ArticleBreastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine
Discontinuity of Breastfeeding Care: "There's No Captain of the Ship".
Article in Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Experiences that influence how trained providers support women with breastfeeding: A systematic review of qualitative evidence.PloS one · 2022Pooled it
- Building breastfeeding knowledgeable health systems: Focus groups with physician leaders.PloS one · 2026Article
- Early life factors that affect obesity and the need for complex solutions.Nature reviews. Endocrinology · 2025Review
- Antenatal Breast Milk Expression Survey of Individuals Whose Pregnancy Was Complicated by Diabetes: Exploring Knowledge, Perceptions, Experiences, and Milk Volume Expressed.American journal of perinatology · 2024Article
- Healthcare providers' perceived barriers to providing breastfeeding support in Northwest rural China.International breastfeeding journal · 2024Article
- Emotional and informational social support from health visitors and breastfeeding outcomes in the UK.International breastfeeding journal · 2023Article
- Barriers to Providing Lactation Services and Support to Families in Appalachia: A Mixed-Methods Study With Lactation Professionals and Supporters.American journal of public health · 2022Article
- Understanding the challenges related to breastfeeding education and barriers to curricular change: a systems perspective for transforming health professions education.Canadian medical education journal · 2022Article
- Mothers' strategies for creating positive breastfeeding experiences: a critical incident study from Northern Sweden.International breastfeeding journal · 2022Article
- Explaining variance in breastfeeding intentions and behaviors among a cohort of Midwest mothers using a theory of planned behavior-based structural model.BMC pregnancy and childbirth · 2022Article
- Healthcare provider's experiences of supporting breastfeeding: protocol for a systematic review of qualitative evidence.BMJ open · 2022Article
- Testing the buffering hypothesis: Breastfeeding problems, cessation, and social support in the UK.American journal of human biology : the official journal of the Human Biology Council · 2022Article
- Prenatal Provider Breastfeeding Toolkit: Results of a Pilot to Increase Women's Prenatal Breastfeeding Support, Intentions, and Outcomes.Journal of human lactation : official journal of International Lactation Consultant Association · 2022Article
- The risk-risk trade-offs: Understanding factors that influence women's decision to use substances to boost breast milk supply.PloS one · 2021Article
- Breastfeeding in the first six months of life for babies seen by Lactation Consulting.Revista latino-americana de enfermagem · 2021Article
- Breastfeeding support at an Australian Breastfeeding Association drop-in service: a descriptive survey.International breastfeeding journal · 2020Article
- Vulnerable mothers' experiences breastfeeding with an enhanced community lactation support program.Maternal & child nutrition · 2020Article
- How much can Mexican healthcare providers learn about breastfeeding through a semi-virtual training? A propensity score matching analysis.International breastfeeding journal · 2020Article
- Infant feeding among women with a history of breast cancer.Journal of cancer survivorship : research and practice · 2020Article
- Crucial Contributions : A Biocultural Study of Grandmothering During the Perinatal Period.Human nature (Hawthorne, N.Y.) · 2019Article
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6 authors.
Funding
Abstract
backgroundBreastfeeding rates in the United States are suboptimal. Health professionals (HPs) have a unique opportunity to support breastfeeding because of the frequency and timing of their visits with mothers and infants as well as their call by professional organizations to do so. The objective of this study was to understand HPs' perceived roles and experiences with providing breastfeeding-related care. MATERIALS AND
methodsIn-depth qualitative interviews were conducted with 34 HPs (obstetricians, midwives, pediatricians, nurses, and lactation consultants) who care for pregnant or lactating women. Interviews were audio-recorded, transcribed, and verified for accuracy; content analysis was used to identify themes using a grounded theory approach.
resultsThe overarching theme was discontinuity in breastfeeding care across the continuum. Most HPs relied on other HPs to provide breastfeeding care, which resulted from and contributed to problematic gaps in care that were reported. A minority of HPs attempted to bridge gaps in breastfeeding care or improve continuity. Contributing to the discontinuity were a lack of time, lack of skills, inconsistent messages, and low communication across stages of care. HPs were unsure whether their help was effective and whether required follow-up was completed.
conclusionsDespite HPs' recognition of breastfeeding as the best choice for infant feeding, breastfeeding care may be disjointed and a barrier to achieving breastfeeding recommendations. These problems should be investigated and systemically addressed in future research so that maternal-infant dyad breastfeeding care can be improved.
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