International Breastfeeding Journal最新文献

{"title":"Perceptions and experiences related to use of breastmilk from another mother in central Nepal: a qualitative study.","authors":"Akina Shrestha, Natalie Gulrajani, Amy Sarah Ginsburg, Victoria Laleau, Soujanya Gade, Valerie Flaherman, Mahesh C Puri, Srijana Dongol","doi":"10.1186/s13006-025-00706-8","DOIUrl":"https://doi.org/10.1186/s13006-025-00706-8","url":null,"abstract":"<p><strong>Background: </strong>When maternal breastmilk is unavailable in sufficient quantity for infant needs, the World Health Organization (WHO) recommends the use of donor breastmilk if safe, affordable, and available. However, in Nepal and most other low- and middle-income countries (LMICs), there are significant barriers to accessing safe and affordable donor breastmilk, including a paucity of milk banks. An in-depth understanding of perceptions and experiences in Nepal related to use of donor breastmilk could inform the development of interventions to address identified barriers.</p><p><strong>Methods: </strong>From December 2019 to January 2020, we conducted a qualitative study, including focus group discussions (FGDs) with parents and community health workers (CHW), and key informant interviews (KIIs) with public health stakeholders in Dhulikhel municipality, Kavrepalanchowk district in Nepal. In total, 44 individuals participated in five FGDs, including two with mothers, one with fathers, and two with CHW. Nine KIIs were conducted with stakeholders. Thematic analyses of translated transcripts were undertaken to explore perceptions and experiences of participants related to use of human donor breastmilk.</p><p><strong>Results: </strong>Participants in this study reported that informal breastmilk sharing between relatives and neighbors is common when a mothers' breastmilk is unavailable or insufficient and such sharing can occur via direct breastfeeding or milk expression. Numerous potential benefits with breastmilk sharing were described, including overcoming initial difficulties with milk supply in the postpartum period, convenience when mothers are unavailable, and reduced risk of infant infection and gastrointestinal distress. Hesitancies to breastmilk sharing included the risk of disease transmission from donor to infant and the possibility of decreased bonding between mother and infant. Some participants stated that animal milk is preferable to breastmilk sharing when mothers own milk is not available.</p><p><strong>Conclusion: </strong>Participants were aware of the potential benefits of donor breastmilk but identified numerous barriers to widespread adoption, including concerns about infectious diseases and mother-infant bonding, and preference for animal milks over another mother's milk. Addressing these concerns may help increase the acceptance and practice of donating and using donor breastmilk among mothers in Nepal.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"16"},"PeriodicalIF":2.9,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of abuse and disrespect during childbirth on early initiation of breastfeeding.","authors":"Ana Ballesta-Castillejos, Julián Rodríguez-Almagro, Silvia García De-Mateos, Inmaculada Ortiz-Esquinas, Juan Miguel Martínez-Galiano, Antonio Hernández-Martínez","doi":"10.1186/s13006-025-00709-5","DOIUrl":"10.1186/s13006-025-00709-5","url":null,"abstract":"<p><strong>Background: </strong>An increasing trend among women and professionals is recognizing the existence of abuse and disrespect by professionals toward women during childbirth. The promotion of breastfeeding is a priority objective, and few studies address the relationship between this mistreatment during birth and its impact on breastfeeding rates. Our objective was to evaluate the relationship between abusive treatment and the disrespect that women receive from professionals during childbirth with the early initiation and maintenance of breastfeeding on hospital discharge.</p><p><strong>Methods: </strong>A cross-sectional observational study conducted in Spain with women who had become mothers in 2022. The data were obtained through an online questionnaire distributed via women's associations in which breastfeeding rates in the first hour of life and upon hospital discharge were included as dependent variables, and sociodemographic, obstetric, breastfeeding variables, and abuse and lack of respect during childbirth were included as independent variables. Crude Odds Ratio (OR) and adjusted (aOR) were calculated with their respective 95% CI.</p><p><strong>Results: </strong>2048 women participated. The perception of abuse and disrespect, expressed as higher scores on the CARE-MQ scale, showed a lower probability of breastfeeding in the first hour of life by 0.69 to 0.43 (percentile 50-74 aOR:0.69; 95% CI:0.49, 0.97; p74-89 aOR:0.59; 95% CI:0.39, 0.87; p > 90 aOR:0.43; 95% CI:0.32, 0.76). Attending more than 5 prenatal education sessions, skin-to-skin contact, and previous breastfeeding experience increase the probability of early initiation of breastfeeding and maintaining it when the woman is discharged from the hospital.</p><p><strong>Conclusions: </strong>Women who perceive more abuse and disrespect from professionals during childbirth are less likely to initiate breastfeeding early; however, this relationship is not observed when assessing breastfeeding at hospital discharge.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"15"},"PeriodicalIF":2.9,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11921623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a new breastfeeding counselling intervention on breastfeeding prevalence, infant growth velocity and postpartum weight loss in overweight women: a randomized controlled trial.","authors":"Fanny Aldana-Parra, Gilma Olaya Vega, Mary Fewtrell","doi":"10.1186/s13006-025-00703-x","DOIUrl":"10.1186/s13006-025-00703-x","url":null,"abstract":"<p><strong>Background: </strong>Maternal overweight is a risk factor for child obesity. Breastfeeding may decrease this risk, but breastfeeding prevalence is low in overweight or obese mothers.</p><p><strong>Methods: </strong>We conducted a randomized trial in 90 overweight/obese pregnant women in Bogotá-Colombia during 2019, to evaluate the effects of a new exclusive breastfeeding (EBF) counselling intervention for overweight/obese mothers, based on Carl Rogers' client-centered theory. The Intervention included individualized breastfeeding counseling, empowerment sessions, and a set of problem-solving strategies based on Carl Rogers' client-centered theory, conducted during late pregnancy, first week postpartum, 1 and 3 months postpartum. Primary outcomes were EBF during the last 24 h prevalence at 4 months postpartum, infant growth, and maternal weight loss at 4 months postpartum; secondary outcomes were serum and breast milk prolactin concentration, breast milk energy and macronutrient content, estimated breast milk volume at 1 and 4 months and EBF prevalence at interim time-points. Mothers were randomised in late pregnancy to intervention (new breastfeeding counselling; IG) or control group (standard breastfeeding support; CG).</p><p><strong>Results: </strong>The IG had significantly higher EBF prevalence at 4 months (82.8%) compared to the CG (30.6%) (Prevalence ratio or PR = 2.7; 95% CI = 1.6, 4.5). There were no intervention effects on infant growth velocity, maternal weight loss or secondary outcomes.</p><p><strong>Discussion: </strong>The intervention, which could be implemented in primary care settings, was highly effective for increasing the prevalence of EBF in overweight/obese mothers at 4 months postpartum. The results should, however, be interpreted in the context of the small sample size, short follow-up period and loss to follow-up. Further evaluation of the intervention is required in a larger sample including longer-term infant follow-up.</p><p><strong>Trial registration: </strong>(UTN) U1111-1228-9913 20 February 2019; ISRCTN15922904, retrospectively registered.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"14"},"PeriodicalIF":2.9,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Negative emotional experiences of breastfeeding and the milk ejection reflex: a scoping review.","authors":"Charlie Middleton, Elaine Lee, Alison McFadden","doi":"10.1186/s13006-024-00692-3","DOIUrl":"10.1186/s13006-024-00692-3","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding aversion response (BAR)and dysphoric milk ejection reflex (D-MER) are two examples of breastfeeding phenomena which present as negative emotional experiences of breastfeeding and lactation but are considered physiological in origin. D-MER presents as a sudden onset of dysphoria prior to and during milk ejection. BAR refers to unpleasant feelings and physical sensations during breastfeeding. Research suggests both phenomena are distinct from perinatal mood disorders. As awareness of D-MER and BAR is limited, this scoping review extended beyond the terms D-MER and BAR to describe the nature, extent and range of literature relating to negative emotional experiences of breastfeeding and the milk ejection reflex. The aim of this scoping review was to capture concepts, knowledge and experiences relating to D-MER and BAR.</p><p><strong>Methods: </strong>This review followed standard scoping review methodology. Medline, CINAHL, MIDIRS, British Nursing Index, PsychInfo, EBSCO, EMBASE, Cochrane Database of Systematic Reviews, Web of Science, Google, Google Scholar, Open Grey, EThOS and PROSPERO were originally searched between March and July 2020 and April 2024, using predetermined keywords. After removing duplicates, records were screened for eligibility. Data were charted, then summarised and synthesised using numerical and thematic analysis.</p><p><strong>Results: </strong>In total, 116 academic and grey literature records were included in the scoping review and five main themes were identified. D-MER and BAR are associated with a range of negative emotions which impact breastfeeding. Awareness of D-MER and BAR is limited, thus, understanding the phenomena better is important for helping women achieve their personal breastfeeding goals.</p><p><strong>Conclusion: </strong>This review identified a wide range of literature which described the nature of D-MER and BAR episodes, suggested causes for both phenomena, the impact of D-MER and BAR on women's lives, strategies women use to cope and possible prevalence rates. Many health professionals remain unaware of D-MER and BAR, and so support provided may be inappropriate or inadequate. Much remains unknown about D-MER and BAR and further research is indicated.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"13"},"PeriodicalIF":2.9,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Call to include breastfeeding as a synergistic approach to vaccines for prevention of respiratory syncytial virus disease.","authors":"Laura Fischer, Elochukwu Okanmelu, Melissa Ann Theurich","doi":"10.1186/s13006-025-00705-9","DOIUrl":"10.1186/s13006-025-00705-9","url":null,"abstract":"<p><strong>Background: </strong>Infections with respiratory syncytial virus (RSV) in infancy and early childhood are very common. RSV is the leading cause of bronchiolitis and pneumonia and substantially contributes to the morbidity and mortality of infants and young children worldwide. Until very recently, there have been no vaccines available for prevention and there are no curative treatments for RSV. Two novel pharmaceutical approaches for RSV prevention became available in 2024 namely immunization of mothers during pregnancy and immunoprophylaxis of infants. Since then, a series of scientific papers as well as national and international guidance have been published to encourage parents to vaccinate themselves or their children. Despite strong evidence that breastfeeding is an important non-pharmacological approach for prevention of severe RSV outcomes, recent scientific papers and public health communications have neglected breastfeeding as a core RSV-preventive strategy. This commentary highlights epidemiological evidence of the protective effects of breastfeeding as a key non-pharmacological intervention, discussing its synergistic role in RSV prevention and supportive role in the care of sick infants.</p><p><strong>Breastfeeding and rsv: </strong>Breastfeeding has been shown to reduce the rate and severity of RSV-associated outcomes, including hospitalization and mortality. While exclusive breastfeeding is most protective, even one month of breastfeeding was associated with a reduced likelihood of Intensive Care Unit admission and the need of mechanical ventilation in RSV-infected infants. The benefits of breastfeeding for RSV prevention and supportive care have been demonstrated in epidemiological studies in low-, middle- and high-income settings and are especially important for small, premature and sick infants.</p><p><strong>Conclusion: </strong>Breastfeeding is an overlooked sustainable strategy for the universal prevention of severe outcomes and serves as supportive care of RSV-associated disease in infancy, especially in vulnerable population groups. Breastfeeding should be encouraged alongside vaccines in all public health communication, by health providers during pre- and postnatal immunization visits and during infant check-ups. Further, the role of breastfeeding as supportive care of RSV-infected and critically-ill infants should not be overlooked.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"12"},"PeriodicalIF":2.9,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11874759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"They need to see breastfeeding so that they know how to do it\": the construction of motherhood through Instagram brelfies.","authors":"Paige E Davis, Alex Bridger, Kirsty Budds","doi":"10.1186/s13006-025-00701-z","DOIUrl":"10.1186/s13006-025-00701-z","url":null,"abstract":"<p><strong>Background: </strong>An offshoot of selfie taking is the \"Brelfie\" - a self-image capturing breastfeeding. Brelfie images and accompanying text are particularly useful to understanding how parents see themselves in their role within the digital age. The aim of this research was to understand how women posting #brelfies construct breastfeeding, motherhood, and identity through this modality.</p><p><strong>Methods: </strong>This study used content analysis to examine 173 Instagram posts consisting of 199 Instagram breastfeeding images. The first author used open coding to create three visual representations and seven visual categories (e.g. focus on mother, child or both) from the corpus of data. An inductive interpretive thematic analysis was then performed to investigate the accompanying in post texts. Results were then analysed using chi-square tests. Although England was most prevalent, the Instagram search gleaned posts from nine other countries and posters used eight different languages.</p><p><strong>Results: </strong>Content analyses indicated three types of visual image (breastfeeding portrait, breastfeeding selfie, and breastfeeding baby portrait) were tagged as brelfies, this supported the seven visual themes. Textually, three themes were developed: Breastfeeding as a Natural and Magical Journey, Breastfeeding as Female Empowerment, and Breastfeeding as a Struggle with the Desire for Support and Normalization. When analysed, breastfeeding portraits were associated with captions around the theme of female empowerment. The themes of a natural magical journey and struggle for support and normalisation were not related to any of the types of photos. Non-English language text was associated with the theme of the struggle.</p><p><strong>Conclusions: </strong>This research supports the idea that mothers depict breastfeeding as largely positive, but that there are still perceived barriers and a voiced need for support. The type of brelfie presented and the language/cultural origin of the text could inform their intended message, thus helping understand how the parents see themselves. Brelfies should be encouraged to post this media to potentially help signpost to other breastfeeding parents that they are not alone in their breastfeeding journey.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"11"},"PeriodicalIF":2.9,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potential cost-savings of breastfeeding promotion to prevent breast cancer: a Monte Carlo simulation.","authors":"Lai Ling Hui, Emily Liao, Jin Xiao Lian, Ching So, Ting Ting Wu, Carlos K H Wong, Tharani Loganathan, Edmund Anthony S Nelson","doi":"10.1186/s13006-024-00689-y","DOIUrl":"10.1186/s13006-024-00689-y","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding protects mothers against breast cancer. Our study aimed to estimate the healthcare cost-savings resulting from a reduction in breast cancer attributed to an increase in the breastfeeding rate in Hong Kong.</p><p><strong>Methods: </strong>This is an economic evaluation. We constructed an individual-based Monte Carlo method to simulate with probabilistic sensitivity analysis the development of breast cancer over a woman's lifetime in a hypothetical birth cohort aged 20 years in 2018 (n = 33500) using best available data mainly from government statistics. We predicted the cases of, and deaths due to breast cancer in the base case (with the actual breastfeeding rate in 2018) and two hypothetical optimal scenarios (90% exclusive breastfeeding for six months or cumulative exclusive/partial breastfeeding for at least 12 months). The healthcare cost-savings, the number of deaths averted and the increase in disability-adjusted life years (DALYs) due to the prevention of breast cancer attributed to a higher breastfeeding rate were then deduced, assuming an annual discount rate of 3%.</p><p><strong>Results: </strong>Increasing the proportion of parous women breastfeeding exclusively for six months from 26 to 90% averted 266 (95% CI 259, 273) or ~ 10% of all-stage breast cancer cases, 18 deaths (95% CI 17, 19) and 399 DALYs (95% CI 381, 416), over the lifetime of each annual cohort of women in Hong Kong. The lifetime medical costs that could be saved would be ~ USD3 million using 2018 prices. However cost-savings were 5-times less in another scenario where the cumulative partial/exclusive breastfeeding for 12 months in parous women is increased to 90% due to its weaker protection against breast cancer compared to exclusive breastfeeding.</p><p><strong>Conclusions: </strong>Promoting and protecting breastfeeding could lead to cost-savings for treating breast cancer in Hong Kong. Our analysis can inform the annual healthcare budget that could be allocated to promote exclusive breastfeeding for six months.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"10"},"PeriodicalIF":2.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11852815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The costs of suboptimal breastfeeding in Ontario, Canada, and potential healthcare resource impacts from improving rates: a pediatric health system costing analysis.","authors":"Nnachebe Michael Onah, Sandra Hoy, Kathleen Slofstra","doi":"10.1186/s13006-025-00702-y","DOIUrl":"10.1186/s13006-025-00702-y","url":null,"abstract":"<p><strong>Background: </strong>Human milk from the breast is the healthiest option for infants. Other sources of nutrition pose some risk to child, maternal, and environmental health. There are significant costs to suboptimal rates of breastfeeding for children, families and society. Over 92% of mothers in Ontario, Canada initiate breastfeeding, yet exclusivity and duration rates decline over time. This study estimates potential pediatric healthcare cost savings from increased exclusive breastfeeding.</p><p><strong>Methods: </strong>We conducted a cost-effectiveness analysis to compare healthcare savings from enhanced breastfeeding rates against current practices by estimating pediatric healthcare costs associated with suboptimal breastfeeding and potential savings from improved rates. Savings are calculated from reduced incidence of childhood illnesses associated with breastfeeding, including lower respiratory tract infections (LRTI), gastrointestinal infections (GII), acute otitis media (AOM), acute lymphoblastic leukemia (ALL), necrotizing enterocolitis (NEC), childhood obesity, and asthma. Cost data were drawn from Canadian healthcare sources, supplemented with data from the UK and other international studies. We used initiation and exclusive breastfeeding rates at hospital discharge and six months postpartum. The study assumes that the incidence of preventable conditions like LRTI, GII, and AOM is directly related to breastfeeding rates at these time points. A six-month threshold for exclusive breastfeeding, recommended by the World Health Organization, was selected for analysis. Partial breastfeeding rates were not separately modeled due to data limitations.</p><p><strong>Results: </strong>Improving exclusive breastfeeding (EBF) rates at six months to match rates at hospital discharged and initiation rates could result in 47,114-91,457 fewer cases of LRTI, GII, and AOM, prevent 3,685-7,096 hospitalizations, and reduce 22,043-47,621 outpatient visits. Increased EBF rates could prevent cases of NEC (37-67), ALL (3-6), childhood obesity (1,199-2,661), and asthma (970-2,111). Suboptimal breastfeeding at 6 months for infants born in Ontario in 2019 cost the healthcare system US $72.2 million annually for treating four childhood illnesses and US $61.0 million for long-term conditions (ALL, obesity, and asthma). Increasing breastfeeding rates could save US $32-63 million in annual treatment costs and US $23.6-51.6 million in long-term healthcare costs.</p><p><strong>Conclusions: </strong>Suboptimal breastfeeding rates impose a burden on the health of families and Ontario's healthcare system. Supporting breastfeeding through evidence-based interventions could reduce this burden through lowering pediatric healthcare demands.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"9"},"PeriodicalIF":2.9,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Publisher Correction: Infant and young child feeding practice status and its determinants in UAE: results from the MISC cohort.","authors":"Mona Hashim, Rana Rizk, Nada Abbas, Dana N Abdelrahim, Hayder Hasan, Reyad S Obaid, Hessa Al-Ghazal, Marwa Al Hilali, Farah Naja, Hadia Radwan","doi":"10.1186/s13006-025-00700-0","DOIUrl":"10.1186/s13006-025-00700-0","url":null,"abstract":"","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"8"},"PeriodicalIF":2.9,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breastfeeding with primary low milk supply: a phenomenological exploration of mothers' lived experiences of postnatal breastfeeding support.","authors":"Caoimhe Whelan, Denise O'Brien, Abbey Hyde","doi":"10.1186/s13006-025-00699-4","DOIUrl":"10.1186/s13006-025-00699-4","url":null,"abstract":"<p><strong>Background: </strong>Most women can produce enough milk to exclusively breastfeed. However, a small cohort are prevented from doing so due to a condition known as primary low milk supply. The aim of the study was to provide new insights into how mothers with this condition experience help and support from professionals, volunteer support groups, and partners.</p><p><strong>Methods: </strong>Interpretative phenomenological analysis was used to explore the lived experiences of nine first-time breastfeeding mothers in Ireland who had primary low milk supply. One-hour interviews were conducted over Zoom between April and October 2021.</p><p><strong>Results: </strong>Being with Others, one of four superordinate themes identified in this study, concerns the participants' experiences of receiving professional, voluntary, and partner breastfeeding support. Four sub-themes were identified: Disconnected Encounters, Perceiving Judgement from Others, Being in a Safe Space and Having a Saviour. The encounters of participants with healthcare professionals revealed a lack of rapport, intrusive hands-on support, poor perceived quality of breastfeeding support and a heightened sensitivity to language and tone. Participants expressed that they valued empathy and emotional support from lactation professionals as much as they valued skilled lactation support. Furthermore, participants appeared to experience an enhanced motherhood self-identity and self-acceptance through seeing their experiences mirrored in the experiences of other mothers with primary low milk supply in specialist low milk supply-specific support groups.</p><p><strong>Conclusion: </strong>The interactions that mothers with primary low milk supply have with various others in their world (healthcare professionals, lactation consultants, volunteer breastfeeding supporters, and partners) can shape how they view themselves and can have a profound impact on their breastfeeding journey. There is a need for greater knowledge and understanding among healthcare professionals of the phenomenon of primary low milk supply so that women suspected of having the condition may receive appropriate support. Where possible, mothers with primary low milk supply should be directed to specialist breastfeeding support groups.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"7"},"PeriodicalIF":2.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}