Journal of Human Lactation最新文献_第4页

"A Vulnerable Time To Be a Young Family in an Emergency": Qualitative Findings From an Exploration of an Emergency Perinatal and Infant Feeding Hotline in Louisiana. "紧急情况下年轻家庭的脆弱时刻"：路易斯安那州围产期和婴儿喂养紧急热线的定性调查结果。

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-08-01 Epub Date: 2024-05-29 DOI: 10.1177/08903344241253799

Tyra T Gross, Malaika Ludman, Alexis Woods Barr

{"title":"\"A Vulnerable Time To Be a Young Family in an Emergency\": Qualitative Findings From an Exploration of an Emergency Perinatal and Infant Feeding Hotline in Louisiana.","authors":"Tyra T Gross, Malaika Ludman, Alexis Woods Barr","doi":"10.1177/08903344241253799","DOIUrl":"10.1177/08903344241253799","url":null,"abstract":"Background: Birthmark Doula Collective, a cooperative that provides doula and lactation services in the Greater New Orleans area, mounted an emergency response after two Category 4 storms: Hurricane Laura (2020) and Hurricane Ida (2021). The response included activating a no-cost emergency perinatal and infant feeding hotline. Both disasters coincided with a resurgence of COVID-19 infections in Louisiana.Research aim: The aim of this study is to understand how an emergency perinatal and infant feeding hotline supported infant and young child feeding in emergencies during hurricanes in Louisiana.Method: This study used a cross-sectional, retrospective qualitative design in a population with low breastfeeding rates. We conducted a content analysis of 97 hotline call logs from Hurricanes Laura and Ida, focus groups with lactation support providers who staffed the hotline during either storm (n = 5), and interviews with mothers who called during Hurricane Ida (n = 2). Focus groups and interviews lasted 30 and 60 minutes, respectively. Transcripts were analyzed using thematic analysis techniques.Results: Call logs revealed infant feeding needs (e.g., mastitis, low milk supply, relactation, and infant formula requests) and non-infant feeding needs (e.g., infant supplies, perinatal and infant care referrals, shelter information). Infant formula was the most requested supply during both hurricanes. Maternal participants discussed family vulnerabilities during Hurricane Ida. Staff described training and strategies to provide support while maintaining their own well-being.Conclusion: Providing a free emergency hotline service is one way to support pregnant and postpartum people and their families seeking infant feeding advice, supplies, and support in the immediate aftermath of a disaster.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161919","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}

引用次数: 0

ILCA News Brief: Clinical Guidelines for the Establishment of Exclusive Breastfeeding, 4^th Edition. 国际哺乳顾问协会新闻简报：建立纯母乳喂养的临床指南》第 4 版。

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-08-01 Epub Date: 2024-05-17 DOI: 10.1177/08903344241252646

Jasmine Guerra

引用次数: 0

Building Breastfeeding Research Relations and Beyond: An Interview With Fiona Dykes. 建立母乳喂养研究关系及其他：Fiona Dykes 访谈录。

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-08-01 Epub Date: 2024-05-29 DOI: 10.1177/08903344241255123

Tanya M Cassidy, Fiona Dykes

{"title":"Building Breastfeeding Research Relations and Beyond: An Interview With Fiona Dykes.","authors":"Tanya M Cassidy, Fiona Dykes","doi":"10.1177/08903344241255123","DOIUrl":"10.1177/08903344241255123","url":null,"abstract":"Professor Fiona Dykes is Professor Emerita of Maternal and Infant Health at the University of Central Lancashire in the United Kingdom (UCLAN). Fiona has a particular interest in the global, sociocultural, and political influences upon infant and young child feeding practices; her methodological expertise is in ethnography and other qualitative research methods. She founded the Maternal and Infant Nutrition and Nurture Unit (MAINN) in 2000 which she led until she retired from her full-time professorship in 2020. Fiona established the associated MAINN Conference in 2007. The MAINN conference is a 3 day, international, peer reviewed event held bi-annually in the United Kingdom and, more recently, in alternate years overseas (Sydney, Australia; Falun, Dalarna, Sweden; and Florida, United States). The conference draws together key researchers in the field of infant and young child feeding from around the world. Fiona was a founding member of the journal Maternal and Child Nutrition. She is author of Breastfeeding in Hospital: Mothers, Midwives and the Production Line (Routledge) and co-author, with Dr Tanya Cassidy, of Banking on Milk: An Ethnography of Donor Human Milk Relations (Routledge). She is also joint editor of several books including Infant and Young Child Feeding: Challenges to Implementing a Global Strategy (Wiley-Blackwell) and Ethnographic Research in Maternal and Child Health (Routledge). This interview was conducted on April 20, 2023, by Dr. Tanya Cassidy, and is based on a verbatim transcription and edited for readability.TC = Tanya Cassidy; FD = Fiona Dykes.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161922","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}

引用次数: 0

Conceptualizing the Commercialization of Human Milk: A Concept Analysis. 母乳商业化的概念化：概念分析。

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-08-01 Epub Date: 2024-06-10 DOI: 10.1177/08903344241254345

Heather Christine Rusi, Laurence Grummer-Strawn, Maryanne Tigchelaar Perrin, Tracie Risling, Meredith Lee Brockway

{"title":"Conceptualizing the Commercialization of Human Milk: A Concept Analysis.","authors":"Heather Christine Rusi, Laurence Grummer-Strawn, Maryanne Tigchelaar Perrin, Tracie Risling, Meredith Lee Brockway","doi":"10.1177/08903344241254345","DOIUrl":"10.1177/08903344241254345","url":null,"abstract":"Background: Donor human milk is recommended when infants are unable to be fed their mother's own milk or require supplementation. For-profit companies use technologies to create human milk products for infants in the neonatal intensive care setting without consistent guidelines and regulatory frameworks in place. This commercialization of human milk is inadequately conceptualized and ill-defined.Research aims: The aim of this study is to conceptualize and define the commercialization of human milk and discuss the need for policy guidelines and regulations.Method: Using a concept analysis framework, we reviewed the literature on the commercialization of human milk, analyzed the antecedents and potential consequences of the industry, and developed a conceptual definition. The literature review resulted in 13 relevant articles.Results: There has been a surge in the development and availability of human milk products for vulnerable infants developed by for-profit companies. Commercialized human milk can be defined as the packaging and sale of human milk and human milk components for financial gain. Factors contributing to the commercialization of human milk include an increased demand for human milk, and consequences include potential undermining of breastfeeding. The lack of guidelines and regulations raises concerns of equity, ethics, and safety.Conclusion: The industry is rapidly growing, resulting in an urgent need for consistent guidelines and regulatory frameworks. If left unaddressed, there could be potential risks for donor milk banking, the future of breastfeeding, and infant and maternal health.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11340243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141296160","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}

引用次数: 0

Establishing Methods to Assess Baby-Friendly Hospital Initiative Compliance Using the Global Standards and Women's Self-Reported Experiences. 利用全球标准和妇女自述经历，建立评估爱婴医院倡议合规性的方法。

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-08-01 Epub Date: 2024-05-24 DOI: 10.1177/08903344241252644

Laavanya Lokeesan, Elizabeth Martin, Yvette D Miller

{"title":"Establishing Methods to Assess Baby-Friendly Hospital Initiative Compliance Using the Global Standards and Women's Self-Reported Experiences.","authors":"Laavanya Lokeesan, Elizabeth Martin, Yvette D Miller","doi":"10.1177/08903344241252644","DOIUrl":"10.1177/08903344241252644","url":null,"abstract":"The World Health Organization recommends assessing compliance with key clinical practices of the Baby-Friendly Hospital Initiative (BFHI; Steps 3-9) using birthing women's self-reports. Globally, compliance is mainly assessed using health staff reports, and the use of women's self-reports in selected countries has deviated from the Global Standards for the BFHI. Therefore, we aimed to provide insight into the appropriate method of incorporating women's self-reports in assessing compliance with Steps 3-9 of the BFHI. We developed questions and coding algorithms for assessing compliance with Steps 3-9 based on Global Standards for BFHI compliance, and implemented them via a cross-sectional survey of 302 women who gave birth to a live baby in Sri Lankan hospitals. Compliance with specific practices within each of Steps 3-9 and overall compliance with each step were described as percentages. Compliance with specific practices and each BFHI Step ranged from 15.9%-100% and 7.0%-100%, respectively. Our findings particularly emphasize the potentially enhanced usefulness and robustness of assessing all specific practices within BFHI key clinical steps and not focusing only on one practice within a step, to derive more useful health service guidance globally for capturing BFHI compliance and its impact on breastfeeding outcomes. This method could be translated across multiple settings globally. It would enable more specific identification of care advancements required by health services to improve the effectiveness of breastfeeding support and address the prevailing undervaluing and under-use of women's experiential data to evaluate and guide health service improvement.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11340230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141088153","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}

引用次数: 0

Breastfeeding Measurement - Teleological Considerations: Human Milk Collection for Research. 目的论的考虑：采集母乳用于研究。

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-08-01 Epub Date: 2024-06-10 DOI: 10.1177/08903344241254827

Kelley Baumgartel

引用次数: 0

About Research: Community-Based Participatory Research (CBPR). 关于研究：基于社区的参与式研究（CBPR）。

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-08-01 Epub Date: 2024-05-29 DOI: 10.1177/08903344241257252

Elizabeth Reifsnider

引用次数: 0

Infant Suck Strength Exam: Introduction of an Accessible Clinical Technique for Measuring Infant Suck at the Breast. 婴儿吸吮强度检查：介绍一种可用于测量婴儿吸吮乳房的临床技术。

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-08-01 DOI: 10.1177/08903344241257227

Ellen Chetwynd

{"title":"Infant Suck Strength Exam: Introduction of an Accessible Clinical Technique for Measuring Infant Suck at the Breast.","authors":"Ellen Chetwynd","doi":"10.1177/08903344241257227","DOIUrl":"https://doi.org/10.1177/08903344241257227","url":null,"abstract":"One of the core skills required in lactation support is understanding and correcting ineffective or painful breastfeeding. The behavior being corrected, however, occurs inside the infant's mouth, making it difficult to see and assess. When providing care in the field, we use standardized tools and digital suck exams. In research, instruments have been developed to measure infant suck strength with a pacifier, bottle, or at the breast using ultrasound. The aim of this article is to introduce a simple manual clinical technique to identify areas of weakness in an infant's suck and describe one treatment option that can be used to reduce weakness in the identified area. During the Infant Suck Strength Exam, the lactation support provider places a finger on the breast 2 to 4 cm from the edge of the infant's mouth at the upper and lower lip and then at both corners of the mouth, testing the strength of the suck in each of these four areas. To address any specific areas of weakness, the nursing parent can be taught to apply light skin traction back toward the chest wall at the affected area. This engages the suckling reflex and amplifies the strength of the infant's suck in that particular area. The traction applied should not indent the breast but rather just pull back on the skin. It should be applied with enough strength to challenge the infant without pulling the breast out. This is a teaching tool, and is typically only needed for a few weeks before the infant improves their nursing habits.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142017704","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}

引用次数: 0

LEAARC Association News: The Vital Role of Lactation Education in Maternal and Infant Health. LEAARC 协会新闻：母乳喂养教育在母婴健康中的重要作用。

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-08-01 Epub Date: 2024-05-17 DOI: 10.1177/08903344241253796

Kristina L Chamberlain, Rosann Edwards, Carolina Cardona Lopez, Jackie L Long-Goding

引用次数: 0

Supporting Direct Breastfeeding for a Tracheostomy-Dependent Extremely Premature Infant: A Case Study. 支持对气管造口术依赖的极早产儿进行直接母乳喂养：个案研究

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-08-01 Epub Date: 2024-06-05 DOI: 10.1177/08903344241254342

Alanna Lakoff, Jadia Beckford, Catherine Charbonneau, Susan Lepine, Sarah L Lawrence

{"title":"Supporting Direct Breastfeeding for a Tracheostomy-Dependent Extremely Premature Infant: A Case Study.","authors":"Alanna Lakoff, Jadia Beckford, Catherine Charbonneau, Susan Lepine, Sarah L Lawrence","doi":"10.1177/08903344241254342","DOIUrl":"10.1177/08903344241254342","url":null,"abstract":"Introduction: The benefits of human milk for preterm infants are well documented. Complex medical conditions can limit the extremely premature infant's ability to breastfeed and to receive human milk directly, yet these vulnerable infants may benefit most from receiving it.Main issue: Extremely preterm infants are at risk for infections, digestive challenges, and chronic lung disease, and occasionally require a tracheostomy to facilitate weaning from mechanical ventilation. There is a risk of aspiration when orally feeding a child with a tracheostomy. This case study describes a tertiary neonatal team supporting a family's direct breastfeeding goal in an extremely premature infant with a diagnosis of bronchopulmonary dysplasia requiring a tracheostomy.Management: Initially, the infant participant (born at 24 weeks and 3 days of gestation, with a birthweight of 540 g) was gavage fed with human milk. The interdisciplinary team collaborated with the family to guide the infant's feeding goals, providing positive oral stimulation with soothers, oral immune therapy, and frequent skin-to-skin contact to prepare for future oral feeding. Within a month of the tracheotomy procedure, oral feeding was initiated, and direct breastfeeding with the tracheostomy tubing in place was achieved at 50 weeks and 1 day of age as a primary source of nutrition.Conclusion: The open dialogue between the family and healthcare team was the foundation for trialing direct breastfeeding for an extremely premature infant with a tracheostomy. While direct breastfeeding of full-term infants with tracheostomies has been previously described in the literature, this is the first case study of an extremely premature infant with a tracheostomy transitioning to direct breastfeeding.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248328","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}

引用次数: 0