Breastfeeding Medicine最新文献

{"title":"Workplace Barriers to Lactation for Mental Health Clinicians.","authors":"Adrienne D Mishkin, Paula Askalsky, Elizabeth Leimbach, L N Linde, Candace Hatten-Powell, Sheau-Yan Ho, Jiying Han, Cheng-Shiun Leu, Yuan Zhang, Rebecca M Cantu","doi":"10.1177/15568253261499057","DOIUrl":"https://doi.org/10.1177/15568253261499057","url":null,"abstract":"<p><strong>Background: </strong>Lactation provides an important source of nutrition for infants, and physician parents desire to provide human milk to their babies. There are established barriers to workplace lactation for other groups of physicians, but no existing literature for psychiatrists, psychologists, or other psychotherapists.</p><p><strong>Methods: </strong>We disseminated a survey of demographics, experiences with gestation and lactation, and exposure to a variety of categorical and specific external barriers to workplace lactation for mental health clinicians.</p><p><strong>Results: </strong>Of 235 survey completers who had lactated anywhere from under 6 months to over 5 years, 98.7% had experienced barriers to workplace lactation. The most common external barriers were insufficient time (85.1%), lack of dedicated space (59.4%), nowhere to store milk (51.9%), and inflexibility of schedule (48.6%). Difficulty with supply was also a significant barrier (54.8%). Barriers that negatively impacted achieving a self-set lactation duration goal were hospital-grade pump (<i>p</i> = 0.013), medical, pregnancy, and parental leave problems (<i>p</i> = 0.001), parental leave insufficient to establish supply (<i>p</i> = 0.000), and problems with supply or mastitis (<i>p</i> = 0.017). Only parental leave and medical problems were significant on multivariable analysis (<i>p</i> = 0.002).</p><p><strong>Conclusions: </strong>Similar to other clinicians, mental health professionals face significant barriers to lactation at work. More research in this area is needed. We provisionally recommend thoughtful and well-equipped lactation suites to mitigate this issue, improving worker wellness and the ability of lactating parents to return to the clinical workforce.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261499057"},"PeriodicalIF":2.1,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Medication and Supplement Use Among Pre-Eligibility Milk Bank Donors: An Australian Retrospective Cross-Sectional Study.","authors":"Claire Newman, Laura D Klein, Mitch Booth, Luke Grzeskowiak, Vanessa Clifford","doi":"10.1177/15568253261480492","DOIUrl":"https://doi.org/10.1177/15568253261480492","url":null,"abstract":"<p><strong>Background: </strong>Potential milk donors should be carefully screened to ensure that donated human milk is safe for vulnerable infant recipients. Some medications and supplements may result in donor deferral or make donation impossible. However, evidence about medication or supplement exposures among those considering donating excess breast milk in Australia remains limited.</p><p><strong>Aim: </strong>To examine medication and supplement use among pre-eligibility donors to an Australian nonprofit milk bank.</p><p><strong>Methods: </strong>A retrospective cross-sectional study analyzed 1,480 high-level screening questionnaires completed at the Australian Red Cross Lifeblood milk bank between January 2023 and December 2024. All medications and supplements reportedly taken during the 10 weeks preceding the pre-eligibility donor screening interview were extracted, categorized, and summarized descriptively.</p><p><strong>Results: </strong>Screening occurred a median of 9.7 weeks postpartum. Overall, 90% of pre-eligibility donors reported using either medications (75.2%) or supplements (64.1%), with many using both. Analgesics were most common (taken by 61.9%), followed by anticoagulants (22.1%), antibiotics (14.7%), hormonal therapies (11%), and antihypertensives (7%). Overall, 46.5% reported using at least one short-term medication associated with temporary deferral, and 12.4% were taking a long-term medication at screening that could have led to ineligibility. Multivitamins were the most commonly taken supplement (44.5% of all pre-eligibility donors).</p><p><strong>Conclusions: </strong>Medications were primarily short-term treatments for postpartum care. Supplement use was prevalent, with multiple products taken. Given the limited safety data for many medications and supplements in the context of donor milk, these findings highlight the need for clearer, evidence-based guidance to support safe and inclusive donor eligibility decisions.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261480492"},"PeriodicalIF":2.1,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal Cannabis Use and Secretory IgA and IgM Concentrations in Breast Milk.","authors":"Cinthya R Moshtagh, Leticia Hernandez Galan, Lawrence Mbuagbaw, Sandeep Raha, Elyanne Ratcliffe, Alison K Shea","doi":"10.1177/15568253261499031","DOIUrl":"https://doi.org/10.1177/15568253261499031","url":null,"abstract":"<p><strong>Background: </strong>Breast milk is the gold standard for infant nutrition, providing essential nutrients and bioactive factors such as secretory immunoglobulins A (SIgA) and M (SIgM). The association between maternal cannabis consumption and SIgA and SIgM concentrations in breast milk remains poorly understood, despite the rising trends in cannabis consumption among women of reproductive age.</p><p><strong>Objective: </strong>To examine the association between maternal characteristics and cannabis use patterns and SIgA and SIgM concentrations in breast milk.</p><p><strong>Methods: </strong>This prospective cohort study enrolled 160 pregnant and lactating women (110 controls and 50 cannabis users) between January 2023 and December 2024. Mature breast milk samples were collected 4-16 weeks postpartum and analyzed for five cannabinoids (Δ⁹-tetrahydrocannabinol, 11-nor-9-carboxy-Δ⁹-tetrahydrocannabinol, 11-hydroxy-Δ⁹-tetrahydrocannabinol, cannabinol, and cannabidiol) followed by SIgA and SIgM quantification. Participants provided sociodemographic, pregnancy, and cannabis use characteristics via questionnaire.</p><p><strong>Results: </strong>Cannabis consumers were younger, had lower levels of education, and higher parity than nonusers (all <i>p</i> < 0.01). Increasing maternal age was associated with lower SIgA and SIgM levels (both <i>p</i> < 0.05). SIgA was higher among participants who consumed both cannabis and nicotine compared with controls (1.27 versus 0.60 g/L; <i>p</i> = 0.002), whereas participants who consumed cannabis alone did not differ significantly (<i>p</i> = 0.094).</p><p><strong>Conclusions: </strong>Maternal age was the characteristic most consistently associated with breast milk immunoglobulin concentrations, with older age associated with lower SIgA and SIgM. Higher SIgA observed among participants using both cannabis and nicotine was substantially accounted for by concurrent nicotine use. The clinical significance of these small differences remains unknown, and larger studies able to separate cannabis from co-occurring substance use are needed.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261499031"},"PeriodicalIF":2.1,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breastfeeding During Pregnancy and Tandem Breastfeeding in Türkiye: Health Care Professionals' Knowledge and Counseling Practices.","authors":"Şule Öz, Gülay Rathfisch, Meserret Aslan","doi":"10.1177/15568253261499630","DOIUrl":"https://doi.org/10.1177/15568253261499630","url":null,"abstract":"<p><strong>Background: </strong>Evidence on health care professionals' knowledge and counseling practices regarding breastfeeding during pregnancy and tandem breastfeeding remains limited.</p><p><strong>Objective: </strong>To assess health care professionals' factual and self-perceived knowledge, counseling practices, and factors associated with providing counseling on breastfeeding during pregnancy and tandem breastfeeding.</p><p><strong>Methods: </strong>This descriptive cross-sectional study was conducted between February and September 2025 in two public hospitals in Hatay, Türkiye. A total of 362 health care professionals completed a 32-item researcher-developed questionnaire. Breastfeeding-during-pregnancy and tandem-breastfeeding knowledge indices ranged from 0 to 8 and 0 to 5, respectively. Nonparametric tests and binary logistic regression were used.</p><p><strong>Results: </strong>Mean knowledge scores were 4.62 ± 2.38 for breastfeeding during pregnancy and 2.62 ± 1.91 for tandem breastfeeding. Although 82.3% perceived their breastfeeding-during-pregnancy knowledge as sufficient, only 21.0% reported sufficient tandem-breastfeeding knowledge. Counseling was provided by 32.0% for breastfeeding during pregnancy and 19.9% for tandem breastfeeding. Higher knowledge scores were independently associated with counseling on breastfeeding during pregnancy (adjusted odds ratio [aOR] = 1.177, 95% confidence interval [CI] 1.053-1.315) and tandem breastfeeding (aOR = 1.366, 95% CI: 1.134-1.645). Guideline or professional-resource use was also associated with both counseling outcomes (aOR = 3.318 and 2.995, respectively).</p><p><strong>Conclusions: </strong>Health care professionals demonstrated important knowledge gaps and low counseling rates, particularly for tandem breastfeeding. Greater factual knowledge and use of current professional resources were associated with counseling. Targeted, competency-based education and accessible clinical guidance may support more consistent, evidence-based counseling.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261499630"},"PeriodicalIF":2.1,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149223341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Breastfeeding Self-Efficacy and Breastfeeding Outcomes in Primiparous Women Through a Midwifery-Led Mobile Health Intervention: A Randomized Controlled Trial.","authors":"Fatma Nilüfer Topkara, Nebahat Özerdoğan","doi":"10.1177/15568253261496712","DOIUrl":"https://doi.org/10.1177/15568253261496712","url":null,"abstract":"<p><strong>Introduction: </strong>Maternal confidence is essential for initiating and maintaining breastfeeding. Although professional breastfeeding support is important, traditional face-to-face counseling may be constrained by limited time, workforce, and accessibility. Information and communication technologies (ICTs), including mobile health (mHealth) applications, offer accessible, flexible, and timely support that can complement routine midwifery care. This study aimed to develop a midwifery-led mobile application grounded in self-efficacy theory and to evaluate its effects on breastfeeding self-efficacy and outcomes among primiparous women.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted from September 2022 to August 2023 at four family health centers in Eskişehir, Türkiye. The mobile application was developed collaboratively by midwives and software experts, integrating educational modules, reminders, and self-monitoring features based on self-efficacy principles. Eighty-six primiparous women in their third trimester were randomly assigned to an intervention group (<i>n</i> = 44) using the application or a control group (<i>n</i> = 42) receiving standard care. Data were collected through a sociodemographic form, the Breastfeeding Self-Efficacy Scale-Short Form, breastfeeding follow-up records, and an app-use satisfaction questionnaire. Statistical analyses were conducted using SPSS.</p><p><strong>Results: </strong>Participants in the intervention group had significantly higher breastfeeding self-efficacy scores at the second and third follow-ups than controls (<i>p</i> = 0.008 and <i>p</i> = 0.001, respectively). Within-group analyses showed consistent increases in self-efficacy over time among app users (<i>p</i> < 0.001). Exclusive breastfeeding rates and continuation at 6 months postpartum were also significantly greater in the intervention group (<i>p</i> < 0.001 and <i>p</i> = 0.001, respectively).</p><p><strong>Discussion: </strong>The midwifery-led mobile application improved breastfeeding self-efficacy and increased exclusive and sustained breastfeeding. These findings support integrating structured digital tools into routine midwifery care to strengthen early lactation outcomes and enhance maternal-infant health during the critical postpartum period.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261496712"},"PeriodicalIF":2.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LGBTQ+ Parents and Infant Feeding: An Analysis of the Household Pulse Survey Dataset.","authors":"Jessica S Bahorski, Jairo Pena Hidalgo, Crim Sabuncu, Casey D Xavier Hall","doi":"10.1177/15568253261496623","DOIUrl":"https://doi.org/10.1177/15568253261496623","url":null,"abstract":"<p><strong>Purpose: </strong>Human milk is the optimal food for newborns; however, infant feeding practices of parents who are lesbian, gay, bisexual, trans, queer, or sexual and gender minorities (LGBTQ+) are largely unknown. The purpose of this study was to describe infant feeding practices in LGBTQ+ families and compare to heterosexual or cisgender families.</p><p><strong>Methods: </strong>Secondary analyses of parents with an infant less than 12 months from the Household Pulse Survey (April-July 2024) were conducted. Demographic characteristics to include sexual orientation and gender identification were extracted. Infant feeding practices were classified as: (1) human milk only; (2) a mix of human milk and formula; or (3) formula only. The chi square test and multinomial regression were used in these analyses.</p><p><strong>Results: </strong>Data from 1,598 parents were analyzed, 7.63% identified as not heterosexual and 1.4% as gender diverse. There were no significant differences in feeding practices between cisgender and gender-diverse parents: human milk only 41.7% versus 47.8% (<i>p</i> = 0.71), mixed feeding 25.0% versus 26.1% (<i>p</i> = 1.0), formula only 33.3% versus 26.7% (<i>p</i> = 0.61). Nor any significant differences in heterosexual parents compared to lesbian, gay, and bisexual parents: human milk only 42.3% vs 36.1% (<i>p</i> = 0.22), mixed feeding 24.8% versus 27.1% (<i>p</i> = 0.66), formula only 32.9% versus 36.9% (<i>p</i> = 0.43). Results remained nonsignificant using regression models and controlling for covariates, along with analyses of men and women separately.</p><p><strong>Conclusion: </strong>These data provide preliminary insight into infant feeding practices of LGBTQ+ parents, demonstrating no differences compared to heterosexual or cisgender parents. Clinicians should continue to support human milk as the optimal choice for all families.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261496623"},"PeriodicalIF":2.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modifiable Determinants of Exclusive Breastfeeding at NICU Discharge among Infants Born before 32 Weeks' Gestation: A Cross-Sectional Study in Malaysia.","authors":"Armi Burhanuldin, Rozitah Razman, Shareena Ishak","doi":"10.1177/15568253261496655","DOIUrl":"https://doi.org/10.1177/15568253261496655","url":null,"abstract":"<p><strong>Background: </strong>Mothers of preterm infants often face unique challenges in the Neonatal Intensive Care Unit (NICU), which may adversely affect breastfeeding outcomes.</p><p><strong>Aim: </strong>To determine the rate of exclusive breastfeeding (EBF) at NICU discharge among infants born <32 weeks' gestation and to identify associated maternal and clinical factors.</p><p><strong>Method: </strong>A cross-sectional study was conducted between 2021 and 2023 in two tertiary NICUs in Malaysia. A total of 180 mothers of preterm infants were enrolled. Prior to discharge, participants completed self-administered questionnaires assessing their breastfeeding experiences, including the NICU Mother's Breastfeeding Survey and the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF). Data on skin-to-skin contact, antenatal breastfeeding education, and prior breastfeeding experience were also collected.</p><p><strong>Results: </strong>EBF at discharge was achieved by 52% of the cohort. Factors significantly associated with EBF included prior breastfeeding experience (adjusted odds ratio [aOR]: 1.95; 95% confidence interval [CI]: 1.08-3.53; <i>p</i> = 0.03), antenatal breastfeeding education (aOR: 3.43; 95% CI: 1.36-8.64; <i>p</i> < 0.05), skin-to-skin contact in the NICU (aOR: 2.56; 95% CI: 1.20-5.47; <i>p</i> = 0.02), and higher BSES-SF scores (aOR: 2.19; 95% CI: 1.11-4.32; <i>p</i> = 0.02). Perceived breastfeeding barriers were significantly associated with lower odds of EBF (aOR: 0.11; 95% CI: 0.05-0.24; <i>p</i> = 0.001).</p><p><strong>Conclusion: </strong>EBF at NICU discharge among preterm infants <32 weeks is influenced by modifiable maternal factors. Enhancing breastfeeding education, fostering self-efficacy, and encouraging early skin-to-skin contact may improve breastfeeding outcomes in this population.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261496655"},"PeriodicalIF":2.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Baby-Friendly Hospital Initiative and Breastfeeding Outcomes Across Social Determinants of Health in Oklahoma, USA: A Secondary Data Analysis.","authors":"Ingrid R Wilhelm, Emily J Jones, Mark J Fisher, Julie A Gordon, Anitra C Frederick, Jennifer D Peck","doi":"10.1177/15568253261496653","DOIUrl":"https://doi.org/10.1177/15568253261496653","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding improves maternal and infant health, reducing risks of cancer, diabetes, cardiovascular disease, and infant mortality. Despite national gains in breastfeeding initiation, disparities persist in exclusivity and duration across social determinants of health (SDOH). The Baby-Friendly Hospital Initiative (BFHI) promotes evidence-based maternity care practices to support breastfeeding, yet its effectiveness across diverse populations remains unclear.</p><p><strong>Purpose: </strong>This study examined whether BFHI designation is associated with breastfeeding outcomes including initiation, exclusive breastfeeding at 8 weeks, and any breastfeeding at 8 weeks among Oklahoma mothers who delivered between 2016 and 2018, and whether these associations differ across SDOH including race, ethnicity, household income, educational attainment, marital status, maternal age, parity, and geographic location.</p><p><strong>Methods: </strong>A retrospective secondary analysis of linked Oklahoma Pregnancy Risk Assessment Monitoring System and birth certificate data (2016-2018; <i>N</i> = 4,234) was conducted. Weighted logistic regression estimated associations between BFHI designation and breastfeeding outcomes, stratified by SDOH, and adjusted for demographic and socioeconomic factors.</p><p><strong>Results: </strong>BFHI designation at birth facility was associated with higher odds of initiation among primiparous mothers (adjusted odds ratio [aOR] = 1.89, 95% confidence interval [CI]: [0.98-3.64]), Native American mothers (aOR = 1.43, 95% CI: [0.95-2.15]), and unmarried mothers (aOR = 1.34, 95% CI: [0.89-2.03]). Among mothers with moderate household income ($24,001-$48,000), BFHI designation was associated with significantly greater odds of exclusive breastfeeding at 8 weeks (aOR = 1.85, 95% CI: [1.19-2.89]); a similar, nonsignificant pattern was observed for any breastfeeding at 8 weeks (aOR = 1.63, 95% CI: [0.99-2.70]).</p><p><strong>Conclusions: </strong>BFHI demonstrates differential effects across SDOH, benefiting first-time and moderate-income mothers but not Black mothers. Culturally responsive nursing care and tailored interventions are needed to achieve breastfeeding equity.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261496653"},"PeriodicalIF":2.1,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149163945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breastfeeding Cessation Across Gestational Ages Among First-Time U.S. Mothers before and During the COVID-19 Pandemic, 2016-2021.","authors":"Jane Fan, Sarah Taylor, Veronika Shabanova","doi":"10.1177/15568253261494524","DOIUrl":"https://doi.org/10.1177/15568253261494524","url":null,"abstract":"<p><strong>Background: </strong>The early COVID-19 pandemic period, with contact restrictions that affected in-hospital supports, provides a unique opportunity to examine changes in population-based breastfeeding cessation rates across the full spectrum of gestational age (GA) among first-time U.S. mothers.</p><p><strong>Methods: </strong>Using serial cross-sectional data from the Pregnancy Risk and Assessment Monitoring System (2016-2021), we included women from 19 U.S. jurisdictions who reported ever breastfeeding and cessation reasons (weighted <i>N</i> = 1,724,352). Weighted multivariable Cox regression compared cessation rates by GA between pre-COVID (2016-2019) and during-COVID (2020-2021) periods. Cessation reasons were assessed by prematurity using weighted Chi-square analysis (weighted <i>N</i> = 689,756).</p><p><strong>Results: </strong>During pre-COVID years, cessation rates among mothers of extremely preterm (EP) infants were 31% lower (adjusted hazard ratio [aHR]: 0.69, 95% confidence interval [CI]: 0.53-0.89) compared to term mothers; very or moderately preterm (VMP) and late preterm (LP) mothers had higher cessation rates compared to term and EP mothers. Between periods, a 47% increase was observed among EP mothers (aHR: 1.47, 95% CI: 0.97-2.27). Only LP mothers had higher cessation rates relative to term mothers during COVID (aHR: 1.25, 95% CI: 1.06-1.46). Compared to mothers of EP (9.8%) and term (11.8%) infants, more mothers of VMP (16.2%) and LP (16.6%) infants reported too many household duties <i>(p</i> < 0.001).</p><p><strong>Conclusion: </strong>This study found that first-time U.S. mothers of VMP and LP infants breastfed for a shorter duration than their EP and term counterparts before COVID-19. The first two pandemic years were the most disruptive for EP mothers, highlighting the importance of in-hospital breastfeeding support.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261494524"},"PeriodicalIF":2.1,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149126675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Childhood Traumas and Breastfeeding Trauma in Women: Web-Based Survey.","authors":"Sevil Cicek Ozdemir, Havva Yesildere Saglam","doi":"10.1177/15568253261492465","DOIUrl":"https://doi.org/10.1177/15568253261492465","url":null,"abstract":"<p><strong>Background: </strong>Women's traumatic experiences can cause physical and emotional health problems, and these problems may intensify during the postpartum period.</p><p><strong>Objective: </strong>The study aimed to examine the relationship between traumatic breastfeeding experience and childhood traumas in women.</p><p><strong>Methods: </strong>The study was cross-sectional and included 424 women. \"Personal Information Form,\" \"Childhood Traumas Questionnaire,\" and \"Traumatic Breastfeeding Experience Scale\" were used to collect the data of the study. The study data were collected between August 2025 and January 2026 using an online questionnaire administered via Google Forms.</p><p><strong>Results: </strong>Any woman who has experienced physical violence, emotional violence, verbal abuse, or witnessed/experienced domestic violence and who has experienced difficulties during the birth process (related to nipple issues, psychological changes, cesarean section, baby, milk flow, lack of milk/insufficient milk production, episiotomy, breastfeeding technique) had a higher mean score on the Traumatic Breastfeeding Experience Scale (<i>p</i> < 0.05). Furthermore, there were moderately significant correlations between the Traumatic Breastfeeding Experience Scale and both the level of stress perceived by women (<i>r</i> = 0.424, <i>p</i> < 0.001) and the level of comfort perceived by women (<i>r</i> = -0.424, <i>p</i> < 0.001). There was a statistically significant, weak positive correlation between the Childhood Traumas Questionnaire and the Traumatic Breastfeeding Experience Scale (<i>r</i> = 0.203; <i>p</i> < 0.001). Multiple linear regression analysis revealed that various factors related to breastfeeding and the postpartum period, as well as childhood trauma, had a 35% effect on the traumatic breastfeeding experience (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Women who had previously breastfed or are currently breastfeeding found a correlation between traumatic breastfeeding experience and childhood trauma. In addition to childhood trauma, stress, comfort, and physical and psychological problems experienced during the breastfeeding process have also been identified as factors predicting traumatic breastfeeding experiences.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261492465"},"PeriodicalIF":2.1,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149126725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}