{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:14:33Z","timestamp":1787019273237,"version":"build-2736575974"},"reference-count":51,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:00:00Z","timestamp":1753401600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Breastfeeding Medicine"],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Infants with congenital heart disease (CHD) are at high risk for feeding difficulties and neurodevelopmental delays. Exclusive mother\u2019s own milk (MOM) reduces the risk of feeding intolerance and morbidity, yet feeding infants with CHD is complicated by decreased gastrointestinal perfusion, need for caloric fortification, and challenges in providing MOM by pump-dependent mothers. Lactation outcomes and support for pump-dependent mothers of infants with CHD are not well understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a scoping review of original research identified in MEDLINE and Cumulative Index of Nursing and Allied Health Literature through November 2024 to identify key concepts, theories, and gaps in the literature on lactation support, outcomes, and experiences of mothers of infants with CHD. Studies were excluded if they were unavailable in English or were quality improvement projects, single case reports, or literature reviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Fourteen articles met the inclusion and exclusion criteria, of which 10 (71.4%) were quantitative. Results were grouped into five categories: (1) lactation outcomes, (2) lactation support, (3) lactation experiences, (4) barriers to breastfeeding and human milk (HM) feeding, and (5) predictors of breastfeeding and HM feeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Mothers of infants with CHD can produce recommended MOM volumes by one month postpartum; however, breastfeeding and MOM feeding rates remain low in the first year. This review highlights barriers including inadequate support and mixed messaging from health care providers, emphasizing the need for further research, quality improvement measures, and health care provider education to address these challenges.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15568253251361928","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T18:30:44Z","timestamp":1757961044000},"page":"615-627","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Lactation Outcomes and Experiences Among Mothers of Infants with Congenital Heart Disease: A Scoping Review"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6583-1881","authenticated-orcid":false,"given":"Larissa C.","family":"Iapicca","sequence":"first","affiliation":[{"name":"Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Magalh\u00e3es","sequence":"additional","affiliation":[{"name":"Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Monk","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6954-9363","authenticated-orcid":false,"given":"Marion M.","family":"Bendixen","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7316-6616","authenticated-orcid":false,"given":"Diane L.","family":"Spatz","sequence":"additional","affiliation":[{"name":"Department of Family and Community Health, University of Pennsylvania School of Nursing &amp; Nurse Scientist\u2014The Center for Pediatric Nursing Research and Evidence Based Practice at Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8787-7945","authenticated-orcid":false,"given":"Leslie A.","family":"Parker","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,25]]},"reference":[{"key":"e_1_3_6_2_2","unstructured":"CDC. Data and Statistics. Congenital Heart Defects (CHDs); 2024. Available from: https:\/\/www.cdc.gov\/heart-defects\/data\/index.html [Last accessed: April25 2025]."},{"issue":"1","key":"e_1_3_6_3_2","article-title":"Feeding dysfunctions and failure to thrive in neonates with congenital heart diseases","volume":"40","author":"Mangili G","year":"2018","unstructured":"Mangili G, , Garzoli E, , Sadou Y. Feeding dysfunctions and failure to thrive in neonates with congenital heart diseases. Pediatr Med Chir, 2018; 40(1); doi: 10.4081\/pmc.2018.196","journal-title":"Pediatr Med Chir"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu13030932"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951120004370"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2025-071516"},{"key":"e_1_3_6_7_2","unstructured":"WHO. Breastfeeding. World Health Organization. Available from: https:\/\/www.who.int\/maternal_child_adolescent\/topics\/child\/nutrition\/breastfeeding\/en\/ [Last accessed: April25 2025]."},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2012.10.002"},{"key":"e_1_3_6_9_2","unstructured":"General (US) O of the S Prevention (US) C for DC and Health (US) O on W. The Importance of Breastfeeding. The Surgeon General\u2019s Call to Action to Support Breastfeeding. Office of the Surgeon General (US); 2011. 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