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During the COVID-19 pandemic, breastfeeding support, which was traditionally provided offline, shifted to online platforms. Although these remote services were available before the pandemic began, online interventions emerged as an alternative and proved effective in helping mothers breastfeed during that period. We aimed to explore the existing literature on the experiences of mothers and health care professionals with remote one-to-one synchronous breastfeeding support and to identify the unmet support needs of mothers regarding this type of support. We systematically searched seven literature databases: MEDLINE, CINAHL Plus, MIDIRS, Web of Science, ASSIA, WHO Global Index, and Google Search. Articles published before 2010 and in languages other than English and Indonesian language were excluded. A thematic approach was used to synthesise the data. Twenty-one studies were included in this review. Three themes generated from the synthesis: (1) mothers\u2019 acceptance of one-to-one synchronous telelactation, (2) benefit of one-to-one synchronous telelactation, and (3) challenges faced in one-to-one synchronous telelactation. In conclusion, mothers generally accepted one-to-one synchronous breastfeeding support as an alternative to in-person sessions, although some challenges remain. Further improvements are needed to address accessibility and scheduling issues.<\/jats:p>","DOI":"10.1177\/10105395261437273","type":"journal-article","created":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T09:17:08Z","timestamp":1778318228000},"page":"351-358","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Mothers\u2019 and Health Care Professionals\u2019 Experiences of Remote Provision of One-to-One Synchronous Breastfeeding Support: A Qualitative Systematic Review"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5885-7256","authenticated-orcid":false,"given":"Rachmawati","family":"Widyaningrum","sequence":"first","affiliation":[{"name":"Faculty of Public Health, Universitas Ahmad Dahlan, Yogyakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6081-0097","authenticated-orcid":false,"given":"Kusmayra","family":"Ambarwati","sequence":"additional","affiliation":[{"name":"Faculty of Public Health, Universitas Respati Indonesia, Jakarta Raya, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5817-065X","authenticated-orcid":false,"given":"Titik","family":"Kuntari","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Islamic University of Indonesia, Yogyakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7217-0881","authenticated-orcid":false,"given":"Tyas Aisyah","family":"Putri","sequence":"additional","affiliation":[{"name":"Faculty of Public Health, Universitas Ahmad Dahlan, Yogyakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puspita Dewi","family":"Kusumaninrum","sequence":"additional","affiliation":[{"name":"Faculty of Public Health, Universitas Ahmad Dahlan, Yogyakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,9]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-025-07440-3"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2021.11.004"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.46730"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-020-00277-w"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-306701"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-540-73345-4_93"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2022.103579"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.2196\/17361"},{"key":"e_1_3_3_10_2","first-page":"1","article-title":"Global Breastfeeding Scorecard 2023 Rates Of Breastfeeding Increase Around The World Through Improved Protection And Support","author":"UNICEF, WHO","year":"2023","unstructured":"UNICEF, WHO. 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