International Breastfeeding Journal最新文献

{"title":"Supporting breastfeeding when clinical nutrition interventions are required in the paediatric healthcare setting: a systematic review.","authors":"Jamie L Errico, Tammie S T Choi, Maurizio Pacilli, Zoe E Davidson","doi":"10.1186/s13006-025-00747-z","DOIUrl":"https://doi.org/10.1186/s13006-025-00747-z","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding is often compromised when clinical nutrition interventions are implemented for complex paediatric patients, in a healthcare environment where breastfeeding supports are currently under-resourced. This systematic review aimed to investigate how breastfeeding can be supported when it is disrupted for clinical nutrition interventions in the paediatric healthcare setting. The experience of mothers who breastfeed their child requiring nutrition support and/or therapeutic dietary measures is also explored.</p><p><strong>Method: </strong>A search was conducted across five databases; Ovid-Medline, Ovid-Embase, CINAHL Complete, Scopus and Cochrane Library. Eligible papers included breastfeeding dyads where the infant/child required a nutrition intervention in the global paediatric healthcare setting, limited to those published in the English language and year 2000 onwards. Manuscripts that focused on preterm infants, maternity or neonatal care settings, healthcare professionals, or a maternal clinical condition impacting breastfeeding were excluded. Results were synthesised into key measures to support breastfeeding and overarching themes illustrating a mother's experience breastfeeding her child with complex nutritional needs.</p><p><strong>Results: </strong>From 13,177 manuscripts screened, a total of 36 manuscripts were included. Clinical conditions in the manuscripts identified included congenital heart disease, congenital anomalies, inborn errors of metabolism, acute and chronic respiratory conditions, trisomy 21, faltering growth and hyperbilirubinaemia. Measures to support breastfeeding (n = 19 primary research studies and n = 5 case studies) encompassed environmental modifications and improvements to hospital procedures; access to lactation support professionals and education; and clinical practices that facilitated breastfeeding. Key themes across papers exploring maternal experience (n = 12 manuscripts) were difficulties breastfeeding a child with complex nutritional needs; a desire to breastfeed that informed maternal identity and emotions; and a supportive healthcare team that promoted breastfeeding.</p><p><strong>Conclusion: </strong>This review highlights environmental and practical strategies that can optimise breastfeeding for paediatric patients receiving clinical nutrition interventions and support maternal feeding intentions. Many strategies to support breastfeeding are geared towards supporting lactation physiology to increase maternal milk supply. More research is needed to explore what psychological and emotional supports mothers need from the healthcare team when encountering breastfeeding difficulties and unmet expectations feeding a nutritionally complex child.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"55"},"PeriodicalIF":2.9,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638698","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":"Application of a locally developed open-access digital monitoring system for the human milk bank network in Vietnam.","authors":"Tuan Thanh Nguyen, Hoang Thi Tran, Khoa Thanh Nhat Tran, Oanh Thi Xuan Nguyen, Anh Tu Thi Nguyen, Roger Mathisen","doi":"10.1186/s13006-025-00745-1","DOIUrl":"10.1186/s13006-025-00745-1","url":null,"abstract":"<p><strong>Background: </strong>Establishing the first Human Milk Bank (HMB) in Vietnam at the Da Nang Hospital for Women and Children marks a significant advancement in neonatal care. This specialized service addresses the critical need for donor human milk (DHM) when a mother's own milk is unavailable, providing essential nutrition to small vulnerable newborns. Introducing the new specialized service required developing a digital monitoring system to ensure the quality and safety of DHM.</p><p><strong>Development of the tool: </strong>This digital and open access system was designed using an approach called DMADV (Define, Measure, Analyze, Design, and Verify), and includes features for human milk donor management, DHM processing, recipient management, and real-time data access. It has streamlined operations, enhanced efficiency, and ensured adherence to safety and quality standards.</p><p><strong>The use of the tool: </strong>The application of the monitoring system has facilitated the tracking of DHM from collection to use, ensuring transparency and accountability. Data collected through this system has been instrumental in improving program performance, informing decisions, and supporting research. The successful scaling up of HMB services and the monitoring system to other regions in Vietnam demonstrates the project's effectiveness and potential for broader impact. The system's adaptability has allowed continuous improvements and integration of new functions, such as financial reporting and consumables tracking.</p><p><strong>Lessons learned: </strong>Lessons learned from the Da Nang HMB have been shared to guide the development of HMB monitoring systems in other regions and countries. The digital monitoring system has proven to be a critical tool in maintaining the quality and safety of DHM, ultimately contributing to better health outcomes for children. The successful implementation of HMB services underscores the importance of robust monitoring systems in its operations and highlights the potential for digital solutions to enhance healthcare services.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"54"},"PeriodicalIF":2.9,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12239282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592933","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":"Development of lactation and breast/chestfeeding adverse event terminology (LaBAET) through a Delphi consensus approach.","authors":"Katarzyna M Maksym, Kinga Kalita-Kurzyńska, Diane Spatz, Melinda Boss, Maria Carmen Collado, Anna Gonciarz-Dytman, Bei Han, Asma Khalil, Joanna Kozakiewicz, Ernest Kuchar, Karolina Morze, Rebecca Powell, Natalie Shenker, Sławomir Wątroba, Anna L David, Aleksandra Wesołowska","doi":"10.1186/s13006-025-00743-3","DOIUrl":"10.1186/s13006-025-00743-3","url":null,"abstract":"<p><strong>Background: </strong>Most women who give birth will initiate lactation and breast/chestfeeding, with up to 40% of infants globally receiving human milk exclusively for the first 6 months of life. One of the studies indicates that 40% of breastfeeding women had used at least one prescription medication in the first 3 months postpartum. The lack of information on the safety of medications during lactation may lead to cessation of lactation in favor of treatments, therefore contribute to suboptimal breastfeeding rates. Inadequate terminology to define and grade adverse events for lactation and breast/chestfeeding limits the understanding of potential therapeutic harms. This results in lactating women commonly being excluded from participation in clinical trials, leading to inequitable access to effective treatments. We developed a comprehensive framework with new definitions and grades for breastfeeding Adverse Events (AEs) through consideration of the physiology and pathology of lactation.</p><p><strong>Methods: </strong>We performed the Delphi consensus process between January 2021 and November 2023. An international multidisciplinary group of lactation and breast/chestfeeding experts identified a gap in AE terminology and developed definitions and grading of AEs based on the generic Common Regulatory Criteria for Adverse Events (CTCAE) structure. These underwent two rounds of a modified Delphi procedure involving an international multidisciplinary team of experts and patient representatives. The web platform REDCap^Ⓡ was used to collect the results of the Delphi surveys.</p><p><strong>Results: </strong>Three new definitions, delayed secretory activation, primary lactation insufficiency, and secondary lactation insufficiency, were developed and mapped to the Medical Dictionary of Regulatory Activities (MedDRA, March 2023). Oversupply of milk and other changes in lactation/feeding patterns were mapped to existing MedDRA terms. Grading for all five definitions was developed and agreed upon through consensus.</p><p><strong>Conclusions: </strong>These new definitions and grading of adverse events in lactation and breast/chestfeeding fill the gap in existing classifications and should encourage the inclusion of postpartum individuals into clinical trials.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"53"},"PeriodicalIF":2.9,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565507","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":"Predictors of exclusive breastfeeding: a systematic review and meta-analysis.","authors":"Mehri Kalhor, Mansoureh Yazdkhasti, Masoumeh Simbar, Sepideh Hajian, Zahra Kiani, Behjat Khorsandi, Mahtab Sattari, Zainab Ezadi, Haniyeh Nazem, Massoma Jafari","doi":"10.1186/s13006-025-00744-2","DOIUrl":"10.1186/s13006-025-00744-2","url":null,"abstract":"<p><strong>Background: </strong>Breast milk is the ideal and complete food for infants. Demographic, social, economic and clinical factors affect exclusive breastfeeding (EBF). Identifying and understanding these factors can improve breastfeeding success. This study systematically reviews and analyzes the predictors of EBF.</p><p><strong>Methods: </strong>This study is a systematic review and meta-analysis. we searched electronic databases including PubMed/MEDLINE, Web of Science, PsycINFO, Cochrane, Scopus, EMBASE, Google Scholar, SID, and Magiran. we examined articles published between 2000 to 2023 using keywords like \"risk factors\", \"related factors\", \"predictive factors\", \"exclusive breastfeeding \", and \"women\". The review included observational studies. Two reviewers independently selected the studies extracted data. Quality assessment was based on the Newcastle-Ottawa Scale. The association between predictive factors and breastfeeding was combined in a meta-analysis using a restricted maximum likelihood method (REML). Heterogeneity was quantified using I² and investigated through meta-regression, subgroup, and sensitivity analyses, while publication bias was assessed via a funnel plot.</p><p><strong>Result: </strong>Thirty eight articles were included in this review. Predictive factors in EBF were categorized into seven groups: mother's awareness of breastfeeding benefits, support received in breastfeeding and child-rearing, early breastfeeding after birth, mother's education level, annual income, mother's age, and prenatal care. Nineteen articles with a sample size of 70,183 were included in the meta-analysis. Results showed that a mother's awareness of breastfeeding benefits increases the odds of EBF by 2.70 times, support in child-rearing by 2.57 times, early breastfeeding (< 24 h) by 1.853 times, higher education level by 1.44 times, self-efficacy by 1.067, multiparity ≥ 2 by 1.50 times, having upper-middle annual income was associated with 28.3% higher than odds of EBF (95% CI 1.68, 1.54), female sex of infant by 1.07 times, and one to three antenatal visits by 0.108 times, (95% CI 1.27, 4.18). In normal vaginal delivery (NVD), the odds increased 2.22 fold, all statistically significant (95% CI 0.91, 5.43).</p><p><strong>Conclusion: </strong>The maternal awareness of the benefits of breastfeeding, maternal support, early breastfeeding, high education level, and improved family economic conditions are associated with EBF. Therefore, improving the educational, social, and economic levels of mothers improves EBF.</p><p><strong>Systematic review registration: </strong>PROSPERO CRD42023483049.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"52"},"PeriodicalIF":2.9,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555751","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 experience, barriers, and facilitators among mothers of vulnerable low birth weight infants in Amhara region, Ethiopia: a qualitative exploratory study.","authors":"Moses Collins Ekwueme, Yihenew Alemu Tesfaye, Heran Biza, Mulusew Lijalem Belew, Meseret Asefa, Destaw Asnakew, Abebe Gebremariam Gobezayehu, John Cranmer, Melissa Fox Young","doi":"10.1186/s13006-025-00731-7","DOIUrl":"10.1186/s13006-025-00731-7","url":null,"abstract":"<p><strong>Background: </strong>Globally, 15 - 20% of all live births are low birthweight (LBW) newborns, and many mothers with LBW newborns experience feeding difficulties. Efforts to understand and mitigate the barriers to breastfeeding among this vulnerable group are urgently needed.</p><p><strong>Methods: </strong>Mother-newborn pairs were recruited from eight facilities from the government's Saving Little Lives initiative in Amhara Region, Ethiopia. We conducted a qualitative study using in-depth interviews among 30 mothers of LBW newborns (10 with very low birthweight [VLBW, < 1500 gm]; eight with LBW [< 2000 gm] who experienced breastfeeding difficulties, and 12 without difficulties). Data was collected from June to July 2022. The interviews were thematically analyzed to describe the breastfeeding experience, barriers, and facilitators for mothers with and without feeding difficulties.</p><p><strong>Results: </strong>Despite strong plans to exclusively breastfeed during pregnancy, many mothers of LBW newborns had difficulties initiating and continuing breastfeeding after delivery. Self-reported insufficient milk, suboptimal breastfeeding support in hospitals, prolonged mother-newborn separation in Neonatal Intensive Care Units (NICUs), and limited knowledge of effective feeding techniques were the most common barriers. Further, mothers with multiple births reported greater feeding difficulties; they were more likely to adopt formula feeding compared to those with single births. The primary facilitators of LBW breastfeeding were the synergy between health workers and mothers, mothers' peer counseling, and family support. However, health worker support varied widely across facilities.</p><p><strong>Conclusion: </strong>The findings from this study provide contextual insights into maternal LBW breastfeeding barriers and facilitators of successful and sustained breastfeeding. For example, creating NICU expectations to minimize maternal-newborn separation, targeting newborns' feeding support for mothers with VLBW newborns and/or multiple births, and designing a standardized protocol for LBW nutritional support to guide health worker support are critically needed.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"51"},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12220588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546128","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":"Explaining the experiences of donors, recipients, and healthcare providers regarding milk donation: a systematic review and meta-synthesis.","authors":"Zahra Mahdikhani, Shahideh Jahanian Sadatmahalleh, Zainab Alimoradi, Abbas Habibelahi","doi":"10.1186/s13006-025-00740-6","DOIUrl":"10.1186/s13006-025-00740-6","url":null,"abstract":"<p><strong>Background: </strong>The World Health Organization recommends Donated Human Milk as the first option if maternal milk is unavailable. In this research, the researchers intend to obtain a set of in-depth information about the experiences of mothers and healthcare workers of human milk bank.</p><p><strong>Methods: </strong>A content analysis method was used to carry out this meta-synthesis. The modified PECO-S method was used to determine the inclusion criteria. A comprehensive search without a time limit for studies was performed using \"milk bank\" and related combined keywords. A combination of electronic and manual searches of several databases, including PubMed, Scopus, Science Direct, Embase, Web of Science, and ProQuest, was performed. First, the titles and abstracts were examined by two reviewers. Two researchers used the Joanna Briggs Institute tool to evaluate the quality of the studies. All findings of eligible studies were considered, and the open coding was used for data analysis. The codes were extracted from each article's text. Finally, the concepts were coded again to obtain the themes.</p><p><strong>Results: </strong>Relevant qualitative studies were reviewed, and a total of 36 articles were subjected to meta-synthesis. The total number of participants included in the studies was 1,389, ranging in age 14-45 years. From the total of 134 extracted codes, 25 subcategories, eight categories, and four main themes were obtained: a) Donating milk, reviving two lives, b) Empathy and all-round support necessary to promote milk donation, c) Receiving donated milk: the paradox of choosing health or disease, and d) Development and facilitation of the infrastructure required to improve milk donation and receiving services.</p><p><strong>Conclusions: </strong>Based on the study results on the experience of milk donation, educational programs can be designed to encourage milk donation. Empathy and support for encouraging milk donation should be provided at the family, community, and healthcare system. Incorrect beliefs lead to hesitation in accepting donated milk. Health policymakers need to implement actions to correct these negative beliefs. The development and facilitation of milk bank infrastructure are essential for improving milk bank services. It is necessary to update the awareness of community and facilitate the use of milk bank services.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"50"},"PeriodicalIF":2.9,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12167580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295293","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":"Factors influencing breastfeeding initiation, duration, and early cessation: a focus on maternal and infant characteristics.","authors":"Susana Vargas-Pérez, Carmen Hernández-Martínez, Josefa Canals-Sans, Victoria Arija","doi":"10.1186/s13006-025-00741-5","DOIUrl":"10.1186/s13006-025-00741-5","url":null,"abstract":"<p><strong>Background: </strong>Although breastfeeding provides well-documented benefits for both mothers and infants, breastfeeding rates remain suboptimal in many countries. Despite most women initiating breastfeeding, a significant proportion cease within the first six months, falling short of the recommendations by health authorities. Previous studies have primarily focused on sociodemographic or health-system-related factors; however, the influence of maternal emotional status and infant characteristics has received comparatively less attention. A more integrative approach is needed to understand the complex interplay of factors influencing breastfeeding initiation, early cessation, and duration. This study aims to examine how maternal sociodemographic characteristics, prenatal lifestyle habits, emotional well-being during the perinatal period, and infant characteristics contribute to breastfeeding decisions, early cessation, and duration.</p><p><strong>Methods: </strong>A longitudinal cohort study followed 397 mother-infant dyads in Tarragona (Spain) from pregnancy through the child's fourth year. The study was conducted between years 2014 and 2021. During pregnancy, we assessed maternal sociodemographic characteristics, health habits, lifestyle factors, and emotional status. At 40 days postpartum, infant temperament was assessed using the Early Infant Temperament Questionnaire. Additional variables were collected throughout the perinatal period, including mode of birth, breastfeeding initiation, early cessation, and total duration of breastfeeding.</p><p><strong>Results: </strong>Non-smoking during pregnancy (OR:0.239; CI 95%:0.128-0.445) and higher emotional stability in the third trimester (OR:1.066; CI 95%:1.001-1.134) were associated with the decision to initiate breastfeeding. Conversely, lower infant birth weight (OR:0.999; CI 95%:0.998-1.000), lower postpartum emotional stability (OR:0.913; CI 95%:0.840-0.992), and lower infant rhythmicity (OR:0.621; CI 95%:0.386-0.998) were related early cessation of breastfeeding within during the firsts 40 days postpartum. Longer breastfeeding duration was predicted by older maternal age (β:0.370; CI 95%:0.020-0.720), maternal cultural background (β:5.086; CI 95%:0.759-9.413), higher emotional stability (β:0.474; CI 95%:0.074-0.875), infant rhythmicity (β:2.568; CI 95%:0.350-4.784) and infant mood (β:2.915; CI 95%:0.399-5.431).</p><p><strong>Conclusion: </strong>These findings emphasize the importance of maternal emotional health during the perinatal period and the influence of early infant temperament on breastfeeding outcomes. Interventions aimed at supporting breastfeeding should integrate psychological support for mothers and consider infant behavioral characteristics. A more holistic and personalized approach could improve breastfeeding rates and better align maternal intentions with breastfeeding experiences.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"49"},"PeriodicalIF":2.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295294","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 experiences and infant feeding decisions for women birthing Aboriginal children in Adelaide, South Australia: a qualitative study.","authors":"Karen Hawke, Anneka Bowman, Casey Cameron, Karen L Peterson, Philippa Middleton, Cathy Leane, Janiene Deverix, Amanda Collins-Clinch, Alice Rumbold, Karen Glover","doi":"10.1186/s13006-025-00742-4","DOIUrl":"10.1186/s13006-025-00742-4","url":null,"abstract":"<p><strong>Background: </strong>Increasing breastfeeding rates among Aboriginal and Torres Strait Islander (hereafter, respectfully Aboriginal) infants could improve health outcomes that disproportionately affect Aboriginal children into adulthood. This study was undertaken with mothers birthing Aboriginal children in Adelaide, Australia. The study sought to: understand their perceptions, motivations, influences and experiences around breastfeeding; explore factors affecting the ability to breastfeed; perceptions of alternative feeding options; and experiences of care to support breastfeeding.</p><p><strong>Methods: </strong>Semi-structured Research Yarning interviews were conducted between November 2020 and May 2022 with 30 mothers who birthed an Aboriginal baby within metropolitan Adelaide, Australia, within the previous 18 months. Women were invited to participate if they were enrolled in a larger cohort study known as the Aboriginal Families and Baby Bundles Study, or had antenatal care from the local Aboriginal community controlled health service, were aged 16 and over, and were involved in feeding the child since birth. Three female Aboriginal researchers undertook the Yarning interviews, which were transcribed and analysed thematically.</p><p><strong>Results: </strong>Participants demonstrated a strong desire to breastfeed and described a range of factors impacting on their ability to establish or maintain breastfeeding. The role of healthcare providers was key to breastfeeding success with participants reporting both positive and negative care experiences. Participants described supportive experiences as those where non-judgemental care was provided that was tailored to their needs, included Aboriginal staff, and provision of continuity of care. Mothers described negative effects of their experiences of racism and ageism (young mothers) from care providers.</p><p><strong>Conclusions: </strong>Aboriginal women expressed a range of challenges to sustaining breastfeeding that could be addressed by increased investment in provision of timely, non-judgemental postnatal care tailored to their social and cultural needs, including access to specialised lactation care in the hospital and including facilitated continuation of successful breastfeeding at home.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"48"},"PeriodicalIF":2.9,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250863","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":"Prevalence and predictors of breastfeeding practices in Saudi Arabia: a national cross-sectional study based on the 2021 WHO breastfeeding indicators.","authors":"Fouzia Abdulaziz Alhreashy, Areej Ibrahim Alhammadi, Badryah Abdullrhman Aljabar, Fatima Al Zahraa Chokor, Mona Abdullah Hakami, Monirah Amiad Albalawi, Nawal Taher Alsomali, Rana Majid Alsadah, Ranyah Shaker Labban, Ahmed Hamdan Al-Jedai, Lara Mahmoud Nasreddine","doi":"10.1186/s13006-025-00729-1","DOIUrl":"10.1186/s13006-025-00729-1","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding is described as a cost-effective strategy to improve child survival, growth and development, and reduce the risk of non-communicable diseases later in life. This study aims to provide national estimates for the six breastfeeding indicators set by the World Health Organization and United Nations Children's Fund (WHO/UNICEF) in the Kingdom of Saudi Arabia (KSA) and identify factors associated with inadequate breastfeeding practices in the country.</p><p><strong>Methods: </strong>A national cross-sectional survey was conducted in KSA's five regions between May and December 2023. Birth registry data were used to randomly select the study sample (n = 9242) Infant and Young Children (IYC) below 24 months of age. Data was collected via phone-based interviews with mothers as main respondents. The 24-h recall approach was used to collect information about the current infant feeding practices.</p><p><strong>Results: </strong>Results showed that the prevalence of early initiation of breastfeeding (EIBF) and exclusive breastfeeding for the first two days (EBF2D) were 43.4% and 31.3%, respectively. Exclusive breastfeeding (EBF) under six months and mixed milk feeding (MixMF) were reported by 15.5% and 34.9% of mothers, respectively. Only 5.8% of infants aged 5-5.9 months were exclusively breastfed. The prevalence of continued breastfeeding (CBF) in the total sample of mothers was 19.6% and that of ever breastfeeding (EvBF) was 89.3%. Based on multiple logistic regression analyses, lower odds of meeting the breastfeeding indicators were noted amongst IYC of Saudi nationality, first-borns, or those born prematurely or by Cesarean section. Maternal employment/student status was associated with higher odds of MixMF.</p><p><strong>Conclusions: </strong>This study provided national estimates for the breastfeeding indicators that may serve as a baseline for future surveys, and identified population groups that are at higher risk of inadequate breastfeeding practices. The findings should guide the development of culturally appropriate interventions aimed at protecting, promoting and supporting EIBF and EBF in the hospital, after discharge and during six months after birth, and to raise awareness around the importance of CBF.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"47"},"PeriodicalIF":2.9,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235956","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":"Views, feelings, and thoughts of first-time mothers regarding breastfeeding in public: a qualitative study.","authors":"Aslıhan Aksu, Ruveyda-Sultan Darğın, Gülnisa Küpelikılıç","doi":"10.1186/s13006-025-00733-5","DOIUrl":"10.1186/s13006-025-00733-5","url":null,"abstract":"<p><strong>Background: </strong>The existing literature on breastfeeding in public has primarily concentrated on societal perceptions. However, women are the central figures in breastfeeding in public spaces. In particular, first-time breastfeeding mothers may feel incapable of breastfeeding or may have different perceptions of breastfeeding based on what they see or hear around them. Breastfeeding in public places may be difficult for these mothers. Therefore, it is essential to examine the perceptions of first-time breastfeeding mothers regarding breastfeeding in public to gain a better understanding of their thoughts and concerns, and to identify the factors influencing breastfeeding practices, particularly in public.</p><p><strong>Methods: </strong>This study was conducted to examine the views, feelings, and thoughts of first-time mothers regarding breastfeeding in public. This qualitative descriptive study was conducted using in-depth, semi-structured interviews at Kahramanmaras Sütcü İmam University Health Practice and Research Hospital in Türkiye between May and September 2024. All interviews were audio-recorded and transcribed. In analysis, the researchers followed Colaizzi's seven-step analysis method and identified and organized clusters of themes from the statements in the transcribed interviews. The MAXQDA software was used for coding and identifying relationships between themes and sub-themes.</p><p><strong>Results: </strong>Data saturation was reached with 34 participants. The analysis revealed four primary themes and 13 subthemes that represented the views, feelings, and thoughts of first-time mothers: (1) Confronting breastfeeding in public; (2) Challenging emotions related to breastfeeding in public; (3) Demotivating factors for breastfeeding in public; (4) Needs related to breastfeeding in public. The acceptability of breastfeeding in public varied among the participants, with negative narratives being more prevalent. A significant number of participants expressed a desire to avoid societal condemnation, viewing breastfeeding without a cover as improper. Additionally, certain culturally specific beliefs were identified as barriers to breastfeeding in public.</p><p><strong>Conclusions: </strong>This study found that first-time mothers' views, feelings and thoughts about breastfeeding in public were influenced by the community's attitude. Additionally, the findings underscored the crucial role of culturally specific beliefs in shaping mothers' motivation to breastfeed in public. Therefore, proactive interventions targeting both new mothers and their environment are essential to change mothers' negative perceptions of breastfeeding in public.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"46"},"PeriodicalIF":2.9,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210234","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}