RAND Corporation, Arlington, VA, UAS.
University of Pittsburgh School of Nursing, Department of Health Promotion and Development, Pittsburgh, PA, USA.
J Hum Lact. 2024 Nov;40(4):602-612. doi: 10.1177/08903344241274760. Epub 2024 Sep 17.
Despite increasing breastfeeding initiation rates in the United States, disparities in breastfeeding continuation and exclusivity by race and ethnicity persist.
We aimed to understand the perceptions and experiences of Latina parents who received access to telelactation, and assessed the implications of integrating telelactation into pediatric settings.
This cross-sectional qualitative study drew from participants enrolled in a randomized controlled trial about breastfeeding support. We recruited 20 participants from among those participating in a randomized controlled trial assessing the effect of telelactation on breastfeeding outcomes. The study design was informed by an Equity-Centered Model and authentic entry. We conducted a thematic content analysis through an iterative approach, where we systematically generated themes to describe code application patterns.
We identified three themes: (1) telelactation within the broader landscape of breastfeeding support; (2) perceptions of telelactation support; and (3) recommendations on the use of telelactation in the context of pediatric care. We found that participants had an escalation approach for seeking breastfeeding support and propose a new model: Breastfeeding Support Escalation Protocol, which can be applied to lactation support in pediatric care. Parents' perceptions and recommendations highlighted their desire for care coordination, expanded options for telelactation engagement, and care continuity, which are important reflections for pediatric offices considering integrating telelactation services into their practice.
Latina parents found telehealth to be helpful and an acceptable alternative to in-person services. Pediatric offices can take steps toward becoming Breastfeeding-Friendly by partnering with telelactation services. More research is needed on the logistical implications and cost-effectiveness of telelactation services as part of the pediatric practice.
尽管美国母乳喂养的初始率不断上升，但在种族和民族方面，母乳喂养的持续率和排他性仍然存在差异。
我们旨在了解接受远程哺乳的拉丁裔父母的看法和经验，并评估将远程哺乳纳入儿科环境的意义。
这是一项横断面定性研究，参与者来自一项关于母乳喂养支持的随机对照试验。我们从参与评估远程哺乳对母乳喂养结果影响的随机对照试验中招募了 20 名参与者。该研究设计受公平为中心的模式和真实进入的启发。我们通过迭代方法进行主题内容分析，系统地生成主题以描述代码应用模式。
我们确定了三个主题：（1）远程哺乳在母乳喂养支持的更广泛背景下；（2）对远程哺乳支持的看法；（3）在儿科护理背景下使用远程哺乳的建议。我们发现参与者有一个寻求母乳喂养支持的升级方法，并提出了一个新的模型：母乳喂养支持升级协议，可应用于儿科护理中的哺乳支持。家长的看法和建议强调了他们对护理协调、扩大远程哺乳参与选择以及护理连续性的渴望，这是考虑将远程哺乳服务纳入儿科实践的重要反映。
拉丁裔父母发现远程医疗很有帮助，是对面对面服务的可接受替代。儿科办公室可以通过与远程哺乳服务合作，采取措施成为母乳喂养友好型。需要进一步研究远程哺乳服务作为儿科实践一部分的后勤影响和成本效益。
