{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T11:24:36Z","timestamp":1787138676306,"version":"build-2736575974"},"reference-count":35,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"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":[[2026,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Breastfeeding support in adult wards is often overlooked. We examined physician practices, institutional support, lactation resources, and educational needs during maternal hospitalization in Turkiye.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We conducted an anonymous, web-based cross-sectional survey of physicians working in adult medical and surgical wards in Turkiye between July and August 2025. The 32-item questionnaire assessed clinician characteristics, breastfeeding support practices, institutional support and lactation resources, breastfeeding-related clinical decisions, educational needs, and Baby-Friendly Hospital (BFH) status. Logistic regression was used to estimate adjusted odds ratios for selected outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 419 participants (52.5% female; mean age, 39 \u00b1 10 years; 50.8% medical and 49.2% surgical), 72.3% reported working in a BFH. Female physicians and surgeons were more likely to routinely inquire about breastfeeding (adjusted odds ratio [aOR] = 3.44, 95% confidence interval [CI]: 2.06\u20135.75 and aOR = 2.11, 95% CI: 1.28\u20133.49, respectively). Institutional support and lactation resources were reported more often in private and BFH settings. Physicians working in private hospitals were less likely to use lactation-specific resources (aOR = 0.30, 95% CI: 0.12\u20130.78), whereas female physicians were more likely to use them (aOR = 3.07, 95% CI: 1.81\u20135.21). Recommendations to interrupt breastfeeding after contrast-enhanced imaging was associated with female sex and private hospital setting (aOR = 2.39, 95% CI: 1.28\u20134.45, and aOR = 6.10, 95% CI: 1.86\u201320.01, respectively). Perceived adequacy of prior breastfeeding education increased with experience, whereas interest in further training was higher among less experienced physicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Breastfeeding support during maternal hospitalization varied across physician and institutional contexts. Gaps were identified in breastfeeding support practices, lactation support and resources, imaging-related counseling, and training needs. Routine documentation, clearer ward policies, reliable lactation support, and targeted education may help standardize care in adult inpatient settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15568253261455185","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T05:48:02Z","timestamp":1779860882000},"page":"477-486","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Physician Practices and Institutional Support for Breastfeeding During Maternal Hospitalization in Adult Wards: A Multicenter Survey in Turkiye"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2602-3329","authenticated-orcid":false,"given":"Dilara","family":"Lahut","sequence":"first","affiliation":[{"name":"Department of Social Pediatrics, Health Science Institute, Istanbul Medipol University, Istanbul, Turkiye."},{"name":"Department of Pediatrics, Zeynep Kamil Maternity and Children\u2019s Diseases Hospital, University of Health Sciences, Istanbul, Turkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mine","family":"Ba\u015f\u0131b\u00fcy\u00fck","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6vg\u00fc","family":"B\u00fcke","sequence":"additional","affiliation":[{"name":"Department of Social Pediatrics, Health Science Institute, Istanbul Medipol University, Istanbul, Turkiye."},{"name":"Department of Pediatrics, Cerrahpa\u015fa Medical Faculty, Istanbul University \u2013 Cerrahpa\u015fa, Istanbul, Turkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K\u00fcbra","family":"Y\u0131lmaz","sequence":"additional","affiliation":[{"name":"Department of Social Pediatrics, Health Science Institute, Istanbul Medipol University, Istanbul, Turkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nalan","family":"Karabay\u0131r","sequence":"additional","affiliation":[{"name":"Department of Social Pediatrics, Health Science Institute, Istanbul Medipol University, Istanbul, Turkiye."},{"name":"Department of Pediatrics, International School of Medicine, Istanbul Medipol University, Istanbul, Turkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,26]]},"reference":[{"key":"e_1_3_2_2_1","volume-title":"2018 IMPLEMENTATION GUIDANCE Protecting, Promoting and Supporting Breastfeeding in Facilities Providing Maternity and Newborn Services: The Revised BABY-FRIENDLY HOSPITAL INITIATIVE","author":"World Health Organization; United Nations Children\u2019s Fund (UNICEF)","year":"2018","unstructured":"1.World Health Organization; United Nations Children\u2019s Fund (UNICEF). 2018 IMPLEMENTATION GUIDANCE Protecting, Promoting and Supporting Breastfeeding in Facilities Providing Maternity and Newborn Services: The Revised BABY-FRIENDLY HOSPITAL INITIATIVE. WHO; 2018."},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.13182"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2017-000158"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2020.0353"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1751-486X.12032"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1746-4358-6-11"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/children9081173"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.76070"},{"key":"e_1_3_2_10_1","unstructured":"9.Republic of T\u00fcrkiye Ministry of Health. 1\u20137 August world breastfeeding week press release [1\u20137 A\u011fustos Emzirme Haftas\u0131] 2023. Available from: https:\/\/www.saglik.gov.tr\/TR%2C96999\/1-7-agustos-emzirme-haftasi.html [Last accessed: April21 2026]."},{"key":"e_1_3_2_11_1","volume-title":"National Core Educational Program for Undergraduate Medical Education 2020 [Mezuniyet \u00d6ncesi T\u0131p E\u011fitimi Ulusal \u00c7ekirdek E\u011fitim Program\u0131 2020]","author":"Council of Higher Education (Y\u00d6K)","year":"2020","unstructured":"10.Council of Higher Education (Y\u00d6K). National Core Educational Program for Undergraduate Medical Education 2020 [Mezuniyet \u00d6ncesi T\u0131p E\u011fitimi Ulusal \u00c7ekirdek E\u011fitim Program\u0131 2020]. Council of Higher Education: Ankara; 2020."},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2021.29190.mba"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022-057988"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/08903344221081840"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S343150"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006641.pub2"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12359"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2020.00053"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12772"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-024-00613-4"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-0435"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2020.00191"},{"key":"e_1_3_2_23_1","unstructured":"22.Anonymous. Drugs and lactation database (LactMed\u00ae). 2006. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK501922\/ [Last accessed: December16 2025]."},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/lupus-2021-000491"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2020.104199"},{"key":"e_1_3_2_26_1","volume-title":"ACR Manual on Contrast Media","author":"American College of Radiology","year":"2025","unstructured":"25.American College of Radiology. ACR Manual on Contrast Media. American College of Radiology; 2025."},{"key":"e_1_3_2_27_1","unstructured":"26.Royal College of Radiologists Society of Radiographers. Position statement on breastfeeding and iodinated\/gadolinium-based contrast agents. 2022."},{"key":"e_1_3_2_28_1","volume-title":"Guidelines on Contrast Agents","author":"European Society of Urogenital Radiology (ESUR)","year":"2018","unstructured":"27.European Society of Urogenital Radiology (ESUR). Guidelines on Contrast Agents. ESUR; 2018."},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2019.29128.kbm"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.3390\/children11040453"},{"issue":"9","key":"e_1_3_2_31_1","first-page":"174","article-title":"CT and MR contrast in breastfeeding mothers: Is current practice evidence based","volume":"113","author":"Colleran GC","unstructured":"30.Colleran GC, , Adams N, , Lawler LP, et al. CT and MR contrast in breastfeeding mothers: Is current practice evidence based? Ir Med J n.d;113(9):174.","journal-title":"Ir Med J"},{"key":"e_1_3_2_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2024.111464"},{"key":"e_1_3_2_33_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03520300046035"},{"key":"e_1_3_2_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-018-1150-7"},{"key":"e_1_3_2_35_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6.3.e34"},{"key":"e_1_3_2_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"}],"container-title":["Breastfeeding Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15568253261455185","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15568253261455185","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15568253261455185","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T10:34:21Z","timestamp":1787135661000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15568253261455185"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,26]]},"references-count":35,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9,1]]}},"alternative-id":["10.1177\/15568253261455185"],"URL":"https:\/\/doi.org\/10.1177\/15568253261455185","relation":{},"ISSN":["1556-8253","1556-8342"],"issn-type":[{"value":"1556-8253","type":"print"},{"value":"1556-8342","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,26]]}}}