants are breastfed at 1 month; however, only 1 in 3 are exclusively/fully breastfed to the age recommended and overall breastfeeding prevalence declines over the first two years. Breastfeeding prevalence varies between ethnic and socioeconomic groups, suggesting that there may be areas for targeted intervention to support increased breastfeeding prevalence.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261468562"},"PeriodicalIF":2.0,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684640","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":"Infant Temperament and Exclusive Breastfeeding at 6 Months: A Prospective Cohort Study.","authors":"Elif Bulut, Hacer Kobya Bulut","doi":"10.1177/08903344261465241","DOIUrl":"https://doi.org/10.1177/08903344261465241","url":null,"abstract":"<p><strong>Background: </strong>Infant temperament, a core component of Barnard's Parent-Child Interaction Model, may influence exclusive breastfeeding by shaping mother-infant interactions.</p><p><strong>Aim: </strong>To examine the association between infant temperament and exclusive breastfeeding during the first 6 months.</p><p><strong>Methods: </strong>A prospective cohort study was conducted in northern Türkiye (June 2019-January 2020) with 347 mothers of infants aged 0-3 months. Data included sociodemographic, obstetric, and breastfeeding-related information, and infant temperament assessed via the Turkish Infant Behaviour Questionnaire-Very Short Form. <i>T</i>-tests and Pearson correlations identified variables for multiple linear regression, which examined breastfeeding duration, while binary logistic regression assessed exclusive breastfeeding status.</p><p><strong>Results: </strong>Infants exclusively breastfed for 6 months had higher positive affect scores (<i>p</i> < 0.01). Positive affect was weakly but significantly correlated with breastfeeding duration (<i>r</i> = 0.283, <i>p</i> < 0.001). Regression analysis showed that positive affect and maternal perception of an \"easy\" temperament explained 9.2% of the variance in breastfeeding duration. Positive affect significantly predicted exclusive breastfeeding during the first 6 months (<i>B</i> = 0.044, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Higher infant positive affect and maternal perception of an \"easy\" temperament were associated with longer exclusive breastfeeding. Assessing infant temperament and maternal perceptions can help tailor breastfeeding support.</p><p><strong>Practice implications: </strong>Pediatric nurses should assess infant temperament, adapt breastfeeding counseling, and involve fathers and family members to promote breastfeeding sustainability.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261465241"},"PeriodicalIF":2.0,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684819","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":"Rapid Mixed-Methods Assessment and Institutional Co-Design of Breastfeeding Support to Enhance Maternal Confidence in a Teaching Hospital in North India.","authors":"Dilpreet Kaur, Rakesh Kumar, Inderdeep Singh Kochar","doi":"10.1177/08903344261461891","DOIUrl":"https://doi.org/10.1177/08903344261461891","url":null,"abstract":"<p><strong>Background: </strong>Despite strong policy support, many Indian mothers discontinue breastfeeding early. Maternal confidence, rather than knowledge alone, predicts breastfeeding success, yet institution-based approaches to building confidence remain limited. We employed rapid mixed-methods research to identify barriers and co-design feasible support interventions within a teaching hospital.</p><p><strong>Research aims: </strong>To identify barriers influencing breastfeeding confidence, quantify barrier prevalence and associations with maternal confidence, and co-design and pilot-test an institutionally feasible intervention through participatory stakeholder engagement.</p><p><strong>Methods: </strong>This was a sequential mixed-methods study (November 2024-April 2025) at a teaching hospital in north-western India. Phase 1: Qualitative assessment (<i>n</i> = 47) through interviews and focus groups. Phase 2: Cross-sectional survey (<i>n</i> = 232) measuring breastfeeding self-efficacy (BSES-SF), barriers, social support, and depressive symptoms. Phase 3: Participatory co-design and micro-pilot (<i>n</i> = 26) of intervention integrated into hospital workflows.</p><p><strong>Results: </strong>Qualitative analysis identified four barrier domains: early experiences (70%), social/family influences (62%), healthcare interactions (55%), and emotional well-being (48%). Survey findings: 63% reported milk supply concerns, 58% pain, 49% conflicting family advice. Mean BSES-SF = 46.2 (<i>SD</i> 9.8); 32% scored low confidence. Early difficulties (β = -5.8, <i>p</i> < 0.001), low social support (β = -4.1, <i>p</i> < 0.001), depression (β = -3.6, <i>p</i> < 0.001), and primiparity (β = -2.3, <i>p</i> = 0.005) were independently associated with lower confidence (R² = 0.41). Stakeholders prioritized three components: peer support (94% endorsement), provider communication tools (89%), and family counseling (83%). The micro-pilot demonstrated high acceptability (88%) and feasibility (median delivery time 7 min) with no additional staffing.</p><p><strong>Conclusion: </strong>Teaching hospitals can rapidly identify breastfeeding confidence barriers and co-design contextually appropriate, low-cost interventions. This model offers a scalable pathway for strengthening breastfeeding support in resource-constrained settings.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261461891"},"PeriodicalIF":2.0,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684797","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":"Determinants of Suboptimal Breastfeeding Techniques and Maternal Knowledge in Northwest Ethiopia: A Cross-Sectional Observational Study.","authors":"Habtam Desse Alemayehu, Sagni Girma, Getahun Tiruye, Tesfaye Assebe Yadeta","doi":"10.1177/08903344261451968","DOIUrl":"https://doi.org/10.1177/08903344261451968","url":null,"abstract":"<p><strong>Background: </strong>Ineffective breastfeeding techniques are associated with nipple trauma and the early discontinuation of exclusive breastfeeding. Despite frequent contact with healthcare services, many mothers do not acquire the practical skills needed for effective breastfeeding techniques. This study assessed the prevalence of ineffective breastfeeding techniques, identified associated factors, and evaluated maternal knowledge among lactating mothers attending public hospitals in northwest Ethiopia.</p><p><strong>Methods: </strong>A facility-based cross-sectional study was conducted among 420 systematically selected lactating mothers attending public hospitals . Data were collected using interviewer-administered questionnaires to assess sociodemographic characteristics, obstetric history, prior breastfeeding counseling, and maternal knowledge of breastfeeding practices. Breastfeeding techniques were evaluated through direct observation using the World Health Organization (WHO) B-R-E-A-S-T Feed tool, assessing positioning, attachment, and effective suckling. Ineffective breastfeeding technique was defined as failure to meet criteria in any of these domains. Bivariate and multivariate logistic regression analyses were performed to identify factors associated with ineffective breastfeeding, and statistical significance was set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>The prevalence of ineffective breastfeeding techniques was 54.3% (95% CI [49.9%, 59.8%]), while 56% (95% CI [51.3%, 60.7%]) of the mothers demonstrated poor knowledge of optimal breastfeeding practice. Although 85% of mothers attended antenatal care (ANC), only 19% received counseling on breastfeeding techniques. Lack of ANC follow-up (AOR = 3.09), absence of prior breastfeeding information (AOR = 1.94), being primiparous woman (AOR = 2.16), and having no formal education (AOR = 1.74) were significantly associated with ineffective breastfeeding techniques. In contrast, mothers aged 21-30 years were more likely to demonstrate effective breastfeeding techniques compared with those aged ≤ 20 years.</p><p><strong>Conclusion: </strong>Ineffective breastfeeding techniques and poor maternal knowledge remained common despite high antenatal care (ANC) attendance. Several sociodemographic and obstetric factors were associated with ineffective breastfeeding techniques. Strengthening practical, skill-based breastfeeding support during ANC and the early postnatal period is essential, particularly for first-time and less-educated mothers.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261451968"},"PeriodicalIF":2.0,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684683","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":"Paternal Breastfeeding Involvement, Paternal-Infant Attachment, and Breastfeeding Outcomes: A Prospective Cohort Study.","authors":"Burçin Yorgancı, Perran Boran, Hatice Ezgi Barış, Mahmut Caner Us","doi":"10.1177/08903344261465265","DOIUrl":"https://doi.org/10.1177/08903344261465265","url":null,"abstract":"<p><strong>Research aim: </strong>To examine the relationship between paternal breastfeeding involvement and paternal-infant attachment with exclusive breastfeeding (EBF) and total breastfeeding duration.</p><p><strong>Methods: </strong>This prospective observational cohort study included fathers of 1-month-old infants recruited through convenience sampling. Paternal breastfeeding involvement was assessed using the Partner Breastfeeding Influence Scale (PBIS). Paternal-infant attachment, paternal depressive symptoms, and marital adjustment were evaluated using validated instruments. Assessments were conducted at 1, 6, and 12 months postpartum. At 12 months postpartum, breastfeeding continuation, total duration, and reasons for cessation were obtained through follow-up interviews.</p><p><strong>Results: </strong>The rate of EBF at 6 months was 86.1% (198/230), and continued breastfeeding at 12 months was 73.9% (170/230). Higher PBIS scores were significantly associated with both EBF at 6 months and longer total breastfeeding duration (<i>p</i> < 0.001). Higher paternal breastfeeding involvement and stronger paternal-infant attachment were independently associated with increased odds of EBF. Each 1-point increase in PBIS total score was associated with a 3.1% increase in the odds of EBF (a<i>OR</i>, 1.031; 95% CI [1.013, 1.048]).</p><p><strong>Conclusion: </strong>Paternal breastfeeding involvement and paternal-infant attachment were independent predictors of EBF and longer breastfeeding duration. These findings support the importance of father-inclusive breastfeeding interventions to improve breastfeeding outcomes.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261465265"},"PeriodicalIF":2.0,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148678862","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}