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Although evidence suggests that current lactation training in paediatrics is often inadequate, it is unclear where the specific training gaps are. This qualitative interview study of UK mothers aimed to explore the challenges of breastfeeding sick infants and children on a paediatric ward or paediatric intensive care unit. From 504 eligible respondents, a sample of 30 mothers of children aged 2\u201336 months with various conditions and demographic backgrounds was purposively chosen, and a reflexive thematic analysis undertaken. The study identified previously unreported impacts such as complex fluid needs, iatrogenic withdrawal, neurological irritability and changes to breastfeeding behaviour. Mothers described breastfeeding as emotionally and immunologically meaningful. There were many complex psychological challenges such as guilt, disempowerment, and trauma. Wider struggles such as staff resistance to bedsharing, inaccurate breastfeeding information, lack of food and inadequate breast pump provision made breastfeeding more challenging. There are numerous challenges related to breastfeeding and responsively parenting sick children in paediatrics, and these also impacted maternal mental health. Staff skill and knowledge gaps were widespread, and the clinical environment was not always conducive to supporting breastfeeding. This study highlights strengths in clinical care and provides insight into what measures are perceived as supportive by mothers. It also highlights areas for improvement, which may inform more nuanced paediatric breastfeeding standards and training.<\/jats:p>","DOI":"10.1111\/mcn.13489","type":"journal-article","created":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T04:39:50Z","timestamp":1676954390000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Breastfeeding sick children in hospital: Exploring the experiences of mothers in UK paediatric wards"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3314-0950","authenticated-orcid":false,"given":"Lyndsey","family":"Hookway","sequence":"first","affiliation":[{"name":"Centre for Lactation, Infant Feeding and Translation (LIFT), School of Health and Social Care Swansea University Swansea UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0438-0157","authenticated-orcid":false,"given":"Amy","family":"Brown","sequence":"additional","affiliation":[{"name":"Centre for Lactation, Infant Feeding and Translation (LIFT), School of Health and Social Care Swansea University Swansea UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aimee","family":"Grant","sequence":"additional","affiliation":[{"name":"Centre for Lactation, Infant Feeding and Translation (LIFT), School of Health and Social Care Swansea University Swansea UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2007.9979"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334416664071"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2019.11.015"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40271-018-0336-2"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1552-6909.12750"},{"issue":"4","key":"e_1_2_10_7_1","first-page":"285","article-title":"Breastfeeding success among infants with congenital heart disease","volume":"30","author":"Barbas K. 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