No Cover Image

Journal article 263 views 7 downloads

Diagnosing Breastfeeding Difficulties: Where Do We Stand?

Laura Galante Orcid Logo, Eriko Kobayashi Orcid Logo, Miyu Nishikawa

Maternal & Child Nutrition, Volume: 22, Issue: 1, Start page: e70153

Swansea University Author: Laura Galante Orcid Logo

  • 71043.VOR.pdf

    PDF | Version of Record

    © 2025 The Author(s). This is an open access article under the terms of the Creative Commons Attribution License.

    Download (403.21KB)

Check full text

DOI (Published version): 10.1111/mcn.70153

Abstract

Despite lactation being a natural occurrence in mammals, many structural barriers and individual factors can impact the ability of a woman to breastfeed her newborn. At the individual level, evidence has widely documented several risk factors and societal barriers for impaired lactation, many of whi...

Full description

Published in: Maternal & Child Nutrition
ISSN: 1740-8695 1740-8709
Published: Wiley 2026
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa71043
Abstract: Despite lactation being a natural occurrence in mammals, many structural barriers and individual factors can impact the ability of a woman to breastfeed her newborn. At the individual level, evidence has widely documented several risk factors and societal barriers for impaired lactation, many of which have been steeply increasing in human societies in the past few decades (e.g., psychosocial stress, metabolic disorders, births interventions, etc.). Yet the healthcare system worldwide does not seem to be prepared to support women facing such breastfeeding difficulties. Pregnant women are often provided with unrealistic expectations of how the breastfeeding experience should unfold, which can then translate into negative feelings when they encounter difficulties. In this context, the development of objective diagnostic tools able to help healthcare professionals and women identify breastfeeding difficulties that could then be treated accordingly would seem an ideal solution. Previous studies have tried to provide evidence for the use of milk compositional variations during early lactation as a tool to identify delayed secretory activation of the mammary gland, which often results in impaired lactation. However, despite portable technology for this purpose being successfully developed and/or validated, a consistent research gap remains around the true diagnostic power of such biomarkers in relation to clinically significant outcomes. This obstructs the development of effective diagnostic tools that could be employed in clinical practice to improve breastfeeding outcomes and breastfeeding rates.
Keywords: breastfeeding difficulties, breastfeeding support, human milk, impaired lactation, lactation biomarkers, milk biomarkers, secretory activation
College: Faculty of Medicine, Health and Life Sciences
Funders: Swansea University
Issue: 1
Start Page: e70153