{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T09:11:23Z","timestamp":1785834683839,"version":"3.56.0"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>In the aftermath of perinatal loss, the physiologic onset of lactation presents a complex array of emotional responses for women, including grief and despair. Effective lactation management is essential for maternal health, yet it is often inadequately addressed by health care professionals, potentially compromising the physical and psychological recovery of the bereaved mother. The aim of this study was to investigate how Italian health care providers support women in managing lactation after a perinatal loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study employed a web\u2010based, cross\u2010sectional design. Participants involved in perinatal bereavement care were asked to answer a survey consisting of 3 areas: sociodemographic information, knowledge and experience of perinatal loss, and lactation after perinatal loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1227 health care professionals participated in this study. A significant majority (60.2%) had received formal training on perinatal loss care, expressing high satisfaction with an average score of 4.7 out of 5. However, less than half (42.5%) reported having a guideline for bereavement care in their workplace. Despite the opportunity, 25% of the respondents did not provide lactation information. Discussions predominantly centered on pharmacologic suppression of lactation in cases of stillbirth (89.5%) and neonatal death (83.8%), as well as complications associated with these events. Postdischarge follow\u2010up was reported as lacking by 78.2% of the sample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The discrepancy between the training of health care professionals and their practice highlights a critical need to enhance the implementation of bereavement care guidelines and follow\u2010up support, underscoring the importance of integrating lactation management into the perinatal loss care continuum.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jmwh.70076","type":"journal-article","created":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T08:56:10Z","timestamp":1766480170000},"page":"422-430","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The LISTEN (Lactation Support afTer pEriNatal loss) Project: Pathways of Loss and Lactation Care in Italy"],"prefix":"10.1111","volume":"71","author":[{"given":"Claudia","family":"Ravaldi","sequence":"first","affiliation":[{"name":"PeaRL Perinatal Research Laboratory, CiaoLapo Foundation, Department of Neurosciences, Psychology, Drug Research and Child Health University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Mosconi","sequence":"additional","affiliation":[{"name":"PeaRL Perinatal Research Laboratory, CiaoLapo Foundation, Department of Neurosciences, Psychology, Drug Research and Child Health University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Adami","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery University of Verona  Verona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Bonaiuti","sequence":"additional","affiliation":[{"name":"PeaRL Perinatal Research Laboratory, CiaoLapo Foundation, Department of Neurosciences, Psychology, Drug Research and Child Health University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilaria","family":"Detassis","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery University of Verona  Verona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariacecilia","family":"Ferrari","sequence":"additional","affiliation":[{"name":"Midwifery School, Department of Medicine and Surgery University of Parma  Parma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Fracasso","sequence":"additional","affiliation":[{"name":"School of Medicine and Surgery University of Tor Vergata  Roma Italy"},{"name":"Sandro Pertini Hospital  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Frati","sequence":"additional","affiliation":[{"name":"Midwifery School, Department of Medicine and Surgery University of Parma  Parma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabetta","family":"Matricardi","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery Universit\u00e0 Politecnica delle Marche  Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Neri","sequence":"additional","affiliation":[{"name":"Midwifery School, Department of Medicine and Surgery University of Parma  Parma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Pirani","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery Universit\u00e0 Politecnica delle Marche  Ancona Italy"},{"name":"Centro Unico Regionale di Diagnosi Prenatale di II livello  Loreto Italy"},{"name":"Midwives Council of Ancona  Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonella","family":"Tarantino","sequence":"additional","affiliation":[{"name":"School of Medicine and Surgery University of Tor Vergata  Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noemi","family":"Tisbi","sequence":"additional","affiliation":[{"name":"School of Medicine and Surgery University of Tor Vergata  Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfredo","family":"Vannacci","sequence":"additional","affiliation":[{"name":"PeaRL Perinatal Research Laboratory, CiaoLapo Foundation, Department of Neurosciences, Psychology, Drug Research and Child Health University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,23]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"A Neglected Tragedy: The Global Burden of Stillbirths","author":"United Nations 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