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Breast Milk Feeding Outcomes after Expansion of Military Parental Leave: A Retrospective Cohort Study of Active-Duty Mothers. 延长军事育儿假后母乳喂养的结果:现役母亲的回顾性队列研究。
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2026-08-01 Epub Date: 2026-06-04 DOI: 10.1177/15568253261454244
Dakota K Tomasini, Richelle R Homo, Kaitlyn T Mullin, Peter S Easter, Jonathan B Shapiro, Jeanne A Krick, Joshua C Anchan, Adharsh P Ponnapakkam
{"title":"Breast Milk Feeding Outcomes after Expansion of Military Parental Leave: A Retrospective Cohort Study of Active-Duty Mothers.","authors":"Dakota K Tomasini, Richelle R Homo, Kaitlyn T Mullin, Peter S Easter, Jonathan B Shapiro, Jeanne A Krick, Joshua C Anchan, Adharsh P Ponnapakkam","doi":"10.1177/15568253261454244","DOIUrl":"10.1177/15568253261454244","url":null,"abstract":"<p><strong>Background: </strong>Breast milk feeding is the recommended standard for infant nutrition. Active-duty (AD) mothers in the U.S. military face unique barriers to sustained breast milk feeding. The Department of Defense expanded the Military Parental Leave Program in January 2023, increasing total leave for birthing parents from 12 to 18-20 weeks.</p><p><strong>Objective: </strong>To explore whether extension of military parental leave was associated with trends in breast milk feeding duration among AD mothers at a single U.S. military medical treatment facility.</p><p><strong>Methods: </strong>This retrospective cohort study included all viable infants born to AD mothers between February 1, 2022, and June 30, 2023. Dyads were categorized into two epochs: before (February 1 to October 3, 2022) and after (October 4, 2022, to June 30, 2023) implementation of the updated policy. Breast milk feeding initiation, exclusivity, and duration through 6 months were analyzed descriptively.</p><p><strong>Results: </strong>Among 309 infants, representing 22% of all deliveries, no statistically significant differences were observed in exclusive or any breast milk feeding rates before and after policy change. Exclusive breast milk feeding rates exceeded those reported following the 2016 leave extension. There were higher rates of exclusive and any breast milk feeding in mothers who are officers compared to those who are enlisted. Additionally, more enlisted mothers transitioned to exclusive formula feeding by 6 months (43.8% versus 19.8%).</p><p><strong>Conclusions: </strong>Following extension of military parental leave, breast milk feeding outcomes were maintained, while persistent rank-based disparities remained, underscoring the need for continued evaluation and targeted support for enlisted AD mothers.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"435-442"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148155212","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}
引用次数: 0
Bladder to Breast Milk-DMSO Treatment of Interstitial Cystitis. 膀胱到母乳- dmso治疗间质性膀胱炎。
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2026-08-01 Epub Date: 2026-05-23 DOI: 10.1177/15568253261454248
Emily Yamada, Ella Speck, Palika Datta
{"title":"Bladder to Breast Milk-DMSO Treatment of Interstitial Cystitis.","authors":"Emily Yamada, Ella Speck, Palika Datta","doi":"10.1177/15568253261454248","DOIUrl":"10.1177/15568253261454248","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to be the first to quantify dimethyl sulfoxide (DMSO) concentrations in human milk after the maternal dosing and estimate the relative infant dose (RID) to assess potential safety concerns.</p><p><strong>Methods: </strong>Human milk samples were obtained at different time points after the mother had received one Rimso-50 treatment. The concentrations of DMSO were then quantified at each time interval by a liquid chromatography-mass spectrometry.</p><p><strong>Results: </strong>The maximum concentration (Cmax) was observed to be 34.5 μg/mL at hour 5 post-treatment. The RID was calculated to be 0.45%, while the estimated infant dose was found to be 2 mg/kg/day.</p><p><strong>Conclusion: </strong>The findings of the study demonstrate that DMSO's transfer into human milk is minimal. Additionally, the study provides the first quantification of DMSO in human milk.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"452-454"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148004618","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}
引用次数: 0
Simulation-Based Education Improves Breastfeeding Initiation and Self-Efficacy of Primiparous Women: A Randomized Controlled Study. 基于模拟的教育提高了初产妇母乳喂养的开始和自我效能:一项随机对照研究。
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2026-08-01 Epub Date: 2026-05-21 DOI: 10.1177/15568253261451761
Hamide Arslan Tarus, Gonul Kurt
{"title":"Simulation-Based Education Improves Breastfeeding Initiation and Self-Efficacy of Primiparous Women: A Randomized Controlled Study.","authors":"Hamide Arslan Tarus, Gonul Kurt","doi":"10.1177/15568253261451761","DOIUrl":"10.1177/15568253261451761","url":null,"abstract":"<p><strong>Background: </strong>Although breastfeeding is a common practice in Türkiye, breastfeeding rates remain below the levels recommended by the World Health Organization. This study aimed to determine the effects of simulation-based breastfeeding education given in the antenatal period on the breastfeeding success of primiparous women in the postnatal period, their perceptions of breastfeeding self-efficacy, and their attitudes and knowledge regarding breastfeeding.</p><p><strong>Methods: </strong>This randomized controlled study included 128 primigravida women (intervention group: 64, control group: 64). The intervention group received simulation-based breastfeeding education during the antenatal period, while the control group watched the routine hospital breastfeeding education video. Data were collected using the Personal Information Form, Postnatal Follow-Up Form, Breastfeeding Attitudes and Knowledge Questionnaire (BAKQ), LATCH Assessment Tool, and Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF). The BSES-SF and BAKQ were administered at baseline and within 24 hours after delivery, while breastfeeding success was evaluated twice postnatally using the LATCH Assessment tool. Data analysis involved chi-squared tests, independent-samples <i>t-</i>tests, and multiple linear regression.</p><p><strong>Results: </strong>The postintervention scores of these scales were significantly higher in the intervention group compared with the control group (<i>p</i> < 0.001). The LATCH Assessment tool score was significantly higher in the intervention group at both postnatal follow-ups (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Women who received simulation-based breastfeeding education had more successful breastfeeding practices, greater knowledge and better attitudes toward breastfeeding, as well as better perceptions of breastfeeding self-efficacy, than women who received routine breastfeeding education.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"443-451"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147986764","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}
引用次数: 0
Early Fresh Mother's Own Milk Feeding in 917 Very-Low-Birth-Weight Infants: Current Status and Nursing Implications. 917例极低出生体重儿的早期新鲜母乳喂养:现状及护理意义
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2026-07-30 DOI: 10.1177/15568253261473747
Huanhuan Ding, Longfei Zhang, Qiufang Li, Wenjun Zhu
{"title":"Early Fresh Mother's Own Milk Feeding in 917 Very-Low-Birth-Weight Infants: Current Status and Nursing Implications.","authors":"Huanhuan Ding, Longfei Zhang, Qiufang Li, Wenjun Zhu","doi":"10.1177/15568253261473747","DOIUrl":"https://doi.org/10.1177/15568253261473747","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to analyze the initiation, intake, proportion, and continuity of fresh mother's own milk (MOM) feeding during the first 14 days of life in hospitalized very-low-birth-weight (VLBW) infants, identify weaknesses in neonatal intensive care unit (NICU) breastfeeding care, and provide evidence for optimizing nursing protocols.</p><p><strong>Methods: </strong>This retrospective study enrolled 917 VLBW infants admitted to a tertiary hospital NICU from January 2020 to December 2023. Clinical data and daily feeding records during the first 14 days of life were collected from electronic medical records. Descriptive statistics, Mann-Whitney <i>U</i> tests, and repeated measures analysis of variance (ANOVA) were used for data analysis.</p><p><strong>Results: </strong>The fresh MOM feeding rate within 14 days was 55.94%. The median time to first feeding was 24.0 hours, predominantly with donor human milk (92.0%). The median postnatal day of first fresh MOM feeding was 4.0 days, and the median duration was 1.0 day; only 0.11% received fresh MOM continuously through day 14. Feeding rates, intake volumes, and energy contributions peaked on days 4 and 5 and declined sharply thereafter, with mean energy contribution from fresh MOM over 14 days at only 4.24% ± 7.65%. Subgroup analyses showed that infants with gestational age <28 weeks had significantly lower cumulative intake and energy supply; vaginal delivery, uncomplicated pregnancy, and multiparity correlated with earlier first fresh MOM exposure; and cesarean-delivered infants had higher cumulative intake and longer duration, likely attributable to prolonged hospitalization.</p><p><strong>Conclusions: </strong>Early fresh MOM feeding in VLBW infants is characterized by delayed initiation, short duration, and low intake and energy contribution. The sharp decline after days 4 and 5 suggests fragmentation between in-hospital and postdischarge lactation support. Standardized early initiation protocols, integrated support systems, and stratified care for high-risk infants are urgently needed.</p><p><strong>Clinical implications: </strong>There is an urgent need to establish standardized early initiation protocols, develop integrated in-hospital and postdischarge lactation support systems, and implement stratified care for high-risk infants to improve the timeliness, adequacy, and continuity of fresh MOM feeding in the NICU setting.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261473747"},"PeriodicalIF":2.1,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148618383","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}
引用次数: 0
Postpartum Breast Cancer: Distinct Clinical Features and the Role of Abrupt Breastfeeding Cessation. 产后乳腺癌:明显的临床特征和突然停止母乳喂养的作用。
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2026-07-29 DOI: 10.1177/15568253261472229
Natalia García Cesteros, Regina Peña Enríquez, Geraldina Guevara Madrid, David Ponferrada Álvarez, María López-Herrero, Alejandra Díaz Chacón, Javier Cantero Fernandez, Cristina Esparza Moreno, Enrique Aranda Aguilar, Silvia Guil Luna, Juan de la Haba Rodríguez
{"title":"Postpartum Breast Cancer: Distinct Clinical Features and the Role of Abrupt Breastfeeding Cessation.","authors":"Natalia García Cesteros, Regina Peña Enríquez, Geraldina Guevara Madrid, David Ponferrada Álvarez, María López-Herrero, Alejandra Díaz Chacón, Javier Cantero Fernandez, Cristina Esparza Moreno, Enrique Aranda Aguilar, Silvia Guil Luna, Juan de la Haba Rodríguez","doi":"10.1177/15568253261472229","DOIUrl":"https://doi.org/10.1177/15568253261472229","url":null,"abstract":"<p><strong>Background: </strong>Postpartum breast cancer (PPBC), diagnosed within 10 years after delivery, exhibits distinct biological-clinical characteristics and is associated with poorer prognosis. This study aimed to explore factors linked to PPBC and identify possible differential prognostic markers.</p><p><strong>Methods: </strong>We conducted a retrospective case-control study including women under 45 years. Clinical-reproductive and histopathological data, including previous gynecological pathology and benign breast conditions, were collected through standardized questionnaires and verified with medical records when available. PPBC was compared with non-postpartum breast cancer (non-PPBC) and healthy women. Multivariate analysis identified independent risk factors.</p><p><strong>Results: </strong>Among 2,698 women, 264 (9.8%) had breast cancer, including 134 PPBC and 130 non-PPBC, whereas 2,434 served as healthy controls. Previous gynecological pathology was more frequent among PPBC than healthy mothers (48.9% vs. 25.7%; <i>p</i> < 0.001). Same occurred with previous breast pathology (51.9% vs. 21.7%; <i>p</i> < 0.001). The percentage of women who abruptly discontinued breastfeeding was higher in PPBC (27.5%) compared with healthy mothers (12.6%; <i>p</i> < 0.001). PPBC was more diagnosed at stage II (63.9%); non-PPBC at stage I (64.9%) (<i>p</i> = 0.002). Early-PPBC (<5 years postpartum) showed higher Ki67-expression (<i>p</i> = 0.012) and lower estrogen-receptor positivity (<i>p</i> = 0.002). Previous breast pathology (odds ratio [OR] = 2.2; 95% confidence interval [CI]: 1.45-3.34; <i>p</i> < 0.001) and abrupt cessation of breastfeeding (OR = 2.6; 95% CI: 1.63-4.08; <i>p</i> < 0.001) were the only factors independently associated with the risk of developing PPBC.</p><p><strong>Conclusions: </strong>PPBC presents distinct features and represents specific tumor entity. Abrupt cessation of breastfeeding appears to be a potentially modifiable risk factor.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261472229"},"PeriodicalIF":2.1,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148618374","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}
引用次数: 0
Using the Information-Motivation-Behavioral Framework to Promote Rational Medicine Use Among Breastfeeding Women: A Quasi-Experimental Intervention Study in Uganda. 利用信息-动机-行为框架促进母乳喂养妇女合理用药:乌干达准实验干预研究
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2026-07-29 DOI: 10.1177/15568253261470536
Ritah Nakijoba, Lynn M Atuyambe, Simon Peter Asiimwe, Paul Mubiru, Catherine Namubiru, Solome Nakazzi, Ronald Kiguba, Catriona Waitt
{"title":"Using the Information-Motivation-Behavioral Framework to Promote Rational Medicine Use Among Breastfeeding Women: A Quasi-Experimental Intervention Study in Uganda.","authors":"Ritah Nakijoba, Lynn M Atuyambe, Simon Peter Asiimwe, Paul Mubiru, Catherine Namubiru, Solome Nakazzi, Ronald Kiguba, Catriona Waitt","doi":"10.1177/15568253261470536","DOIUrl":"10.1177/15568253261470536","url":null,"abstract":"<p><strong>Background: </strong>Rational medicine use during breastfeeding remains a challenge, especially in low- and middle-income countries. Self-medication, incomplete dosing, inappropriate drug selection, poor adherence, and adverse drug reactions contribute to antimicrobial resistance. Although the Information-Motivation-Behavioral Skills (IMB) model has successfully influenced health behaviors, its application to promoting safe medicine practices among breastfeeding women in urban settings is limited. This study assessed the association of an IMB-based educational intervention with knowledge, attitudes, and practices related to medication use.</p><p><strong>Methods: </strong>A quasi-experimental study with intervention and control groups was conducted among 184 breastfeeding women (≥18 years) with infants ≤12 months attending six urban clinics in Kampala, Uganda. Participants were recruited using systematic random sampling and allocated to intervention and control groups. The intervention comprised 12 weekly IMB-based health education sessions delivered through lectures, group discussions, videos, and printed materials. The control group received standard health education. Outcomes were measured at baseline and at 3 months using structured Likert-scale questionnaires. Changes over time and between groups were analyzed using repeated-measures analysis of variance and mixed-effects regression models.</p><p><strong>Results: </strong>Baseline characteristics were comparable between groups. At three months, greater improvements in knowledge were observed in the intervention group compared with the control group (89% versus 80%; Mean difference (MD) = 8.3; 95% confidence interval [CI]: 6.0-10.6), motivation (81% versus 70%; MD = 11.5; 95% CI: 8.6-14.4), and behavior (91% versus 81%; MD = 9.9; 95% CI: 7.3-12.5), all <i>p</i> < 0.001. Mixed-effects regression analyses showed that changes over time differed significantly between the intervention and control groups, with greater improvements in knowledge observed in the intervention group compared with the control group (β = 7.34; <i>p</i> < 0.001), motivation (β = 11.49; <i>p</i> < 0.001), and behavior (β = 5.67; <i>p</i> = 0.012).</p><p><strong>Conclusion: </strong>The IMB-based intervention improved women's knowledge, motivation, and practices, supporting the integration of such programs into routine health education.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261470536"},"PeriodicalIF":2.1,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7619408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148618398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Meaning of Breastfeeding in Shaping Maternal Identity Among Indonesian Mothers: A Qualitative Study. 母乳喂养对印尼母亲身份塑造的意义:一项质性研究。
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2026-07-29 DOI: 10.1177/15568253261473726
Vetty Priscilla, Yanti Puspita Sari, Rika Sarfika, M Agung Akbar
{"title":"The Meaning of Breastfeeding in Shaping Maternal Identity Among Indonesian Mothers: A Qualitative Study.","authors":"Vetty Priscilla, Yanti Puspita Sari, Rika Sarfika, M Agung Akbar","doi":"10.1177/15568253261473726","DOIUrl":"https://doi.org/10.1177/15568253261473726","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding is widely recognized as a cornerstone of maternal and child health. Beyond its nutritional and physiological value, breastfeeding is also an embodied, relational, and socioculturally situated experience through which women negotiate meanings of motherhood. However, Indonesian breastfeeding scholarship has more often emphasized prevalence, determinants, and behavioral outcomes, while the meanings women attach to breastfeeding in relation to maternal identity formation remain insufficiently explored.</p><p><strong>Objective: </strong>This study aimed to explore how breastfeeding is experienced and narrated as part of maternal identity formation among Indonesian mothers during the exclusive breastfeeding period.</p><p><strong>Methods: </strong>A qualitative study grounded in narrative inquiry was conducted in West Sumatra, Indonesia. Twenty-four mothers with infants aged under 6 months were purposively recruited from community health posts. Data were collected between June and October 2025 through in-depth semistructured narrative interviews, which were audio-recorded and transcribed verbatim. The data were analyzed manually using reflexive thematic analysis.</p><p><strong>Results: </strong>Three interrelated themes were identified: enacting maternal identity through breastfeeding responsibility and competence; strengthening maternal identity through embodied bonding; and becoming a mother through struggle, adaptation, and self-regulation.</p><p><strong>Conclusion: </strong>Breastfeeding shaped maternal identity as a developmental, relational, and meaning-laden process during early motherhood. Midwifery care that recognizes the emotional, relational, and sociocultural meanings of breastfeeding may provide more responsive and identity-sensitive support for mothers during the transition to motherhood.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261473726"},"PeriodicalIF":2.1,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148618457","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}
引用次数: 0
Effect of Antenatal Breastfeeding Counseling on Early Initiation and Exclusive Breastfeeding in India: Systematic Review and Meta-Analysis. 印度产前母乳喂养咨询对早期开始和纯母乳喂养的影响:系统回顾和荟萃分析。
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2026-07-29 DOI: 10.1177/15568253261473721
Harsh Purohit, Gneyaa Bhatt, Nirmika Patel, Shailesh Prajapati, Vaishali Mehariya
{"title":"Effect of Antenatal Breastfeeding Counseling on Early Initiation and Exclusive Breastfeeding in India: Systematic Review and Meta-Analysis.","authors":"Harsh Purohit, Gneyaa Bhatt, Nirmika Patel, Shailesh Prajapati, Vaishali Mehariya","doi":"10.1177/15568253261473721","DOIUrl":"https://doi.org/10.1177/15568253261473721","url":null,"abstract":"<p><strong>Background: </strong>World Health Organization and United Nations Children's Fund recommend initiation of breastfeeding within 1 hour of birth and exclusive breastfeeding (EBF) for the first 6 months of life. In India, just 55.8% of children under 6 months are exclusively breastfed, and only 50.1% initiated breastfeeding in the first hour of life (National Family Health Survey 6). Several studies have shown the effectiveness of antenatal breastfeeding interventions in improving breastfeeding outcomes. However, no systematic review and meta-analysis report is available for India for this kind of study.</p><p><strong>Objectives: </strong>(1) To determine the effect of antenatal breastfeeding counseling on early initiation of breastfeeding (EIBF) and on EBF for 6 months (EBF6). (2) To determine the most effective way for breastfeeding counseling in terms of unit, time, and provider.</p><p><strong>Methods: </strong>Randomized controlled trials, quasi-experimental studies, comparative studies, and intervention studies were searched using four databases published from January 1, 2015, to May 20, 2025 according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Nine studies with 14,414 participants (seven for EIBF and five for EBF6 with 10,964 and 6,668 participants, respectively) were included in this review and meta-analysis. A random-effects model was used to pool the results, and subgroup analyses were performed.</p><p><strong>Results: </strong>Combined effect size for EIBF was 1.509 (1.163-1.958, <i>p</i> = 0.002), and for EBF6, it was 1.494 (1.067-2.093, <i>p</i> = 0.019), showing a significant increase in EIBF and EBF rates resulting from breastfeeding counseling/education interventions. These interventions were found most effective when delivered one to one, irrespective of provider, time, and settings.</p><p><strong>Conclusions: </strong>Individualized antenatal breastfeeding counseling interventions continued till 6 months postpartum, preferably by trained health care workers, are effective in enhancing early initiation, as well as to sustain EBF.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261473721"},"PeriodicalIF":2.1,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148618460","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}
引用次数: 0
Breastfeeding Practices and Experiences of Indian-Origin Mothers in the United States: An Integrative Review. 美国印度裔母亲的母乳喂养实践和经验:一项综合综述。
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2026-07-29 DOI: 10.1177/15568253261473733
Lakshmi Prasanna Markonda, Diane L Spatz
{"title":"Breastfeeding Practices and Experiences of Indian-Origin Mothers in the United States: An Integrative Review.","authors":"Lakshmi Prasanna Markonda, Diane L Spatz","doi":"10.1177/15568253261473733","DOIUrl":"https://doi.org/10.1177/15568253261473733","url":null,"abstract":"<p><strong>Background: </strong>Asian Indians represent one of the fastest-growing immigrant populations in the United States. Asian Indian women in the United States have one of the highest breastfeeding initiation rates (93.4%) among all racial and ethnic groups. To meet the Healthy People 2030 goal, disaggregated breastfeeding data for this subgroup are needed. Current aggregated data for Asian non-Hispanic mothers show that only 29.1% exclusively breastfeed for 6 months despite high breastfeeding initiation rates (disaggregated rates for Indian-origin mothers are not available). The dual paradox of high initiation alongside diminished sustained breastfeeding and a persistent invisibility in surveillance data highlights a critical gap in understanding the sociocultural and structural determinants of sustained breastfeeding in this population.</p><p><strong>Methods: </strong>An integrative review was conducted using Whittemore and Knafl's integrative review methodology. Systematic searches across PubMed, CINAHL, PsycINFO, EMBASE, Web of Science, and gray literature sources retrieved 416 articles, and six studies were retained using Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. The reviewers used Joanna Briggs Institute critical appraisal tools to assess the methodological quality of the studies and the Melnyk and Fineout-Overholt evidence-level framework to assess the evidence levels.</p><p><strong>Results: </strong>Six key themes emerged from the data: the breastfeeding paradox, traditional cultural beliefs and practices, intergenerational and social support, health care system engagement, acculturation, and workplace demands and convenience culture.</p><p><strong>Conclusion: </strong>Indian-origin mothers in the United States face a distinct breastfeeding paradox driven by sociocultural and structural factors, and addressing these factors may help bridge this gap.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261473733"},"PeriodicalIF":2.1,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148618395","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}
引用次数: 0
Attitudes Toward Breastfeeding Myths and Their Determinants Among Women of Generations X, Y, and Z: A Cross-Sectional Study in Türkiye. X、Y和Z世代女性对母乳喂养神话的态度及其决定因素:一项在新西兰进行的横断面研究。
IF 2.1 3区 医学
Breastfeeding Medicine Pub Date : 2026-07-23 DOI: 10.1177/15568253261472211
Mehtap Temiz
{"title":"Attitudes Toward Breastfeeding Myths and Their Determinants Among Women of Generations X, Y, and Z: A Cross-Sectional Study in Türkiye.","authors":"Mehtap Temiz","doi":"10.1177/15568253261472211","DOIUrl":"https://doi.org/10.1177/15568253261472211","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to examine attitudes toward breastfeeding myths among women from Generations X, Y, and Z and to identify sociodemographic and experiential factors associated with belief in breastfeeding myths.</p><p><strong>Methods: </strong>A cross-sectional and comparative study was conducted in Türkiye. Data were collected online from 360 women aged 18 years and older through convenience snowball sampling between June and October 2025. The Personal Information Form and the Breastfeeding Myths Scale were used as data collection tools. Differences between generations were analyzed using one-way analysis of variance, and predictors of breastfeeding myths were examined using linear regression analysis.</p><p><strong>Results: </strong>Breastfeeding myth scores differed significantly across generations, with the highest scores observed among Generation X and the lowest among Generation Z (<i>p</i> = 0.001). Linear regression analysis showed that lack of breastfeeding-related information (<i>B</i> = 10.481, <i>p</i> = 0.001), lack of prior breastfeeding experience (<i>B</i> = 9.131, <i>p</i> = 0.008), and receiving breastfeeding support primarily from mothers or mothers-in-law (<i>B</i> = 17.901, <i>p</i> = 0.002) were significantly associated with higher breastfeeding myth scores. Being a member of Generation Z was associated with lower myth belief compared with the reference group (<i>B</i> = -3.776, <i>p</i> = 0.021). The final model explained 20.5% of the variance in breastfeeding myth scores (<i>R</i><sup>2</sup> = 0.205).</p><p><strong>Conclusion: </strong>The findings indicate that generational differences exist in attitudes toward breastfeeding myths, with younger women reporting fewer myth-related beliefs. Access to accurate information, prior breastfeeding experience, and professional support appear to play important roles in reducing misconceptions. These findings may help inform generation-sensitive breastfeeding education and counseling strategies in Türkiye.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"15568253261472211"},"PeriodicalIF":2.1,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560915","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}
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