{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T09:56:43Z","timestamp":1777456603249,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"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":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>There is little in the current literature regarding breastfeeding after a previous spinal cord injury (SCI). Potential concerns include challenges with let-down reflex and autonomic dysreflexia. This study aims to assess SCI- specific breastfeeding challenges as well as duration of breastfeeding in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study is a subgroup analysis of a larger online international questionnaire distributed to women with SCI. Pregnancies following SCI resulting in live births &gt;20 weeks were included. Demographic information, breastfeeding outcomes, and perceived support were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The recruitment rate was 85.4% (1,056\/1,237) and completion rate was 73.8% (780\/1,056). The pregnancies were from individuals with SCI levels C1\u2013T9. 129\/159 live births were followed by an attempt to breastfeed, and of these, 111 were successful in breastfeeding for a minimum of 2 weeks. Nine were affected by autonomic dysreflexia (AD). For 4\/9 (44%) individuals, it was their first episode of AD. If a person had previous episodes of AD, there was a 2\/52 (4%) chance of this being triggered by breastfeeding. In total, 28\/210 (13%) had difficulty with let-down reflex (levels ranged from C4 to S1).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Overall the majority of people who had a pregnancy following SCI attempted to and were successful in breastfeeding for at least 2 weeks. This outcome was regardless of the level of injury. Barriers in the form of AD or difficulty with let-down reflex were uncommon. This observational study should help encourage pregnant women post SCI and provide support for counseling by their health care providers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15568253251380696","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T13:36:20Z","timestamp":1758202580000},"page":"827-830","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Breastfeeding Following Spinal Cord Injury: A Descriptive Population Study"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8322-7686","authenticated-orcid":false,"given":"Elaine","family":"Carson","sequence":"first","affiliation":[{"name":"Sunnybrook Health Sciences Centre, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Mazzia","sequence":"additional","affiliation":[{"name":"University of Toronto, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7419-4627","authenticated-orcid":false,"given":"Anne","family":"Berndl","sequence":"additional","affiliation":[{"name":"Sunnybrook Health Sciences Centre, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Bickenbach J Officer A Shakespeare T et al. International perspectives on spinal cord injury. World Health Organization: Geneva Switzerland; 2013. Available from: https:\/\/iris.who.int\/handle\/10665\/94190 [Last accessed: September5 2025]."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.46292\/sci23-00079"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0890334418774014"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-015-0878-0"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1996.tb14078.x"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.10.039"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1991.tb10361.x"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753495X211011918"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2023.02.018"},{"key":"e_1_3_3_11_2","unstructured":"Government of Canada. Canada\u2019s Breastfeeding Dashboard. Ottawa Ontario CN; 2024. Available from: https:\/\/health-infobase.canada.ca\/breastfeeding\/ [Last accessed: March25 2025]."}],"container-title":["Breastfeeding Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15568253251380696","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15568253251380696","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15568253251380696","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:02:19Z","timestamp":1777381339000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15568253251380696"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":10,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1177\/15568253251380696"],"URL":"https:\/\/doi.org\/10.1177\/15568253251380696","relation":{},"ISSN":["1556-8253","1556-8342"],"issn-type":[{"value":"1556-8253","type":"print"},{"value":"1556-8342","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11]]}}}