Use of telelactation interventions to improve breastfeeding outcomes among mothers: A mixed-studies systematic review

Chua, Crystal Min Siu; Mathews, Jancy; Ong, Mabel Sor Boh; Liew, Kelly Kaili; Shorey, Shefaly

doi:10.1016/j.wombi.2022.06.011

Cited by 11 publications

(3 citation statements)

References 42 publications

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“…Furthermore, some participants wanted options to engage with IBCLCs beyond video visits. Previous work has shown that telelactation is feasible and acceptable among predominantly White parents who face barriers to in-person breastfeeding support [14][15][16]. This research demonstrated that the same was true for Black parents, and, thus, telelactation services with or without video may be one avenue to reduce racial disparities in breastfeeding rates, especially if tailored to address specific barriers voiced in this study.…”

Section: Overviewsupporting

confidence: 56%

Acceptability of Telelactation Services for Breastfeeding Support Among Black Parents: Semistructured Interview Study

Howell,

Alvarado,

Waymouth

et al. 2023

J Med Internet Res

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Background While breastfeeding rates have increased in the United States in recent years, racial and ethnic disparities persist. Telelactation may help reduce disparities by increasing access to lactation consultants, but there is limited research on acceptability among minoritized individuals. Objective We aimed to explore experiences with telelactation among Black parents and identify strategies to make services more culturally appropriate. Methods We selected 20 Black parents who were given access to telelactation services from an ongoing National Institutes of Health–funded randomized controlled trial (the Tele-MILC trial) to participate in semistructured interviews. Interviews addressed birth experiences, use and opinions about telelactation, comparison of telelactation to in-person lactation support, and recommendations to improve telelactation services. The thematic analysis was informed by a previously reported theoretical framework of acceptability and RAND Corporation’s equity-centered model. Results Users appreciated the convenience of telelactation and reported that lactation consultants were knowledgeable and helpful. Participants wanted more options to engage with lactation consultants outside of video visits (eg, SMS text messaging and asynchronous resources). Users who had a lactation consultant of color mentioned that racial concordance improved the experience; however, few felt that racial concordance was needed for high-quality telelactation support. Conclusions While Black parents in our sample found telelactation services to be acceptable, telelactation could not, in isolation, address the myriad barriers to long-duration breastfeeding. Several changes could be made to telelactation services to increase their use by minoritized populations.

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Section: Overviewsupporting

confidence: 56%

Acceptability of Telelactation Services for Breastfeeding Support Among Black Parents: Semistructured Interview Study

Howell,

Alvarado,

Waymouth

et al. 2023

J Med Internet Res

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show abstract

“…This may be especially true in multiparous women who were more likely to be in the non-completer group as compared to the higher proportion of completers being primiparous. Perceived usefulness and personal gain are key motivators among individuals participating in lifestyle interventions ( Kozica et al, 2015 ) and is the primary indicator of acceptance of virtual lactation support interventions ( Chua et al, 2022 ). Improvement in breastfeeding knowledge seen with a combination of online support, breastfeeding resources, and one-on-one health coaching is consistent with previous studies that have conducted similar multi-faceted interventions ( Chua et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

Electronic Monitoring Of Mom’s Schedule (eMOMSTM): Recruitment of pregnant populations with elevated BMI in a feasibility randomized controlled trial

Jacobson

Wolfe

Zackula

et al. 2023

Preventive Medicine Reports

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“…Faster postpartum involution and defense against breast cancer and other illnesses are two advantages for nursing women. But just 40% of children worldwide receive breast milk (Chua et al, 2023). In New York City, thirty percent of women discontinued breastfeeding between one and four weeks postpartum.…”

Section: Introductionmentioning

confidence: 99%

Impact of the Oketani Technique Versus Lanoline on Breast Pain and Milk Production Among Puerperal Women

Ahmed,

Osama,

Mohamed

2024

Sohag Journal of Nursing Science

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Background: Breast feeding difficulties, due to nipple fissures is a common problem in early post-partum period. Purpose: The current study was conducted to assess the impact of oketani technique versus lanoline on breast pain and milk production among puerperal women. Methods: A quasi-experimental design was employed . Study was done at Menoufia University Hospital in Shebin El-kom. A purposive sample containing 120 of women with painful nipples in early post-partum period. Instruments:A structured questionnaire sheet, factors affecting breast feeding assessment sheet were used to collect data.Results: Oketani breast message was similar in both IG and CG [7.5].While, breast pain was significantly alleviated to a mean value of 1.3±0.47 post-test2 in IG compared to (5.3±0.65) in CG.Also, IG resulted in significant higher amount of breast milk produced during post-test2 evaluation (314.9±13.5) compared to (174.1±6.8 in CG). Application of the technique in IG, resulted in significant higher sucking speed among women in post-test 2 evaluation (47.3±3.3) in IG compared to (28.2±5.2) in CG.Conclusion: These results suggest that Oketani breast massage is useful for reducing breast pain, boosting breast milk production, and quickening a newborn's sucking reflex.Recomendations:further studies related to oketani breast massage should be conducted in other settings and on a larger number of puerperal women to assure the generalizability of the research results.

show abstract

Use of telelactation interventions to improve breastfeeding outcomes among mothers: A mixed-studies systematic review

Cited by 11 publications

References 42 publications

Acceptability of Telelactation Services for Breastfeeding Support Among Black Parents: Semistructured Interview Study

Acceptability of Telelactation Services for Breastfeeding Support Among Black Parents: Semistructured Interview Study

Electronic Monitoring Of Mom’s Schedule (eMOMSTM): Recruitment of pregnant populations with elevated BMI in a feasibility randomized controlled trial

Impact of the Oketani Technique Versus Lanoline on Breast Pain and Milk Production Among Puerperal Women

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