ArticleMaternal and child health journal2017
Improving Access to Medical Lactation Support and Counseling: Building the Case for Medicaid Reimbursement.
Article in Maternal and child health journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed.
- Timing and intensity of lactation support influences NICU discharge on maternal milk.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- An integrative review of the impact of International Board Certified Lactation Consultants in outpatient postnatal settings in the United States.Journal of perinatology : official journal of the California Perinatal Association · 2026Review
- Trends and determinants in breastfeeding among Korean infants (2007-2021): a nationwide study using the National Health Screening Program for Infants and Children.Clinical and experimental pediatrics · 2025Article
- The Role of Baby-Friendly Designated Hospitals in Breastfeeding Initiation Across Racial/Ethnic Groups in Florida.Maternal and child health journal · 2024Article
- Experiences of breastfeeding peer counseling among women with low incomes in the US: a qualitative evaluation.BMC pregnancy and childbirth · 2024Article
- Knowledge of women in Poland on the profession and competencies of a midwife.European journal of midwifery · 2024Article
- Shifting to virtual breastfeeding counseling for low-income women in the US during COVID-19: A partner-engaged multimethod evaluation of program adaptations.Frontiers in health services · 2022Article
- Exploring Challenges and Opportunities for Breastfeeding in Hawai'i During the COVID-19 Pandemic.Hawai'i journal of health & social welfare · 2021Article
- Promoting equity in breastfeeding through peer counseling: the US Breastfeeding Heritage and Pride program.International journal for equity in health · 2021Review
- Article
- Perceptions About Lactation Consultant Support, Breastfeeding Experiences and Postpartum Psychosocial Outcomes.Maternal and child health journal · 2021Observational
- Positive Emotions During Infant Feeding and Breastfeeding Outcomes.Journal of human lactation : official journal of International Lactation Consultant Association · 2020Article
- Geographic Access to International Board-Certified Lactation Consultants in Pennsylvania.Journal of human lactation : official journal of International Lactation Consultant Association · 2019Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Objective While the Affordable Care Act improves access to lactation services for many women across the US, low-income mothers in states without Medicaid expansion lack coverage for lactation support. As these states consider individual Medicaid reimbursement policies, the availability, effectiveness, and cost-benefit of lactation services must be evaluated. We conducted such an analysis for low-income mothers in North Carolina (NC), providing a model for other states. Methods First, we analyzed the distribution of NC International Board Certified Lactation Consultants (IBCLCs) and county-level breastfeeding rates among low-income infants. Logistic regression was used to examine the association between IBCLC density and 6-week breastfeeding duration. Finally, state advocates collaborated on a cost-benefit analysis of Medicaid coverage of IBCLCs. Results Maps of the NC breastfeeding support landscape indicate that IBCLCs are available to provide services to low-income women across the state. Compared to counties with no IBCLCs, those with high IBCLC density were found to have a 6-week breastfeeding prevalence ratio of 1.20 (95 % CI 1.12, 1.28). Medicaid reimbursement of IBCLCs showed an estimated annual cost savings of $2.33 million. Conclusions for Practice In one state without Medicaid expansion, we found that breastfeeding support resources are available across the state, high density IBCLC support is associated with increased breastfeeding by low-income mothers, and services are cost-effective. Our model for Medicaid reimbursement in NC provides a framework for states to improve equity in access to optimal lactation support.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.