International Breastfeeding Journal最新文献

{"title":"Facilitators, barriers, and factors determining the willingness to donate human milk among postpartum mothers in a tertiary women's hospital in Nepal: a cross-sectional study.","authors":"Chandra Singh Sejuwal, Bishow Kandel, Samikshya Badal, Dinesh Raj Neupane, Sunny Kumar Yadav, Rojina Basnet, Khem Bahadur Karki","doi":"10.1186/s13006-026-00848-3","DOIUrl":"https://doi.org/10.1186/s13006-026-00848-3","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding is universally acknowledged as the most effective and efficient means of ensuring optimal growth, development, and survival of infants. However, in rare cases where breastfeeding is medically contraindicated or the mother's milk is insufficient, donor human milk from a milk bank serves as a critical alternative. At a time when Nepal's first milk bank is struggling to supply adequate milk for newborns, this study aimed to identify the facilitators, barriers, and factors determining willingness to donate human milk among postpartum mothers in a tertiary women's hospital in Nepal.</p><p><strong>Methods: </strong>A cross-sectional analytical study was conducted among 318 postpartum women aged 18 years and above at Paropakar Maternity and Women's Hospital, Nepal. Data were collected from February to March 2025 using semi-structured interview. Systematic random sampling was used. Binary and multivariable logistic regression analyses were performed, and factors with a p-value of less than 0.05 were considered statistically significant at the 95% confidence level.</p><p><strong>Results: </strong>Only 23.3% had heard about milk banks. Overall, 61.6% of postpartum mothers were willing to donate human milk. The most important facilitators for milk donation was having an adequate milk supply (44.7%) and barrier was fear of insufficient milk for one's own infant (24.5%). In multivariable logistic regression analysis, a positive opinion toward the milk bank concept (AOR = 3.39, 95% CI: 1.67-6.86, p < 0.05) and a positive perception of society regarding milk donation (AOR = 3.60, 95% CI: 2.10-6.16, p < 0.05) were independently associated with willingness to donate human milk. While the majority of mothers were willing to donate, only 4% were actual donors.</p><p><strong>Conclusions: </strong>Willingness to donate was found to be determined by positive personal opinions and perceptions of society's attitude toward milk donation. These findings and the gap between willingness and actual donation practices highlights the need for educational interventions for individual and community-based education to foster supportive attitudes and encourage donation.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857598","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":"Preferences, factors, and needs involved in decision-making on medication use during lactation among parents and healthcare providers: a Canada-wide cross-sectional survey study.","authors":"Uma Yakandawala, Laurie Proulx, Christina Raimondi, Katherine Kearns, Angela Blouin, Karine Toupin April, Dana Turcotte, Lauren E Kelly, Christine Leong","doi":"10.1186/s13006-026-00847-4","DOIUrl":"https://doi.org/10.1186/s13006-026-00847-4","url":null,"abstract":"<p><strong>Background: </strong>Decision-making around medication use during lactation is often challenging for both parents and healthcare providers. The purpose of this study is to understand preferences, factors, and needs related to decision-making of parents and healthcare providers regarding medication use during lactation.</p><p><strong>Method: </strong>Two separate online surveys were disseminated to Canadian mothers/birthing parents and healthcare providers from November 2021 to February 2022. Participants were recruited through advertisements on social media. The surveys collected demographic information and participants' decision-making factors regarding medication use during infant feeding.</p><p><strong>Results: </strong>There were 165 parents and 47 healthcare providers (n = 44 physicians; n = 2 nurses; n = 1 pharmacist) who completed the survey. Over half (54.7%) of parent participants found decision-making on medication use while nursing to be difficult and very few participants felt certain when making decisions (8.6%). Parents and healthcare providers ranked the leading factor impeding decision-making to be lacking information.</p><p><strong>Conclusion: </strong>Many parents and healthcare providers identified a lack of information available to help guide the decision to use medication during lactation. Findings highlight the need for better evidence and a shared decision-making tool on medication use during lactation.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823591","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":"Assessing the causal relationship between women's empowerment and exclusive breastfeeding practices among women of reproductive age in Bangladesh using BDHS 2022 survey data.","authors":"Fariya Rahman, Samina Naznin, Sumaiya Tarannum Subah, Abu Bakkar Siddique, Anisuddin Ahmed","doi":"10.1186/s13006-026-00846-5","DOIUrl":"https://doi.org/10.1186/s13006-026-00846-5","url":null,"abstract":"<p><strong>Background: </strong>Despite playing a significant role in the development of a child, prevalence of exclusive breastfeeding remains unsatisfactory in both global and low- and middle-income countries' context, which includes Bangladesh. Since women are the primary providers of exclusive breastfeeding, understanding their level of empowerment and autonomy over decision making is critical. This study aims to examine the effect of women's empowerment on exclusive breastfeeding in Bangladesh.</p><p><strong>Methods: </strong>A nationally representative data from the 2022 Bangladesh Demographic and Health Survey (BDHS) was analyzed. Data on 884 women of reproductive age whose youngest child was under six months of age, and living with her were extracted. Exclusive breastfeeding was determined from children aged under six months who received only breastmilk during the 24 h preceding the interview and women's empowerment was developed following the DHS guideline. Bivariate relationships were assessed using chi-square tests, while generalized estimating equations (GEE) were used to account for clustering in multivariable analyses. For causal inference, the g-formula, inverse probability weighting (IPW), and doubly robust (DR) estimators were applied, with bootstrap confidence intervals for g-formula and DR methods.</p><p><strong>Results: </strong>Among 884 mothers with infants under six months, 52% practiced exclusive breastfeeding. Multivariable GEE analysis identified mother's employment, division, child's sex, early initiation of breastfeeding, and women's empowerment as significant predictors of exclusive breastfeeding. Empowered mothers were found to have 35% higher odds of exclusively breastfeeding (OR = 1.35, 95% CI = 1.02, 1.79). Causal effect estimation using all the methods showed that women's empowerment significantly increased the odds of exclusive breastfeeding by 33%.</p><p><strong>Conclusion: </strong>Women's empowerment is a significant determinant of exclusive breastfeeding in Bangladesh. Women with agency to take their own decision over health, household, and mobility, awareness regarding their rights, and sense of dignity are more likely to exclusively breastfeed their infants. Therefore, interventions and policies should be designed and executed to enhance women's decision-making autonomy to improve exclusive breastfeeding rates and, consequently, child health outcomes.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823558","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":"'Your baby can take my milk… but my baby won't take yours'; determinants of willingness to donate and utilize human breast milk among pregnant women at a health facility in limited resource settings.","authors":"Jane Wangui Kamau, Mary Njue-Kamau, Fidel Omollo, Lucy W Kivuti-Bitok","doi":"10.1186/s13006-026-00835-8","DOIUrl":"https://doi.org/10.1186/s13006-026-00835-8","url":null,"abstract":"","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789191","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":"Exclusive breastfeeding among women with polycystic ovary syndrome versus women from a population-based cohort: a cohort study.","authors":"Anne Engtrø Husby, Melanie Rae Simpson, Rebecka Dalbye, Tone Shetelig Løvvik, Eszter Vanky","doi":"10.1186/s13006-026-00843-8","DOIUrl":"https://doi.org/10.1186/s13006-026-00843-8","url":null,"abstract":"","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730695","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":"Microbiological safety and immunoglobulin A retention in bottle-agitated Holder pasteurization of human milk.","authors":"Luis Jimenez, Jose Luis Flores-Vasquez, Miguel Angel Calvo-Gonzales, Paola Edith Ayma, Yanet Mendoza-Muñoz, Bryan Abarca, Theresa Jean Ochoa, Jorge Luis Galdos","doi":"10.1186/s13006-026-00842-9","DOIUrl":"https://doi.org/10.1186/s13006-026-00842-9","url":null,"abstract":"","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718981","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":"An investigation into the status of human milk feeding in very low birth weight infants: a multicenter study.","authors":"Yan Wang, Lulu Zhao, Yuelan Ma, Juan Xiao, Lili Zhang, Tianchan Lyu, Hui Rong, Dan Liu, Hua Wang, Xiaochun Chen, Weiwei Gu, Qiaoling Fan, Meiyuan Huang, Yunfei Tang, Dan Li, An Qin, Xiaoxia Li, Yingzi Tang, Xiaojing Hu","doi":"10.1186/s13006-026-00841-w","DOIUrl":"https://doi.org/10.1186/s13006-026-00841-w","url":null,"abstract":"","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692797","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":"Breastfeeding among contemporary Australian populations and 2025 national targets: a scoping review of current data and implications for policy and practice.","authors":"Maria Oliveri, Jeanine Young, Kym M Rae, Vicki Clifton","doi":"10.1186/s13006-026-00826-9","DOIUrl":"https://doi.org/10.1186/s13006-026-00826-9","url":null,"abstract":"","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692754","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":"Breastfeeding support for Australian hospital employees: a qualitative study.","authors":"Lynne Henry, Virginia Schmied, Elaine Burns","doi":"10.1186/s13006-026-00834-9","DOIUrl":"10.1186/s13006-026-00834-9","url":null,"abstract":"","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678397","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":"Breastfeeding at one year after birth: duration and associated factors in primiparous women in Sweden - a longitudinal study.","authors":"Christel Johansson, Ingegerd Hildingsson, Malin Edqvist, Anna Bonnevier, Christine Rubertsson","doi":"10.1186/s13006-026-00840-x","DOIUrl":"10.1186/s13006-026-00840-x","url":null,"abstract":"","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13088781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663375","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}