{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T16:42:43Z","timestamp":1786293763268,"version":"build-2736575974"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Massey University Research Fund"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Pasteurised donor human milk (PDHM) is increasingly available to support vulnerable infants when maternal milk is temporarily unavailable. While evidence suggests benefits for very preterm infants, the impact of PDHM on breastfeeding outcomes for late preterm and early term infants remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Aim:<\/jats:title>\n                    <jats:p>This study investigated the impact of PDHM on breastfeeding journeys among mothers and infants admitted to the neonatal unit (Te Whare Poipoi) at Palmerston North Hospital, New Zealand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We employed a mixed-methods design combining retrospective quantitative data (2019\u20132022) and qualitative interviews (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 55). Quantitative data were compared to assess breastfeeding outcomes before and after the availability of PDHM, including maternal and infant characteristics, feeding indicators, and breastfeeding status at hospital discharge. Qualitative interviews explored mothers\u2019 experiences with PDHM.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Following the introduction of PDHM, use rose from 18% before 2021 to 50% after. Among PDHM users, 60% of infants achieved exclusive and fully breastfeeding at discharge, compared with 52% among non-users (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.031). Qualitative findings highlighted PDHM as a \u201cbridge\u201d to breastfeeding, reducing stress during lactogenesis, providing alternatives to formula, and supporting maternal recovery from complex births. Mothers described PDHM as enabling bonding and persistence with breastfeeding while creating space for healing. Challenges included limited supply and ongoing breastfeeding difficulties for some.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Findings indicate that PDHM positively supports breastfeeding, particularly among late preterm and early-term infants, and contributes to maternal well-being. Strengthening donor milk services can play a crucial role in protecting, promoting, and supporting breastfeeding.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08903344261465257","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T05:06:14Z","timestamp":1785992774000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["How Does Pasteurised Donor Human Milk Support Women\u2019s Breastfeeding Journeys? A Mixed-Method Study in Collaboration With Te Whare Poipoi - Palmerston North Hospital Neonatal Unit, New Zealand"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0840-773X","authenticated-orcid":false,"given":"Ying","family":"Jin","sequence":"first","affiliation":[{"name":"School of Health Sciences, College of Health, Massey University, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9057-3991","authenticated-orcid":false,"given":"Hina","family":"Humayun","sequence":"additional","affiliation":[{"name":"College of Health, Massey University, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Wedgwood","sequence":"additional","affiliation":[{"name":"Child Health Lactation Consultant (IBCLC), Palmerston North Hospital, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacquie","family":"Nutt","sequence":"additional","affiliation":[{"name":"Wh\u0101ngai Ora Milk Bank Coordinator (IBCLC), Te Papai\u014dea ~ Palmerston North, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tasnima","family":"Akter","sequence":"additional","affiliation":[{"name":"Biostatistician, Research Fellow, University of Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Te Morenga","sequence":"additional","affiliation":[{"name":"Centre for Public Health Research, Massey University, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Murray","sequence":"additional","affiliation":[{"name":"School of Health Sciences, College of Health, Massey University, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Alyahya W. 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E. L. (2017). Inequities in health care: Lessons from New Zealand. Swedish Red Cross University College. https:\/\/www.diva-portal.org\/smash\/get\/diva2:1083289\/FULLTEXT01.pdf"},{"key":"e_1_3_3_9_1","doi-asserted-by":"crossref","unstructured":"Errico J. L. Choi T. S. T. Pacilli M. Davidson Z. E. (2025). Supporting breastfeeding when clinical nutrition interventions are required in the paediatric healthcare setting: A systematic review. International Breastfeeding Journal 20(1) Article 55. https:\/\/doi.org\/10.1186\/s13006-025-00747-z","DOI":"10.1186\/s13006-025-00747-z"},{"key":"e_1_3_3_10_1","doi-asserted-by":"crossref","unstructured":"Gray K. Ryan S. Churchill M. Harder V. S. (2023). The association between type of supplementation in the newborn nursery and breastfeeding outcomes at 2 and 6 months of age. 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