2023-09-28 14:46:10 +00:00
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abstract: 'Background Returning to work is one of the main barriers to
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breastfeeding duration among working mothers in the United States.
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However, the impact of workplace lactation programs is unclear. Research
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Aim The aim of this study was to evaluate the effectiveness of workplace
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lactation programs in the United States on breastfeeding practices.
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Methods A systematic search was conducted of seven databases through
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September 2017. Articles (N = 10) meeting the inclusion criteria of
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describing a workplace lactation intervention and evaluation in the
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United States and measuring initiation, exclusivity, or duration using
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an experimental or observational study design were critically evaluated.
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Two reviewers conducted quality assessments and reviewed the full-text
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articles during the analysis. Results Common services provided were
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breast pumps, social support, lactation rooms, and breastfeeding
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classes. Breastfeeding initiation was very high, ranging from 87\% to
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98\%. Several factors were significantly associated with duration of
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exclusive breastfeeding: (a) receiving a breast pump for one year (8.3
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versus 4.7 months), (b) return-to-work consultations (40\% versus 17\%
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at 6 months), and (c) telephone support (42\% versus 15\% at 6 months).
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Each additional service (except prenatal education) dose-dependently
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increased exclusively breastfeeding at 6 months. Sociodemographic
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information including older maternal age, working part-time, longer
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maternity leave, and white ethnicity were associated with longer
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breastfeeding duration. Conclusion Workplace lactation interventions
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increased breastfeeding initiation, duration, and exclusive
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breastfeeding, with greater changes observed with more available
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services. More evidence is needed on the impact of workplace support in
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low-income populations, and the cost-effectiveness of these programs in
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reducing health care costs.'
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affiliation: 'Kim, JH (Corresponding Author), Univ Illinois, Div Nutr Sci, 905 S Goodwin
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Ave, Urbana, IL 61801 USA.
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Kim, Julia H., Univ Illinois, Div Nutr Sci, 905 S Goodwin Ave, Urbana, IL 61801
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USA.
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Shin, Jong C., Univ Illinois, Dept Kinesiol \& Community Hlth, Urbana, IL USA.
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Donovan, Sharon M., Univ Illinois, Dept Food Sci \& Human Nutr, Urbana, IL USA.'
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author: Kim, Julia H. and Shin, Jong C. and Donovan, Sharon M.
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author-email: haijikim@gmail.com
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author_list:
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- family: Kim
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given: Julia H.
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- family: Shin
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given: Jong C.
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- family: Donovan
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given: Sharon M.
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da: '2023-09-28'
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doi: 10.1177/0890334418765464
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eissn: 1552-5732
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files: []
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issn: 0890-3344
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journal: JOURNAL OF HUMAN LACTATION
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keywords: 'breastfeeding duration; breastfeeding initiation; breastfeeding support;
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lactation workplace programs; program evaluation'
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keywords-plus: WORKING MOTHERS; BARRIERS; PROGRAMS; PASSAGE
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language: English
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month: FEB
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number: '1'
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number-of-cited-references: '33'
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orcid-numbers: 'Shin, Jong Cheol/0000-0003-0360-2309
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Donovan, Sharon/0000-0002-9785-4189'
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pages: 100-113
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papis_id: aa14a6630170efcc1957d171deb20f6e
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ref: Kim2019effectivenessworkpla
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researcherid-numbers: 'Donovan, Sharon/AAY-6787-2020
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'
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tags:
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- review
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times-cited: '34'
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title: 'Effectiveness of Workplace Lactation Interventions on Breastfeeding Outcomes
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in the United States: An Updated Systematic Review'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000456476900013
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usage-count-last-180-days: '1'
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usage-count-since-2013: '22'
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volume: '35'
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web-of-science-categories: Nursing; Obstetrics \& Gynecology; Pediatrics
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year: '2019'
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