M A Rifat, Rinath Bintey Didar, Joya Bhowmick, Rokibul Islam
{"title":"Effects of Maternal Utilization of Continuum of Care from Pregnancy to Postpartum on Breastfeeding Practices in Bangladesh.","authors":"M A Rifat, Rinath Bintey Didar, Joya Bhowmick, Rokibul Islam","doi":"10.1177/08903344261459900","DOIUrl":"https://doi.org/10.1177/08903344261459900","url":null,"abstract":"<p><strong>Background: </strong>Continuum of care (CoC) for maternal health, comprising antenatal care (ANC), delivery assisted by skilled birth attendants (SBA), and postnatal care (PNC), provides caregivers with opportunities to sensitize mothers about recommended breastfeeding practices. However, the effects of maternal utilization of CoC on breastfeeding practices in Bangladesh remains unexamined.</p><p><strong>Research aim: </strong>To estimate the effect of utilization of CoC on breastfeeding practices in Bangladesh.</p><p><strong>Methods: </strong>Bangladesh Demographic and Health Survey (BDHS) 2017-2018 and BDHS 2022 served as data sources. A mother was considered to receive the full CoC if she received at least four ANC sessions, had delivery assisted by SBA, and had a PNC within 48 hours of delivery. Multivariable logistic regression models were used to observe the effects.</p><p><strong>Results: </strong>Maternal status of receiving full CoC was not significantly associated with their breastfeeding practices. Receiving a PNC within 48 hours of delivery was significantly associated with 34% (AOR: 1.34; 95% CI [1.03, 1.73]) and 70% (AOR: 1.70; 95% CI [1.21, 2.39]) higher odds of exclusive breastfeeding in pooled and BDHS 2022 sample, respectively. Delivery assisted by SBA significantly reduced the odds of early initiation of breastfeeding by 27% (AOR: 0.73; 95% CI [0.62, 0.85]) and 38% (AOR: 0.62; 95% CI [0.50, 0.76]) in the pooled and BDHS 2022 sample, respectively.</p><p><strong>Conclusion: </strong>Beneficial effects of maternal utilization of CoC on breastfeeding practices in Bangladesh were inconsistent and, in some cases, contrary to expectations. These indicate missed opportunities to translate the benefits of maternal utilization of CoC to breastfeeding practices in Bangladesh.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261459900"},"PeriodicalIF":2.0,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684794","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 Relationship Between Maternal Psychological Factors and IgA Levels in Breast Milk: A Scoping Review.","authors":"Jessica Oliveira Cecilio, Kirsten Dieckmann, George Oliveira Silva, Dalete Mota, Flaviana Vely Mendonça Vieira","doi":"10.1177/08903344261464912","DOIUrl":"https://doi.org/10.1177/08903344261464912","url":null,"abstract":"<p><strong>Background: </strong>Secretory immunoglobulin A (IgA) is the predominant immunoglobulin in human milk and a key component of neonatal mucosal immunity. While its biological functions are well established, the impact of maternal psycho‑emotional factors on its concentration remains largely unknown. No previous review has systematically mapped this intersection.</p><p><strong>Objectives: </strong>To synthesize evidence on relationships between maternal psycho-emotional factors-depression, anxiety, stress, fatigue, and sleep disturbance-and IgA concentrations in human milk.</p><p><strong>Methods: </strong>Following the JBI framework and PRISMA-ScR guidelines, a comprehensive search was conducted across MEDLINE, Embase, Cochrane, CINAHL, PsycINFO, Scopus, and Web of Science without date restrictions. Fourteen studies met eligibility criteria. Data were extracted using a standardized form and synthesized narratively.</p><p><strong>Results: </strong>Findings were heterogeneous, with positive, negative, and null associations across psychological domains. Occasionally, anxiety was associated with lower milk IgA in early postpartum cohorts, whereas associations with depressive symptoms varied by lactation stage. Postpartum-specific stress showed the clearest inverse relationship with milk IgA, although evidence remained limited. Only one study assessed maternal fatigue, and none examined sleep disturbance. Differences in lactation stage, milk sampling timing, and laboratory methods appeared to contribute substantially to variability across studies.</p><p><strong>Conclusion: </strong>Maternal psycho-emotional factors do not exert a uniform influence on milk IgA. Instead, evidence suggests context-dependent patterns shaped by lactation stage, biological processes, and methodological factors. This review highlights an understudied area and underscores the need for standardized longitudinal studies to clarify how maternal mental health interfaces with lactational immunity.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261464912"},"PeriodicalIF":2.0,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148678845","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}
Ying Jin, Hina Humayun, Louise Wedgwood, Jacquie Nutt, Tasnima Akter, Lisa Te Morenga, Linda Murray
{"title":"How Does Pasteurised Donor Human Milk Support Women's Breastfeeding Journeys? A Mixed-Method Study in Collaboration With Te Whare Poipoi - Palmerston North Hospital Neonatal Unit, New Zealand.","authors":"Ying Jin, Hina Humayun, Louise Wedgwood, Jacquie Nutt, Tasnima Akter, Lisa Te Morenga, Linda Murray","doi":"10.1177/08903344261465257","DOIUrl":"https://doi.org/10.1177/08903344261465257","url":null,"abstract":"<p><strong>Background: </strong>Pasteurised donor human milk (PDHM) is increasingly available to support vulnerable infants when maternal milk is temporarily unavailable. While evidence suggests benefits for very preterm infants, the impact of PDHM on breastfeeding outcomes for late preterm and early term infants remains unclear.</p><p><strong>Research aim: </strong>This study investigated the impact of PDHM on breastfeeding journeys among mothers and infants admitted to the neonatal unit (Te Whare Poipoi) at Palmerston North Hospital, New Zealand.</p><p><strong>Methods: </strong>We employed a mixed-methods design combining retrospective quantitative data (2019-2022) and qualitative interviews (<i>n</i> = 55). Quantitative data were compared to assess breastfeeding outcomes before and after the availability of PDHM, including maternal and infant characteristics, feeding indicators, and breastfeeding status at hospital discharge. Qualitative interviews explored mothers' experiences with PDHM.</p><p><strong>Results: </strong>Following the introduction of PDHM, use rose from 18% before 2021 to 50% after. Among PDHM users, 60% of infants achieved exclusive and fully breastfeeding at discharge, compared with 52% among non-users (<i>p</i> = 0.031). Qualitative findings highlighted PDHM as a \"bridge\" to breastfeeding, reducing stress during lactogenesis, providing alternatives to formula, and supporting maternal recovery from complex births. Mothers described PDHM as enabling bonding and persistence with breastfeeding while creating space for healing. Challenges included limited supply and ongoing breastfeeding difficulties for some.</p><p><strong>Conclusion: </strong>Findings indicate that PDHM positively supports breastfeeding, particularly among late preterm and early-term infants, and contributes to maternal well-being. Strengthening donor milk services can play a crucial role in protecting, promoting, and supporting breastfeeding.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261465257"},"PeriodicalIF":2.0,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148678864","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}
Khiara Makayla Lee, Patricia Markham Risica, Tayla von Ash
{"title":"Examining Racial and Ethnic Breastfeeding Disparities and Contributing Factors in a National Dataset.","authors":"Khiara Makayla Lee, Patricia Markham Risica, Tayla von Ash","doi":"10.1177/08903344261459948","DOIUrl":"https://doi.org/10.1177/08903344261459948","url":null,"abstract":"<p><strong>Background: </strong>Like other positive health behaviors, researchers have documented large racial and ethnic disparities in breastfeeding initiation and continuation rates. Understanding contributing factors to these disparities is important for designing effective interventions.</p><p><strong>Research aim: </strong>To examine whether sociodemographic and pregnancy-related factors explain racial and ethnic disparities in breastfeeding outcomes.</p><p><strong>Methods: </strong>We conducted a cross-sectional, secondary analyses of the Pregnancy Assessment Monitoring Survey Phase 8, 2016-2022. We first examined breastfeeding outcomes (breastfeeding initiation, breastfeeding continuation at 8 weeks, and breastfeeding continuation at 8 weeks among those who initiated) across racial and ethnic groups (<i>N</i> = 193,917). Multivariable logistic regressions were used to examine these associations, adjusting for sociodemographic (race, age, insurance, marital status, and income) and pregnancy-related factors (WIC participation, adequacy of prenatal care, delivery type, and number of resources from which participants received breastfeeding information).</p><p><strong>Results: </strong>A total of 87% of the sample initiated breastfeeding, with 68% still breastfeeding at 8 weeks. Non-Hispanic Black participants were less likely to initiate breastfeeding (aOR = .73; CI [.68, .78]) or be breastfeeding at 8 weeks (aOR = .90; CI [.86, .95]) compared to Non-Hispanic White participants, even after adjusting for sociodemographic and pregnancy-related factors. However, the association between Black race and continuation of breastfeeding to 8 weeks postpartum among those who initiated was completely attenuated after adjustment. Hispanic participants also had lower rates of continuation, but this was reversed when adjusting for sociodemographic and pregnancy-related factors.</p><p><strong>Conclusion: </strong>Sociodemographic and pregnancy-related factors contribute to, but do not fully explain, breastfeeding disparities. Efforts are needed to further understand and address breastfeeding disparities, especially breastfeeding initiation among Black mothers.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261459948"},"PeriodicalIF":2.0,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148673852","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":"Adaptation of the IOWA Infant Feeding Attitude Scale Into Turkish for Mothers With Infants Aged 0-12 Months: A Validity and Reliability Study.","authors":"Nurten Arslan, Meltem Kurtuncu, Şadiye Gülistan Gül","doi":"10.1177/08903344261460322","DOIUrl":"https://doi.org/10.1177/08903344261460322","url":null,"abstract":"<p><strong>Background: </strong>Mothers' attitudes toward infant feeding are an important factor influencing breastfeeding intention, the initiation of breastfeeding, and the introduction of complementary feeding.</p><p><strong>Aim: </strong>The goal of the study was to culturally adapt the Iowa Infant Feeding Attitude Scale (IIFAS) to Turkish society and to test its validity and reliability.</p><p><strong>Methods: </strong>This methodological study was conducted on a sample of 304 mothers with infants aged 0-12 months who consented to participate. Data were collected using the Participant Information Form and the Iowa Infant Feeding Attitude Scale.</p><p><strong>Results: </strong>The total variance explained by the IIFAS was 43.966%. Item 1 was left out of further analyses on account of its impact on the scale's Cronbach's alpha value, and Item 17 was excluded due to its failing to meet the factor loading criterion. The χ<sup>2</sup>/df value in the confirmatory factor analysis was 1.745, and the fit indices indicated good model fit (RMSEA = 0.070, GFI = 0.893, CFI = 0.897). The reliability of the scale and subscales was found to be satisfactory. The item-total correlation values were found acceptable as their values range between 0.316 and 0.467. The mean total IIFAS score was 57.32 ± 7.83.</p><p><strong>Conclusion: </strong>The results of the study indicated a neutral attitude score from mothers on the scale. In this regard, nurses ought to design a structured breastfeeding education and counseling intervention for mothers to develop a more positive attitude towards breastfeeding. The IIFAS is a valid tool and can be used to measure the infant feeding attitudes of mothers in Turkey.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261460322"},"PeriodicalIF":2.0,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663689","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}
Nellie Chen, David T Tanaka, Kamlesh Athavale, Lusia Li, C Michael Cotten, Keyaria D Gray
{"title":"Early Expressed Milk Volume and Coming to Volume for Mother's Own Milk in Hospitalized Infants.","authors":"Nellie Chen, David T Tanaka, Kamlesh Athavale, Lusia Li, C Michael Cotten, Keyaria D Gray","doi":"10.1177/08903344261465226","DOIUrl":"https://doi.org/10.1177/08903344261465226","url":null,"abstract":"<p><strong>Background: </strong>Early pumping frequency is strongly correlated with achieving coming to volume (CTV) and having increased milk volume production. A model was created to predict CTV using early pumping frequency, achievement of early morning pumping, and birth weight.</p><p><strong>Research aim: </strong>To assess if cumulative pumping volumes during the first 5 postnatal days (CV x 5) influence coming to volume (CTV: producing > 500 milliliters breast milk per day by postnatal Day 14) for mothers of hospitalized infants, with a secondary aim to develop and compare a new predictive model using CV x 5 with our previous model.</p><p><strong>Methods: </strong>A retrospective cohort analysis was conducted at a tertiary center for singleton mother-baby dyads of neonatal intensive care infants between January 2020 and December 2023.</p><p><strong>Results: </strong>Of 887 mother-baby dyads, 325 (37%) achieved CTV and were more likely to have higher CV x 5 (1,058 ± 25 ml vs. 231 ± 19 ml; <i>p</i> < 0.0001). In generalized regression models for CTV that included birth weight, five or more milk-producing pumping episodes on postnatal Day 5 (5 x 5), pumping at least once between 1 am and 5 am by postnatal Day 5 (AM x 5), and CV x 5, only CV x 5 and 5 x 5 remained significant (<i>p</i> < 0.0001).</p><p><strong>Conclusions: </strong>Pumping frequencies and accumulating pumped volumes in the first 5 postnatal days are important factors in predicting mothers' likelihood of CTV. CTV is significantly associated with CV x 5, and, with 5 x 5, creates a stronger model than that of 5 x 5 and higher birthweight. This new model may help identify mothers needing additional support to achieve CTV as early as postnatal Day 5.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"8903344261465226"},"PeriodicalIF":2.0,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663695","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}
Lee Khuan, Nurul Akma Jamil, Cheong Ai Theng, Siti Mariam Muda
{"title":"From Clicks to the Bank: Malaysia's Online Milk-Sharing Lessons for Inclusive Global Policies on Human Milk Donation.","authors":"Lee Khuan, Nurul Akma Jamil, Cheong Ai Theng, Siti Mariam Muda","doi":"10.1177/08903344261431966","DOIUrl":"10.1177/08903344261431966","url":null,"abstract":"<p><strong>Background: </strong>Donor human milk is essential for supporting the health and survival of preterm and medically fragile infants. However, limited awareness, religious sensitivities, and sociocultural barriers mean that many countries, including Malaysia, face persistent challenges in encouraging public participation in formal human milk donation. In contrast, milk-sharing facilitated through online breastfeeding communities has gained considerable attention among Malaysian mothers. Understanding this practice could offer insights into community-based engagement, cultural negotiation, and religiously compliant human milk-donation initiatives.</p><p><strong>Aim: </strong>This article draws on lessons related to milk-sharing and translates them into actionable recommendations for policymakers and healthcare professionals.</p><p><strong>Methods: </strong>A qualitative descriptive design was employed, incorporating content analysis of online breastfeeding community posts and in-depth semi-structured interviews with Malaysian mothers involved in informal milk sharing.</p><p><strong>Results: </strong>Strategies include partnering with online breastfeeding communities, co-designing religiously sensitive outreach materials, developing digital tool kits, and fostering inclusive, culturally respectful donor recruitment models.</p><p><strong>Conclusion: </strong>Human milk donation efforts can become better aligned by utilising breastfeeding communities and digital networking.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"835-841"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147674081","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":"Improving Lactation Support Through Stakeholder-Driven Change in an Academic Medical Center.","authors":"Leslie E Tower, Cara Sedney, Jodi Vincent","doi":"10.1177/08903344261431943","DOIUrl":"10.1177/08903344261431943","url":null,"abstract":"<p><p>Returning to work or school after childbirth presents significant challenges for lactating individuals, particularly in high-pressure healthcare environments. This <i>Insights into Policy and Practice</i> article describes how institutional leaders, staff advocates, and student collaborators partnered to improve lactation accommodations at a large, land-grant, R1 Carnegie-designated university in Central Appalachia. Guided by a facility audit and a 15-item electronic survey, the Chief Wellness Officer, Employee Experience Board, and Women's Resource Center identified barriers related to room availability, comfort, and privacy. In response, the institution implemented a series of changes, including furniture upgrades, enhanced privacy features, signage, educational materials for supervisors and staff, and systems for monitoring room use and cleanliness. This process underscores the importance of stakeholder engagement, cross-unit collaboration, and data-driven advocacy in developing replicable improvements to lactation support that can be scaled within academic medical centers and adapted internationally.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"628-633"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728609","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 Mindfulness and Breastfeeding Self-Efficacy: Exploring the Relationship.","authors":"Beyza Nur Atak, Seda Çetin Avcı","doi":"10.1177/08903344261431672","DOIUrl":"10.1177/08903344261431672","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding mindfulness-defined as a mother's present-moment awareness, emotional attunement, and focused attention during breastfeeding-is an emerging concept with significant implications for lactation outcomes. While mindfulness and breastfeeding self-efficacy are recognized determinants of breastfeeding success, evidence regarding their relationship remains limited, particularly within the Turkish context. This study examined the association between maternal mindfulness during breastfeeding and breastfeeding self-efficacy.</p><p><strong>Methods: </strong>A descriptive and analytic cross-sectional study was conducted with 268 breastfeeding mothers who gave birth between July 2024 and February 2025 at a university hospital in Turkey. Data were collected via face-to-face interviews using a personal information form, the Mindfulness in Breastfeeding Scale, and the Breastfeeding Self-Efficacy Scale-Short Form. Statistical analyses were performed using SPSS Statistics 22.0. Due to nonnormal data distribution, nonparametric tests and correlation analyses were employed.</p><p><strong>Results: </strong>The mean score for the Mindfulness in Breastfeeding Scale was 36.49 ± 4.56, and the mean score for the Breastfeeding Self-Efficacy Scale was 53.19 ± 8.68. A significant positive correlation was observed between mindfulness in breastfeeding and breastfeeding self-efficacy (<i>r</i> = 0.365, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Higher maternal mindfulness during breastfeeding is associated with increased breastfeeding self-efficacy. These findings suggest that integrating mindfulness-based strategies into prenatal and postpartum nursing interventions can enhance maternal emotional well-being and promote more effective breastfeeding. Consequently, incorporating mindful breastfeeding concepts into childbirth preparation and counseling programs is essential to equip mothers with these skills and support positive breastfeeding outcomes.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"620-627"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728588","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}
Ayşegül Kiliçli, Tuğba Yilmaz Esencan, Ummahan Yücel, Selin Nur Altun, Güldane Damla Kaya
{"title":"The Trends and Hotspots of Research on Lactation in Migrant Women: A Bibliometric Analysis (1980-2024 Years).","authors":"Ayşegül Kiliçli, Tuğba Yilmaz Esencan, Ummahan Yücel, Selin Nur Altun, Güldane Damla Kaya","doi":"10.1177/08903344261429209","DOIUrl":"10.1177/08903344261429209","url":null,"abstract":"<p><strong>Background: </strong>The trends and focal points of studies on lactation in migrant women contribute to a deeper understanding of this field.</p><p><strong>Research aim: </strong>This study, conducted from a macro-level perspective, aims to comprehensively examine the primary focal points, trends, and depth of global research on the lactation experiences of migrant women.</p><p><strong>Methods: </strong>Synonyms for the keywords \"migrant, woman, and lactation\" were standardized using Boolean search operators. A literature search was then conducted in the Web of Science database on January 6, 2025. Articles were then downloaded and analyzed using RStudio (Version 1.4.1717) and the \"biblioshiny for bibliometrix\" application, an R-based bibliometric analysis tool. The PRISMA 2020 checklist was used solely to guide the transparent reporting of the search and screening process.</p><p><strong>Results: </strong>275 articles were selected, with English-language articles appearing in 166 different journals between 1980 and 2024. The highest number of publications occurred in 2018. The <i>International Breastfeeding Journal</i> was the most prolific in terms of publications, while <i>Pediatrics</i> received the highest number of citations. The most cited article was titled \"Couples' immigration status and ethnicity as determinants of breastfeeding.\" The most frequently used keywords were \"migrant, duration, and infant,\" while trending topics included \"women, duration, and health.\" Thematic mapping revealed that core themes of the field were women, duration, health, risk, children, infants, migration, mortality, and malnutrition.</p><p><strong>Conclusion: </strong>This study maps global research trends on lactation among migrant women, identifying key thematic emphases and gaps within the literature. The findings highlight an outcome-focused and predominantly descriptive evidence landscape, while pointing to the need for more intervention- and implementation-oriented research to advance culturally responsive breastfeeding support.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"682-702"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147690481","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}