Barriers to breastfeeding among Medicaid mothers: Perceptions of telelactation education and support.

Objective: In Arkansas, only 55.8% of infants receive breastmilk during the first six months of life, despite recommendations from the American Academy of Pediatrics. Breast feeding rates are significantly lower among Medicaid users. Telelactation aims to address challenges that cause early breastfeeding cessation. This study evaluated patient perspectives on telelactation and explored barriers to breastfeeding among a Medicaid population. Methods: Participants received four virtual lactation visits followed by a semistructured interview. Results: 85.5% of participants were breastfeeding at one month and 79% were still breastfeeding at two months. The overall participant perception of telelactation was positive, with 93% of participants stating their confidence in breastfeeding increased. Conclusion: This study highlights the wide acceptance and benefit of telelactation for sustaining breastfeeding within a Medicaid population. Innovation: This study utilized digital technologies to bring professional lactation support directly to breastfeeding mothers. Virtual consultations expand access to specialty health services and education by overcoming geographical limitations and reducing burdens to care access. While telehealth technologies have been used in other healthcare settings, the use of telelactation is an innovative tool to address gaps in in care and improve continuity of care.