Journal of Human Lactation最新文献_第6页

Letter to the Editor - Documenting Our History. 记录我们的历史

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-11-01 Epub Date: 2024-09-29 DOI: 10.1177/08903344241277797

Suzanne G Cox

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Allomilk: An Anthropogeny-Based Framework for Human Milk as a Climate Solution. 全母乳：基于人类起源的人奶气候解决方案框架。

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-11-01 Epub Date: 2024-09-04 DOI: 10.1177/08903344241271344

Emily E Little

{"title":"Allomilk: An Anthropogeny-Based Framework for Human Milk as a Climate Solution.","authors":"Emily E Little","doi":"10.1177/08903344241271344","DOIUrl":"10.1177/08903344241271344","url":null,"abstract":"Climate change is an urgent threat to perinatal and infant health, with the greatest effects of climate change exposures being felt disproportionately by global majority communities who have been most harmed by systems of oppression. Human milk feeding is one recognized solution to bolster climate resilience. Yet, policies and practices to support human milk as a climate solution are inconsistent and under-prioritized, which is unsurprising given the lack of alignment between human history and current cultural context with regard to lactation and human milk access. This paper presents a new framework on lactation as a climate solution, which is unique in its incorporation of the critical history of cooperative breastfeeding in our species. Rooted in anthropogeny, or the study of human origins, and antiracist principles of lactation, the Allomilk Framework highlights five concepts of the ideal application of human milk as a climate solution, bridging ancient allonursing with present-day lactation and human milk access. These ideal applications-and the proposed development of measures to operationalize them-will advance the field through a shared understanding of the qualities that should be prioritized in the assessment of policies and practices at the intersection of climate resilience and human milk access. Application of the Allomilk Framework to assess and design future policies and practices will advance the field by increasing the potential for climate resilience and climate mitigation while working with-rather than against-the importance of cooperative breastfeeding in human history.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"625-632"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125942","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

Shifting the Paradigm for Establishing and Maintaining Milk Production in the Setting of Mother/Infant Separation. 在母婴分离的情况下转变建立和维持母乳喂养的范式。

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-11-01 Epub Date: 2024-09-23 DOI: 10.1177/08903344241278988

Claire Eden

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Lactation Newsmakers: Documenting our History - Supporting Breastfeeding Exchange Relations by Building Equitable and Innovative Solutions: An Interview With João Aprigio Guerra de Almeida. 通过建立公平和创新的解决方案支持母乳喂养交流关系：采访 João Aprigio Guerra de Almeida。

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-11-01 Epub Date: 2024-09-16 DOI: 10.1177/08903344241274325

Tanya M Cassidy, João Aprigio Guerra de Almeida

{"title":"Lactation Newsmakers: Documenting our History - Supporting Breastfeeding Exchange Relations by Building Equitable and Innovative Solutions: An Interview With João Aprigio Guerra de Almeida.","authors":"Tanya M Cassidy, João Aprigio Guerra de Almeida","doi":"10.1177/08903344241274325","DOIUrl":"10.1177/08903344241274325","url":null,"abstract":"Professor Joao Aprigio Guerra de Almeida graduated in Food Engineering (UFV-1981) with a Master in Microbiology (UFV-1986) and a doctorate in Women's and Children's Health (Fiocruz/IFF, 1998) He is founder and coordinator of the Brazilian Human Milk Banks Network (Ministry of Health-Brasil/Oswaldo Cruz Foundation-Fiocruz, 1987 to 2024); Head of the National Reference Center for Human Milk Banks at the National Institute of Women, Children and Adolescent Health Fernandes Figueira-IFF (Fiocruz/IFF, 1987 to 2024); Executive Secretary of the Ibero-American Human Milk Banks Network Program (Ibero-American General Secretariat-SEGIB/Brazilian Cooperation Agency-ABC/MS-FIOCRUZ, 2008 to 2020); Coordinator of International Technical Cooperation in Human Milk Banks ABC/Fiocruz/MS (2005 to 2024); and Coordinator of the Human Milk Banks Network of the Community of Portuguese Speaking Countries - CPLP (2017 to 2024). He has been recognized with the Sasakawa Health Prize (World Health Organization [WHO], 2001); as Officer of the Order of Rio Branco (Presidency of the Federative Republic of Brazil, 2001); with Global Health Challenges and Responses of the South in Time of Crisis (WHO, 2009); as Commendator of the Order of Rio Branco-Ministry of Foreign Affairs/Presidency of the Federative Republic of Brazil (2018); and Dr LEE Jong-wook Memorial Prize for Public Health (WHO, 2020). His areas of activity include Public Health, breastfeeding, Human Milk Banks, Public Management, and International Technical Cooperation.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"493-498"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289108","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

Response to Letter to the Editor. 回应致编辑的信。

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-11-01 Epub Date: 2024-09-29 DOI: 10.1177/08903344241288410

Chele Marmet

引用次数: 0

Barriers and Facilitators in Lactation Support for the Preterm Mother-Infant Dyad: An Integrated Approach. 早产母婴二人组母乳喂养支持的障碍和促进因素：综合方法。

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-11-01 Epub Date: 2024-09-25 DOI: 10.1177/08903344241273450

An Eerdekens, Anne Debeer

{"title":"Barriers and Facilitators in Lactation Support for the Preterm Mother-Infant Dyad: An Integrated Approach.","authors":"An Eerdekens, Anne Debeer","doi":"10.1177/08903344241273450","DOIUrl":"10.1177/08903344241273450","url":null,"abstract":"Breastfeeding offers significant health benefits for both mothers and infants, particularly preterm infants, where it serves as a therapeutic strategy to reduce mortality and morbidities. However, breastfeeding practices are threatened globally by societal norms and systemic barriers at both micro and macro levels. This paper explores the complex interplay of these barriers and facilitators, focusing on the Neonatal Intensive Care Unit (NICU) setting. Preterm infants face specific feeding challenges due to immature physiological functions, yet evidence supports that strategies like cue-based feeding and individualized care can enhance feeding success and health outcomes. For mothers, initiating and maintaining lactation after preterm birth is critical but challenging, with early lactation support and achieving sufficient milk volume being key predictors of success. Partner support significantly influences lactation outcomes, although more inclusive research is needed for diverse family structures. In the NICU, a multidisciplinary approach to lactation care is vital, emphasizing the need for experienced staff and family-centered practices. NICU design, policies promoting parental presence, and adherence to Baby-friendly Hospital Initiative guidelines further support breastfeeding. This paper aims to provide directives for local breastfeeding policies through an integrated approach, considering societal attitudes and healthcare practices. The findings advocate for improved lactation support in NICUs, inclusive language and policies, and further research into diverse familial and gender roles in breastfeeding.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"539-549"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348148","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

Breastfeeding Basic Competence in Primary Care: A Spanish Translation and Cross-Cultural Validation of the CAPA Questionnaire. 初级保健中的母乳喂养基本能力：CAPA 问卷的西班牙文翻译和跨文化验证。

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-11-01 Epub Date: 2024-09-19 DOI: 10.1177/08903344241271360

Victor Romero-Domínguez, Anna Ponjoan, Mireia Vidal, Lia Alves-Cabratosa, Anna Pol-Pons

{"title":"Breastfeeding Basic Competence in Primary Care: A Spanish Translation and Cross-Cultural Validation of the CAPA Questionnaire.","authors":"Victor Romero-Domínguez, Anna Ponjoan, Mireia Vidal, Lia Alves-Cabratosa, Anna Pol-Pons","doi":"10.1177/08903344241271360","DOIUrl":"10.1177/08903344241271360","url":null,"abstract":"Background: The number of validated questionnaires that assess the level of breastfeeding competence of primary care professionals who attend lactating mothers is limited.Research aim: To validate the CAPA (Competència en l'Atenció Primària sobre Alletament [Breastfeeding Competence in Primary Care]) questionnaire into Spanish in collaboration with professionals from the primary care services of the Comunidad de Madrid (Spain).Methods: In this multicentric study, four bilingual healthcare professionals translated the CAPA questionnaire into Spanish and back-translated it into Catalan. The cross-cultural adaptation included a discussion by an expert committee, a review by a philologist, and a pilot study that involved 13 healthcare residents. We randomly selected professionals from specialties involved in breastfeeding. The re-test was conducted 3 weeks later, aiming to avoid changes in the studied population. We performed a factor analysis to identify underlying constructs and hypothesis-testing to assess the validity of the questionnaire and estimated the Cronbach Alpha and intraclass correlation coefficient (ICC) to assess its reliability.Results: A total of 198 professionals participated by responding to the questionnaire. Factorial analysis showed that the questionnaire was unidimensional. Hypothesis testing showed that, of all the considered professional groups, midwives achieved the highest mean score (M = 131.7, SD = 10.9, p < 0.001). Amongst the other professionals, only 26.5% achieved a basic level of breastfeeding competence. The Cronbach alpha and ICC were 0.852 (95% CI [0.821, 0.880]) and 0.890 (95% CI [0.800. 0.937]).Conclusions: The Spanish CAPA questionnaire is a valid and reliable tool for assessing breastfeeding basic competence among primary care professional groups who attend lactating mothers.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"512-521"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289107","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

Trajectories of Breastfeeding-Related Thoughts and Attitudes Among Low-Income Smoke-Exposed Pregnant Women: A Latent Class Growth Analysis. 受烟雾影响的低收入孕妇与母乳喂养有关的想法和态度的轨迹：潜类增长分析

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-11-01 Epub Date: 2024-09-29 DOI: 10.1177/08903344241274748

Ruth G St Fleur, Tayla von Ash, Anna Alikhani, Shira I Dunsiger, Patricia Markham Risica

{"title":"Trajectories of Breastfeeding-Related Thoughts and Attitudes Among Low-Income Smoke-Exposed Pregnant Women: A Latent Class Growth Analysis.","authors":"Ruth G St Fleur, Tayla von Ash, Anna Alikhani, Shira I Dunsiger, Patricia Markham Risica","doi":"10.1177/08903344241274748","DOIUrl":"10.1177/08903344241274748","url":null,"abstract":"Background: Psychosocial predictors of breastfeeding and changes in those factors during pregnancy, along with the relationship of those changes with both breastfeeding and smoke use and exposure, are not well explored.Research aim: The aim of this study was to identify distinct trajectories of psychosocial determinants of breastfeeding and smoking in pregnant women.Methods: We used a longitudinal study design and data from a randomized controlled trial conducted among smoke-exposed pregnant women and their infants. Participants were recruited early in pregnancy and were surveyed at ≤ 16 and 32 weeks gestation, delivery, 3 and 6 months postpartum for breastfeeding intentions, initiation, continuation, and smoke use and exposure. Psychosocial variables associated with breastfeeding were measured at baseline and 32 weeks gestation using the Mitra index, a structured questionnaire that assesses barriers and facilitators of breastfeeding intentions. Latent class growth analysis was performed using Mitra scores to identify distinct subgroups of participants with different trajectories. Sociodemographic characteristics, breastfeeding, and tobacco smoke use and exposure were compared across classes.Results: Three or four trajectories were identified for each of the six Mitra scores. Trajectories for all Mitra scores were associated with breastfeeding intention and initiation. Overall, Mitra, knowledge, self-efficacy, social support, and time barrier classes all differed by tobacco smoke use or exposure.Conclusion: Trajectories of breastfeeding knowledge, self-efficacy, social support, and time to breastfeed/social barriers are associated with tobacco smoke use and exposure during pregnancy. Encouragement to breastfeed and to cease and avoid tobacco smoke should start early in pregnancy, focusing on these determinants to improve health outcomes.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"593-601"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348151","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

Beliefs About Donating Human Milk to a Milk Bank: A Theory-Based Salient Belief Elicitation. 向母乳库捐赠母乳的信念：基于理论的显著信念激发。

IF 2.1 4区医学

Journal of Human Lactation Pub Date : 2024-11-01 Epub Date: 2024-09-21 DOI: 10.1177/08903344241274348

Lydia J Hamilton, Susan Middlestadt

{"title":"Beliefs About Donating Human Milk to a Milk Bank: A Theory-Based Salient Belief Elicitation.","authors":"Lydia J Hamilton, Susan Middlestadt","doi":"10.1177/08903344241274348","DOIUrl":"10.1177/08903344241274348","url":null,"abstract":"Background: Pasteurized donor human milk provides a safe and desirable alternative when a parent's own milk is insufficient or unavailable. Currently, the demand for donor human milk exceeds the available supply. Little is known about the beliefs breastfeeding individuals have about milk bank donation.Research aims: The aims of this exploratory study were to (a) provide a preliminary estimate of how well intention can be predicted, and to suggest which of the global constructs of the Reasoned Action Approach has the most influence on intention; and (b) identify the salient, top-of-the-mind beliefs underlying the intention to donate some of the milk an individual is currently producing to a milk bank.Methods: An exploratory, cross-sectional study design, based on the Reasoned Action Approach, was used to measure the theory's global constructs and elicit beliefs underlying the intention to donate milk of lactating individuals (N = 118) living in Indiana, Illinois, Missouri, and Kentucky. Thematic and frequency analyses and multiple regression were performed.Results: Quantitative analyses found that injunctive norm and the autonomy component of perceived behavioral control were independently associated with intention. Qualitative analyses identified the advantages (e.g., help and save babies, won't waste milk), referents who support (e.g., husband, family), and facilitators (e.g., having a convenient, close location, having more knowledge and information) of donating milk.Conclusions: This research provides insight into how milk banks might recruit and retain donors. Additional quantitative research with a larger sample is necessary to confirm the preliminary findings of this study.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":" ","pages":"582-592"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289106","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

Factors Influencing Health Professionals’ Decisions Regarding the Indication of Infant Formula: A Qualitative Exploration in Uruguay 影响卫生专业人员决定婴儿配方奶粉适应症的因素：乌拉圭的定性研究

IF 2.6 4区医学

Journal of Human Lactation Pub Date : 2024-09-17 DOI: 10.1177/08903344241271346

Alejandra Girona, Gerónimo Brunet, Gastón Ares, Raquel Rodríguez, Carolina de León, Mónica Lozano, Leticia Vidal

{"title":"Factors Influencing Health Professionals’ Decisions Regarding the Indication of Infant Formula: A Qualitative Exploration in Uruguay","authors":"Alejandra Girona, Gerónimo Brunet, Gastón Ares, Raquel Rodríguez, Carolina de León, Mónica Lozano, Leticia Vidal","doi":"10.1177/08903344241271346","DOIUrl":"https://doi.org/10.1177/08903344241271346","url":null,"abstract":"Background:Health systems are fundamental to the promotion and protection of breastfeeding. Health professionals have a pivotal influence on families’ infant feeding decisions and may act as facilitators or barriers to adequate breastfeeding practices.Research Aim:To explore factors influencing health professionals’ decisions regarding the indication of infant formula in Montevideo, the capital of Uruguay, an emerging Latin American country.Method:This was a qualitative study based on semi-structured interviews with 30 health professionals (neonatologists, pediatricians, family doctors, and nurses) working in primary and secondary care in both private and public health institutions. The interviews were audio-recorded, transcribed, and analyzed using content analysis based on deductive-inductive coding.Results:The narratives of the participants identified maternity wards as the healthcare sites where the indication of infant formula occurs most frequently. Motives underlying the indication of infant formula by health professionals were diverse. The type of birth and the conditions of the child and the mother were the most relevant in secondary care, whereas maternal work was the main determining factor in primary care. A wide range of factors encouraging and discouraging the indication of infant formula were identified by health professionals in primary and secondary healthcare locations, which were related to all the levels of influence of the socioecological model.Conclusions:Strategies to reduce the use of infant formula in Uruguay should include improving the support and guidance provided to families in the maternity ward, strengthening the implementation and monitoring of the Baby-Friendly Hospital Initiative, and improving the current maternity leave regulations.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":"18 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142255634","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