Journal of Human Lactation最新文献

{"title":"Bridging the Gap Between Lactation Care and Research in Human Lactation.","authors":"Ellen Chetwynd","doi":"10.1177/08903344241305666","DOIUrl":"10.1177/08903344241305666","url":null,"abstract":"","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"7-8"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824156","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":"Lactation Newsmakers: Documenting our History - Anwar Fazal-A Breastfeeding Advocate Extraordinaire.","authors":"Anwar Fazal Dato' Seri, Maryse Arendt","doi":"10.1177/08903344241297589","DOIUrl":"10.1177/08903344241297589","url":null,"abstract":"<p><p>Anwar Fazal has been a driving force in the founding of several civil society organizations in the areas of health, human rights, environment, and peace, that have been at the forefront of activism locally, nationally, and globally. In this interview, he shares his journey of 6 decades, involving a multiverse of public interest issues, which led him into the breastfeeding movement. It began with the setting up of the International Baby Food Action Network (IBFAN), a pioneering action that triggered the formation of Health Action International (HAI), Pesticide Action Network (PAN), and the World Alliance for Breastfeeding Action (WABA). Each of these resulted in several unique frameworks and codes relating to the marketing of infant foods, pharmaceuticals, and pesticides. They also led to the formation of World Breastfeeding Week, now being celebrated globally. Anwar studied Economics at the University of Malaya and did his postgraduate studies in Education. Anwar has served as a visiting professor at the University of Science Malaysia and the International Islamic University Malaysia (IIUM). He is the recipient of the Right Livelihood Award, popularly known as the \"Alternative Nobel Prize,\" for his work on breastfeeding and infant nutrition and other health, environmental, and consumer issues. La Leche League International (LLLI) and the United Nations Development Programme (UNDP) have honored him with the International Health Award and the Millennium Development Goals Award. He has written extensively on breastfeeding. He is currently Chairperson Emeritus of the World Alliance for Breastfeeding Action (WABA) and continues to speak out actively on protecting, promoting, and supporting breastfeeding.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"10-15"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716351","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":"Letter to the Editor - Exclusive Breastfeeding Among Tribal Mothers in India: Challenges, Cultural Beliefs, and Policy Recommendations.","authors":"Hetal Rathod, Kajal Srivastava, Prerna Verma, Akhil R","doi":"10.1177/08903344241297598","DOIUrl":"10.1177/08903344241297598","url":null,"abstract":"","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"95-96"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675912","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 Intentions, Attitudes, and Knowledge Among Medical Students in Croatia.","authors":"Sara Franić, Marija Čatipović, Irena Zakarija-Grković","doi":"10.1177/08903344241296043","DOIUrl":"10.1177/08903344241296043","url":null,"abstract":"<p><strong>Background: </strong>Medical students should have adequate knowledge and positive attitudes toward breastfeeding to support breastfeeding dyads. No studies in Croatia have explored breastfeeding knowledge, attitudes or intentions among medical students.</p><p><strong>Research aim: </strong>To investigate breastfeeding knowledge, attitudes and intentions among medical students at the University of Split School of Medicine.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from March to April 2023, using online and written questionnaires. All medical students without children were eligible to participate. The validated Breastfeeding Intentions, Attitudes, and Knowledge Questionnaire (BIAKQ) was used. Sociodemographic data were collected. Analysis was conducted using descriptive statistics, <i>t</i> tests, and Mann-Whitney U test.</p><p><strong>Results: </strong>A total of 357 medical students participated (response rate 64.1%). There was no significant difference between preclinical and clinical students. Students who attended the elective \"Breastfeeding Medicine\" demonstrated significantly more positive attitudes toward breastfeeding (Mean Rank = 215.62) than those who did not attend (Mean Rank = 173.58; <i>U</i>= 5468.50, <i>p</i> = 0.010); however, no significant difference was found in knowledge or intentions. Female students had significantly more positive attitudes compared to male students (Mean Rank = 189.47 vs. Mean Rank = 150.55, U = 9796.50, <i>p</i> = 0.001), whereas male students expressed significantly more positive intentions (<i>M</i> = 36.97, <i>SD</i> = 5.26 vs. <i>M</i> = 34.44, <i>SD</i> = 5.86, <i>t</i> = -3.69, <i>p</i> = 0.002). The mean knowledge score was 11.92 (<i>SD</i> = 1.43) out of 13 points. Negative attitudes towards breastfeeding beyond 1 year and breastfeeding in public were found.</p><p><strong>Conclusion: </strong>Despite adequate breastfeeding knowledge, some medical students demonstrated negative attitudes and intentions toward breastfeeding. Including breastfeeding education into core medical subjects focusing on the importance of breastfeeding for maternal and infant health and the risks of formula feeding could help improve attitudes, especially during the clinical years. It would also be important to address prevailing prejudices.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"82-94"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755065","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":"Safety of Breastfeeding During Favipiravir Therapy: A Case Study.","authors":"Yuka Sano Wada, Jumpei Saito, Wakako Yamamoto, Yuka Maegawa, Taro Kamiya, Katsumi Mizuno","doi":"10.1177/08903344241296034","DOIUrl":"10.1177/08903344241296034","url":null,"abstract":"<p><strong>Introduction: </strong>Favipiravir is a known anti-influenza agent that has been used globally, especially during the coronavirus disease 2019 (COVID-19) pandemic. This drug has been important for treating influenza and other emerging infectious diseases, although it was ultimately proven to be ineffective for COVID-19. Currently, no studies have reported the human-milk transfer of favipiravir at doses of 1,600-3,600 mg/day in the treatment of diseases, including COVID-19.</p><p><strong>Main issue: </strong>A 38-year-old mother gave birth at 38 gestational weeks because of severe respiratory distress caused by COVID-19. Considering her illness and the inadequate information available on the safety of favipiravir in breastfeeding, she chose formula feeding for her infant. However, she still provided human milk and blood samples for the analysis of drug concentrations.</p><p><strong>Management: </strong>Five concentrations of favipiravir in the mother's milk and four in maternal blood were measured (3.0-80.9 and 3.5-78.4 μg/ml, respectively). Metabolites of favipiravir were not measured. The relative infant dose was 15.2%. The favipiravir concentration in human milk was as high as 80.9 μg/ml at 1.3 hours after the medication was given, when maternal blood levels are considered to be at their highest; however, favipiravir concentration was low in human milk immediately before medication administration (5.9-9.7 μg/ml).</p><p><strong>Conclusion: </strong>Breastfeeding is not contraindicated in mothers undergoing favipiravir therapy and would be safer immediately before medication. Avoiding feeding at the peak time (1.3 hours after medication) minimizes infant exposure.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"65-69"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716375","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":"Flange Size Matters: A Comparative Pilot Study of the Flange FITS^TM Guide Versus Traditional Sizing Methods.","authors":"Lisa A Anders, Jeanette Mesite Frem, Thomas P McCoy","doi":"10.1177/08903344241296036","DOIUrl":"10.1177/08903344241296036","url":null,"abstract":"<p><strong>Background: </strong>Pumping is a common practice in the United States, but it can be uncomfortable and lead to concerns about milk supply. The fit of the flange, or breast shield, used while pumping can contribute to or alleviate these problems. Flanges are available in a wide variety of sizes, and there are inconsistencies in guidance provided by healthcare providers and pump manufacturers for parents choosing a size. There have been no studies comparing different methods of sizing in terms of comfort and milk output.</p><p><strong>Research aims: </strong>The aim of this research was to examine differences in milk output and comfort using two methods of flange sizing.</p><p><strong>Method: </strong>A within-subject cross-over design with a convenience sample of parents exclusively feeding their own human milk was used to compare comfort and milk yield between using smaller-fit and standard-fit flanges. Participants pumped for 1 week with each set of flanges and recorded milk output and comfort outcome measures. Data were collected on participant demographics, nipple measurements, and flange sizes used.</p><p><strong>Results: </strong>When compared to the newer small-size fitting, participants using the standard fit flanges had significantly less milk output (mean difference = -15.0 g, 95% CI [-25.0, -5.0], <i>d</i> = -0.51, <i>p</i> = 0.004) and less comfort (mean difference = -1.2, 95% CI [-1.6, -0.91], <i>d</i> = -1.23, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Flange fitting is a process that should be individualized to the patient and may require a trial of one or more sizes during a pumping session. Smaller sizes determined using this individualized process and starting with nipple tip measurement may be used without compromising milk output or comfort.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"54-64"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755147","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}

{"title":"Development of Nipple Trauma Evaluation System With Deep Learning.","authors":"Maya Nakamura, Hiroyuki Sugimori, Yasuhiko Ebina","doi":"10.1177/08903344241303867","DOIUrl":"10.1177/08903344241303867","url":null,"abstract":"<p><strong>Background: </strong>No research has been conducted on the use of deep learning for breastfeeding support.</p><p><strong>Research aim: </strong>This study aims to develop a nipple trauma evaluation system using deep learning.</p><p><strong>Methods: </strong>We used an exploratory data analysis approach to develop a deep-learning model for medical imaging. Employing object detection and classification, this Japanese study retrieved 753 images from a previous study. The classification protocol, based on the \"seven signs of nipple trauma associated with breastfeeding,\" categorized the images into eight classes. For practical purposes, the eight original classes were consolidated into four broader categories: \"None,\" \"Minor,\" \"Moderate,\" and \"Severe,\" using data augmentation procedures that were consistent with the original classification system. The Precision, Recall, Overall Accuracy, and Area Under the Curve (AUC) were calculated, and the model's efficiency was evaluated using Frames Per Second (FPS).</p><p><strong>Results: </strong>The object detector's high mean average precision and frames per second rate for nipple and areola detection, confirmed exceptional accuracy. The eight-class image classifier returned notable AUC values, with fissures, peeling, purpura, and scabbing exceeding 0.8. The highest average recall and precision was for scabbing, and the lowest for blistering. The four-class classifier accurately predicted severe conditions, with an average AUC > 0.7, whereas categories without classifications and those deemed minor had lower recall and precision rates.</p><p><strong>Conclusions: </strong>A sophisticated deep learning system detects and classifies nipple trauma automatically, potentially aiding breastfeeding caregivers through objective image assessment and operational improvements.</p><p><strong>Abstract in japanese: </strong>： におけるのにするはわれていない。： は、をいたシステムのをとした。： では、をいたモデルをするため、データアプローチをいた。およびのをい、でわれたでされた753のをした。「にうの７」にづき、を8クラスにした。をし、4つのカテゴリ「なし」、「」、「」、「」の4つのカテゴリにし、のシステムにするデータをった。、、Overall Accuracy、AUC（）をし、モデルのはFPS（Frames Per Second）でした。： におけるいmAP（）とFPSがされ、およびのがされた。8クラスのは、、、、で0.8をえるなAUCがられた。とがもかったのはであり、でもかった。4クラスのはのをにし、AUCは0.7をえたが、なしやとされるカテゴリはとがいとなった。： をしたこのなシステムは、のとをでうことができ、なをじて、のとをサポートするなツールとなりる。Back Translation Completed by Hiroko Hongo, MSW, PhD, IBCLC.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"105-114"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882193","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":"Response to Letter to the Editor.","authors":"Chele Marmet","doi":"10.1177/08903344241288410","DOIUrl":"10.1177/08903344241288410","url":null,"abstract":"","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"501-502"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348150","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":"About Research - Qualitative Data Collection: Photo Elicitation.","authors":"Sara L Gill","doi":"10.1177/08903344241273863","DOIUrl":"10.1177/08903344241273863","url":null,"abstract":"<p><p>Photo elicitation is a qualitative data collection technique in which the researcher includes photographs or other visual images as part of participant interviews. The researcher might provide the photographs or might ask the participants to bring photographs to the interview. This technique enhances the breadth and depth of verbal qualitative interviews. The use of photo elicitation can enhance the rigor of a qualitative study. There are both advantages and disadvantages of this data collection technique. Ethical issues warrant special consideration.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"503-505"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154313","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":"Response to Letter to the Editor.","authors":"Joan E Dodgson","doi":"10.1177/08903344241288410a","DOIUrl":"10.1177/08903344241288410a","url":null,"abstract":"","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":"40 4","pages":"501-502"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668276","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}