Breastfeeding Medicine最新文献

{"title":"A Comparative Study to Assess the Effectiveness of the Reverse Pressure Softening Technique and Lukewarm Water Compression in Alleviating Breast Engorgement and Supporting Breastfeeding Among Postnatal Mothers.","authors":"Kousalya T, Abizha G, Helen Shaji J C","doi":"10.1177/15568253261477026","DOIUrl":"https://doi.org/10.1177/15568253261477026","url":null,"abstract":"<p><strong>Background: </strong>Breast engorgement is a frequent postpartum condition that can greatly impair breastfeeding success and maternal comfort. Timely and evidence-based therapies are critical to effectively relieving these symptoms and promoting optimum breastfeeding.</p><p><strong>Objectives: </strong>To assess the efficacy of reverse pressure softening (RPS) and lukewarm water compression (LWC) in reducing breast engorgement and promoting breastfeeding in postnatal mothers.</p><p><strong>Methods: </strong>A randomized experiment including 60 postnatal mothers was carried out at a tertiary care facility in Tamil Nadu, India. Participants were randomly assigned to one of two groups: LWC (<i>n</i> = 30) or RPS (<i>n</i> = 30). Breast engorgement was measured using the Six-Point Engorgement Scale, and nursing performance was rated using a standardized breastfeeding assessment method. Data were analyzed before and after the intervention using descriptive and inferential statistics.</p><p><strong>Results: </strong>The postintervention study showed that the RPS group had significantly lower mean engorgement scores (1.60 ± 0.81) than the LWC group (2.43 ± 1.06). Furthermore, the RPS group had significantly greater nursing success scores (30.73 ± 4.21) than the LWC group (22.20 ± 3.52). The differences were statistically significant (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>The study found that RPS is substantially more effective than LWC in reducing breast engorgement and increasing breastfeeding results. RPS must be incorporated into normal postnatal care protocols in order to improve maternal well-being and breastfeeding effectiveness.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261477026"},"PeriodicalIF":2.1,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148987892","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":"Determinants of Prelacteal Feeding Among Mothers in the Remote Communities of Chitral, Pakistan.","authors":"Saif Ullah, Tashrifa Bibi, Shahzadi Rahim, Zaina Bibi, Sajid Malik","doi":"10.1177/15568253261490310","DOIUrl":"https://doi.org/10.1177/15568253261490310","url":null,"abstract":"<p><strong>Background: </strong>Prelacteal feeding (PLF) is influenced by sociocultural factors and may disrupt exclusive breastfeeding while increasing the risk of neonatal infections. This study aimed to elucidate PLF practices among geographically isolated and culturally distinct communities in the Hindukush ranges of Chitral, northwestern Pakistan.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted among 345 mothers with infants aged less than 24 months in Chitral. Data were collected using a structured, interviewer-administered questionnaire. PLF practices were assessed through descriptive statistics, and associated factors were examined using logistic regression.</p><p><strong>Results: </strong>Overall, 26% (<i>n</i> = 91) of mothers reported practicing PLF. PLF was significantly more common among Kho mothers (31%, <i>n</i> = 91) than Kalash mothers (0%) (<i>p</i> < 0.0001). The most commonly used prelacteal substances were infant formula (41%, <i>n</i> = 37), Zamzam water (30%, <i>n</i> = 27), butter (18%, <i>n</i> = 16), and honey (12%, <i>n</i> = 11). The primary reasons cited for PLF were perceived health benefits for the infant, insufficient breast milk production, and cultural or religious beliefs.</p><p><strong>Conclusion: </strong>Approximately one-quarter of mothers practiced PLF, with a marked disparity between Kho and Kalash communities. Ethnicity emerged as the principal determinant of PLF, highlighting the influence of cultural practices. Targeted breastfeeding counseling, maternal education, and community-based awareness interventions are urgently needed to promote exclusive breastfeeding and reduce PLF practices in this population.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261490310"},"PeriodicalIF":2.1,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148988117","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":"Cannabis Use and Breastfeeding Initiation: Associations with Patterns, Perceived Risk, and Clinical Advice in a Multistate Pregnancy Risk Assessment Monitoring System Study (2017-2021).","authors":"Kara R Skelton, Stacey E Iobst, Sara E Benjamin-Neelon","doi":"10.1177/15568253261490303","DOIUrl":"https://doi.org/10.1177/15568253261490303","url":null,"abstract":"<p><strong>Introduction: </strong>Despite increasing prevalence of perinatal cannabis use, little is known about how advice about cannabis use while breastfeeding at prenatal care visits is associated with breastfeeding initiation. We examined whether breastfeeding initiation varied by (1) maternal safety perceptions of cannabis use while breastfeeding, (2) perinatal cannabis use patterns, and (3) receipt of prenatal counseling regarding cannabis use.</p><p><strong>Methods: </strong>In this repeated cross-sectional study, we used 2017-2021 Pregnancy Risk Assessment Monitoring System data for 10 states that used the Marijuana Supplement. We further restricted the analytic sample to those respondents who reported any perinatal cannabis use. We calculated weighted prevalence estimates and used survey-weighted chi-square tests to assess differences in breastfeeding initiation by cannabis use pattern (prenatal only, postpartum only, or both), perceived safety of cannabis use while breastfeeding, and receipt of prenatal advice not to breastfeed if using cannabis.</p><p><strong>Results: </strong>In the analytic sample (<i>N</i> = 52,577 live births), breastfeeding initiation was highest among those who reported postpartum-only cannabis use (89.52%; 95% CI: 82.01, 94.12) and lowest among those reporting both prenatal and postpartum cannabis use (71.88%, 95% CI: 63.25, 79.16). Breastfeeding initiation differed significantly by receipt of advice among women reporting postpartum-only cannabis use, with lower initiation among women who were advised against cannabis use while breastfeeding in comparison with those who were not advised (81.95% versus 94.07%; <i>p</i> = 0.004).</p><p><strong>Conclusions: </strong>Our findings underscore the importance of clinician counseling about cannabis use while breastfeeding. Future studies should examine communication strategies to discourage cannabis use while breastfeeding while simultaneously promoting breastfeeding as the best infant feeding choice.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261490303"},"PeriodicalIF":2.1,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148987880","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":"Trends in Breast Pump Prescription Claims: A Nationwide Population-Based Study of Outpatient Statutory Health Insurance Billing Data in Germany, 2011-2024.","authors":"Laura Fischer, Andrea Espinosa Daudí, Zelalem T Haile, Melissa A Theurich","doi":"10.1177/15568253261485001","DOIUrl":"https://doi.org/10.1177/15568253261485001","url":null,"abstract":"<p><strong>Background: </strong>Breast pumps are important medical devices for lactating women to support human milk expression. To our knowledge, no epidemiological analysis of health insurance prescription claims for breast pumps has been published in Germany or any European country.</p><p><strong>Objectives: </strong>The objective of this analysis was to explore temporal and regional trends in breast pump prescription claims in outpatient settings in Germany and to characterize the types of pumps covered.</p><p><strong>Methods: </strong>We conducted a nationwide secondary analysis of outpatient statutory health insurance billing data for electric and manual breast pump prescriptions from 2011 to 2024 in Germany. Dispensing data from community pharmacies were scaled to full national coverage using regional extrapolation factors and subsequently linked with national and state-level live birth statistics to adjust for live birth rates and population size.</p><p><strong>Results: </strong>Between 2011 and 2024, electric breast pump prescription claims increased from 235 to 605 claims per 1,000 infants newly enrolled in statutory health insurance (average annual growth of 8.2%). In 2024, German national statutory health insurance funds covered costs of €15.3 million for electric pump rentals. Claims varied substantially across federal states but increased overall.</p><p><strong>Conclusion: </strong>Electric breast pump prescription claims in Germany significantly increased over the past 13 years. This study lays the groundwork for further investigations of breast pumps as medical devices in Germany and Europe and has wider implications for understanding current clinical approaches to the management of breastfeeding difficulties. Future research on breastfeeding interventions should consider the potential health impacts of breast pumps and aim to understand regional determinants of human milk expression.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261485001"},"PeriodicalIF":2.1,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148918454","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":"A Full Plate-Reflections from an ABM Founder.","authors":"Julie Ware","doi":"10.1177/15568253261454907","DOIUrl":"10.1177/15568253261454907","url":null,"abstract":"","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"529-530"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148326702","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":"Relational Autonomy in Lactation: A New Framework for Shared Decision-Making.","authors":"Molly Waymouth","doi":"10.1177/15568253261457850","DOIUrl":"https://doi.org/10.1177/15568253261457850","url":null,"abstract":"","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":"21 9","pages":"463-464"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148648086","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":"How Does Targeted Human Milk Fortification Influence Body Composition and Growth in Preterm Infants? A Narrative Literature Review.","authors":"Tara Rebele, Jane Ziegler, Melanie Newkirk","doi":"10.1177/15568253261455519","DOIUrl":"10.1177/15568253261455519","url":null,"abstract":"<p><strong>Background: </strong>Preterm infants fed human milk (HM) require additional calories and nutrients, as unfortified HM alone is inadequate to support optimal growth and body composition. Fortification methods have evolved to include targeted fortification (TF), based on measured macronutrient content of HM, rather than standard fortification (SF), which relies on assumed HM composition. The energy, protein-to-energy ratio, and macronutrient content of HM influence fat mass (FM) and fat-free mass (FFM) accretion, key factors for neurodevelopment and long-term metabolic health. This narrative literature review evaluated the impact of TF versus SF on body composition among preterm infants.</p><p><strong>Methods and materials: </strong>A literature search of PubMed, CINAHL, and Google Scholar was conducted for original research published since 2015. Articles were screened for relevance, and reference lists were reviewed to identify additional studies. Articles were included through August 2025.</p><p><strong>Results: </strong>Of 177 records identified, 17 full-text articles were screened, and 6 were included. TF methods and HM analysis protocols varied across studies. Four studies reported differences in body composition and growth outcomes from TF; only two found significant differences between groups.</p><p><strong>Conclusions: </strong>Current evidence does not consistently demonstrate a benefit of TF over SF for body composition outcomes in preterm infants. Findings across studies are inconsistent, and observed benefits were associated with complex TF protocols. This review provides suggestions based on limited evidence for clinical implementation when TF is utilized. Further research is needed to clarify the impact of TF on body composition and growth outcomes.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"465-476"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148175519","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 Effects of Postpartum Foot Massage on Maternal Breastfeeding Success, Sleep Quality, and Newborn Stress: A Randomized Controlled Trial.","authors":"Melek Nur Keçeli, Hatice Gül Öztaş","doi":"10.1177/15568253261457845","DOIUrl":"10.1177/15568253261457845","url":null,"abstract":"<p><strong>Objective: </strong>This study was conducted to evaluate the effects of foot massage applied to the mother in the early postpartum period on breastfeeding success, sleep quality, and newborn stress levels.</p><p><strong>Method: </strong>The study was conducted using a parallel-group randomized controlled trial design. The study included 70 primiparous postpartum women who had vaginal deliveries at a public hospital in southern Türkiye between December 2024 and August 2025. Participants were randomized into intervention (<i>n</i> = 35) and control (<i>n</i> = 35) groups. The intervention group received a total of 12 sessions (30 minutes each) of foot massage, three times a week for four weeks, starting from the first week postpartum, in addition to standard postpartum care. The control group received only standard postpartum care. Data were collected using the Personal Information Form, LATCH Breastfeeding Charting System and Documentation Tool, Pittsburgh Sleep Quality Index (PSQI), and the Newborn Stress Scale (NSS). The Mann-Whitney U test, Wilcoxon signed-rank test, and Friedman test were used for data analysis; statistical significance was set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Initially, the groups were similar in sociodemographic and clinical characteristics (<i>p</i> > 0.05). Lactation success (LATCH) scores increased significantly in the intervention group in weekly measurements, and statistically significant differences were found at the 1st, 2nd, and 3rd follow-ups compared with the control group (<i>p</i> < 0.001). Sleep quality (PSQI) scores decreased significantly in the intervention group in the pre-test-post-test comparison (improvement in sleep quality) (<i>p</i> < 0.001). At the same time, no significant change was observed in the control group (<i>p</i> = 0.087). NSS scores decreased more markedly in the intervention group, with significant between-group differences observed at the 2nd and 3rd follow-ups (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Foot massage applied to the mother in the postpartum period increases breastfeeding success, improves maternal sleep quality, and reduces newborn stress levels. Foot massage can be considered an effective, safe, and feasible nonpharmacological intervention in postpartum care practices.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"513-524"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148306906","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":"Comments on Evaluation of Two Midwife-Supported Breastfeeding Positions after Cesarean Section: A Pilot Randomized Controlled Study.","authors":"Yurika Saito, Anri Inumaru, Yohei Kishi","doi":"10.1177/15568253261455684","DOIUrl":"10.1177/15568253261455684","url":null,"abstract":"","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"525-526"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148306850","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":"Educational Priorities for Breastfeeding Support Across Career Stages: A Survey of Brazilian Pediatricians and Residents.","authors":"Marcelo Carvalho Silva, Lélia Cardamone Gouvêa, Debora Driemeyer Wilbert, Rossiclei Pinheiro, Eneida Fardin Perim, Izailza Matos Dantas Lopes, Leandro Meirelles Nunes, Lúcia Mendes de Oliveira Rolim, Dolores Fernandez Fernandez, Racire Sampaio Silva, Simone Silva Ramos, Vanessa Macedo Silveira Fuck, Pedro Luiz Carvalho E Silva, Fernando Carvalho E Silva","doi":"10.1177/15568253261455177","DOIUrl":"10.1177/15568253261455177","url":null,"abstract":"<p><strong>Background: </strong>Pediatricians play a central role in breastfeeding support, yet educational gaps persist in training programs worldwide. Understanding how educational priorities vary across career stages may help optimize breastfeeding education for health care professionals.</p><p><strong>Objective: </strong>This study aimed to identify distinct professional profiles among physicians providing pediatric care attending the Brazilian Congress of Pediatrics and to characterize their self-reported educational priorities regarding breastfeeding in order to inform continuing education initiatives tailored to the needs of different professional profiles.</p><p><strong>Methods: </strong>A cross-sectional electronic survey was conducted during the 41st Brazilian Congress of Pediatrics (Florianópolis, Brazil; October 2024). Participants included 290 physicians providing pediatric care-board-certified pediatricians (<i>n</i> = 164), pediatric residents (<i>n</i> = 109), and physicians without pediatric specialty certification providing pediatric care (<i>n</i> = 17). Fourteen binary variables representing clinical practice context and perceived causes of early weaning were used for cluster analysis. Educational priorities were assessed through classification of open-ended responses into thematic categories.</p><p><strong>Results: </strong>Three distinct clusters were identified, forming a career-stage gradient. Cluster 1 (<i>n</i> = 111, 38.3%) comprised predominantly early career professionals (mean age, 31.7 years; 64.9% residents) who prioritized technique/management. Cluster 2 (<i>n</i> = 44, 15.2%) showed intermediate characteristics, with emphasis on mother/family education and support network. Cluster 3 (<i>n</i> = 135, 46.6%) included mostly senior pediatricians (mean age, 44.7 years; 77.8% board-certified) who prioritized legislation/work, myths/misinformation, and the pediatrician's role. This gradient emerged despite demographic variables being excluded from the clustering algorithm.</p><p><strong>Conclusions: </strong>Three distinct professional profiles with differing educational priorities were identified. Educational needs followed a career-stage gradient, ranging from practical clinical skills among early-career professionals to leadership, coordination, and policy competencies among senior pediatricians. The emphasis on the pediatrician's role among senior professionals underscores a perceived need to reassert the pediatrician as the central coordinator of the breastfeeding support team. These findings support the development of career-stage-tailored educational strategies to maximize the relevance and effectiveness of continuing education initiatives.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"487-495"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148041057","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}