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Mothers' perception of husband support during breastfeeding: A qualitative study in Indonesia.
Narra J
December 2024
Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
The coronavirus disease 2019 (COVID-19) pandemic has significantly impacted maternal and perinatal healthcare worldwide, including in Indonesia. Restrictions on access to health services have forced mothers to adapt to new challenges in breastfeeding during the pandemic. The aim of this study was to evaluate mothers' breastfeeding experiences and the role of husbands in providing support during this period.
View Article and Find Full Text PDFBarriers and facilitators of a large clinical trial on prevention of HIV transmission through breastfeeding in Lusaka, Zambia: a qualitative study.
BMC Public Health
December 2024
Pathogenesis and Control of Chronic and Emerging Infections, Univ Montpellier, INSERM, EFS, Univ Antilles, Montpellier, France.
Article Synopsis
- The PROMISE-EPI trial tested a combination of strategies to reduce HIV transmission during breastfeeding, showing better results than standard care, particularly through early diagnosis of infants and monitoring of maternal viral load.
- In Zambia, the standard care differs with more complex preventative measures, leading to an exploration of facilitators and barriers related to the new intervention to inform future implementation.
- Qualitative interviews and focus groups highlighted the benefits of integrating key intervention components for immediate action, trust in healthcare, and potential setbacks during disruptions like the COVID-19 pandemic.
Distinguishing Between Lactation Failure and Breastfeeding Cessation: A Scoping Review.
Breastfeed Med
January 2025
Department of Public Health, College of Health Sciences, Saudi Electronic University, Riyadh, Saudi Arabia.
Interchangeable terminology and definitions of breastfeeding difficulties may inadvertently influence premature cessation of breastfeeding. Lactation failure is a distinct concept from breastfeeding cessation, and it is vital to differentiate between them, especially in educating health care professionals in communicating and supporting mothers perinatally. Comprehensively review varying terminology and definitions, providing a more nuanced understanding of lactation failure versus breastfeeding cessation, and highlighting physiological and social, emotional, mental, and commercial factors that influence breastfeeding outcomes.
View Article and Find Full Text PDFAppropriateness of small molecule agents for patients with IBD of childbearing age - a RAND/UCLA appropriateness panel.
Therap Adv Gastroenterol
November 2024
Patient Representative, UK.
Background: Many women of childbearing age with inflammatory bowel disease (IBD) require advanced therapies. While biologics are largely low risk during pregnancy, the novel small molecules tofacitinib, filgotinib, upadacitinib and ozanimod (TFUO) have shown concerning teratogenic effects, and decreased fertility in animal studies. Therefore, their use in women of childbearing age needs careful consideration.
View Article and Find Full Text PDFBreastfeeding in patients with peripartum cardiomyopathy: clinical outcomes and physician counseling.
Int Breastfeed J
October 2024
Department of Medicine, Division of Cardiovascular Medicine, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
Article Synopsis
- Peripartum cardiomyopathy (PPCM) is heart failure occurring during late pregnancy or after delivery, leading to debates about the effects of breastfeeding on recovery.
- A study analyzed 220 women diagnosed with PPCM, focusing on their lactation status and rates of heart recovery, finding no significant differences between those who breastfed and those who did not.
- Most women reported receiving discouragement against breastfeeding due to their heart condition, highlighting a gap in supportive counseling regarding lactation options.
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