{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T19:59:27Z","timestamp":1790884767593,"version":"4.1.0"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Maternal illness requiring medication or diagnostic imaging may challenge breastfeeding continuation, particularly in emergency departments (ED), where rapid clinical decisions are required. This study aimed to evaluate emergency physicians\u2019 knowledge, attitudes, and clinical practices regarding breastfeeding continuation after medication use and imaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This descriptive cross-sectional study was conducted among physicians. A structured, scenario-based online questionnaire consisting of 20 items was distributed to physicians working in ED. The survey assessed sociodemographic characteristics, frequency of encounters with breastfeeding mothers, and clinical approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 160 invited physicians, 71 completed the survey (response rate: 44.4%). The mean age was 32.9 \u00b1 6.4 years, and 62% were male. Physicians frequently encountered breastfeeding mothers in clinical practice, with 49.3% reporting daily, 28.2% weekly, and 22.5% monthly encounters. In scenario-based questions, the proportion of participants reporting that breastfeeding could be continued without interruption was 47.9% for ibuprofen, 29.6% for methylprednisolone, 70.4% for ondansetron, 56.3% for omeprazole, 54.9% for adenosine, and 26.8% for metoprolol. For radiological procedures, continuation rates were 91.5% for plain X-ray, 38% for contrast-enhanced CT, and 49.3% for MRI. Nearly half of the participants (47.9%) reported insufficient knowledge regarding breastfeeding management. Knowledge scores differed significantly by professional title (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.001), with general practitioners scoring lower than residents and specialists.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Emergency physicians, despite frequently encountering breastfeeding mothers, may show variability in their knowledge, attitudes, and clinical approaches to the management of breastfeeding patients. On the other hand, a higher level of knowledge among residents and specialists suggests that specialist training can be effective in ensuring correct clinical practice. Increasing access to guidelines and integrating evidence-based breastfeeding education into specialist training curricula, including medical school curricula, can improve clinical decision-making processes and prevent unnecessary interventions in breastfeeding.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15568253261492475","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:05:51Z","timestamp":1790773551000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["To Interrupt or Not to Interrupt? A Case-Based Survey on Physician Management of Breastfeeding After Radiological Imaging and Medication in the Emergency Department"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3766-2617","authenticated-orcid":false,"given":"\u015eeyma","family":"Karatekin","sequence":"first","affiliation":[{"name":"Department of Child Health and Diseases, Division of Social Pediatrics, Faculty of Medicine, Samsun University, Samsun, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6zge","family":"Yan\u0131k","sequence":"additional","affiliation":[{"name":"Department of Child Health and Diseases, Faculty of Medicine, Samsun University, Samsun, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Metin","family":"Ocak","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Faculty of Medicine, Samsun University, Samsun, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01024-7"},{"key":"e_1_3_4_3_1","unstructured":"2.WHO. Breastfeeding Recommandations. World Health Organization: Geneva Switzerland; 2026. Available from: https:\/\/www.who.int\/health-topics\/breastfeeding#tab=tab_2 [Last accessed: November8 2023]."},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ejcn.1601799"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/bcp.70139"},{"issue":"3","key":"e_1_3_4_6_1","first-page":"586","article-title":"Medication intake as a factor for non-initiation and cessation of breastfeeding: A prospective cohort study in Greece during the COVID-19 pandemic","volume":"10","author":"Tigka M","year":"2023","unstructured":"5.Tigka M, , Metallinou D, , Nanou C, et al. Medication intake as a factor for non-initiation and cessation of breastfeeding: A prospective cohort study in Greece during the COVID-19 pandemic. Children (Basel) 2023;10(3):586.","journal-title":"Children (Basel)"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-025-00756-y"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2019.06.015"},{"key":"e_1_3_4_9_1","unstructured":"8.\u0131buprofen. Ibuprofen. At e-lactancia.org: Geneva Switzerland; 2026. Available from: https:\/\/e-lactancia.org\/breastfeeding\/ibuprofen\/product\/"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2019.29128.kbm"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11095-017-2287-z"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2024.02.042"},{"key":"e_1_3_4_13_1","unstructured":"12.National Institute of Child Health and Human Development. Drugs and Lactation Database (LactMed\u00ae): Ibuprofen. National Institute of Child Health and Human Development: Bethesda (MD); 2026. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK500986\/?report=reader#!po=94.4444 [Last accessed: September4 2026]."},{"key":"e_1_3_4_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2024.101372"},{"key":"e_1_3_4_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.32268"},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-75552-5"},{"key":"e_1_3_4_17_1","unstructured":"16.National Institute of Child Health and Human Development. Drugs and Lactation Database (LactMed\u00ae): Methylprednisolone. National Institute of Child Health and Human Development: Bethesda (MD); 2026. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK501028\/?report=reader#!po=3.84615 [Last accessed: April13 2026]."},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2018.0124"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2007.0010"},{"key":"e_1_3_4_20_1","unstructured":"19.National Institute of Child Health and Human Development Drugs and Lactation Database (LactMed\u00ae). Omeprazole. National Institute of Child Health and Human Development: Bethesda (MD); 2026. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK501242\/ [Last accessed: April13 2026]."},{"key":"e_1_3_4_21_1","unstructured":"20.National Institute of Child Health and Human Development. Drugs and Lactation Database (LactMed\u00ae). Ondansetron. National Institute of Child Health and Human Development: Bethesda (MD); 2006. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK500798\/ [Last accessed: April13 2026]."},{"key":"e_1_3_4_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahjo.2025.100552"},{"key":"e_1_3_4_23_1","volume-title":"Hale. Hale\u2019s Medications Mothers\u2019 Milk","author":"Thomas W","year":"2021","unstructured":"22.Thomas W. Hale. Hale\u2019s Medications Mothers\u2019 Milk,. 19th ed: Springer Publishing: Company, LLC; 2021.","edition":"19"},{"key":"e_1_3_4_24_1","unstructured":"23.National Institute of Child Health and Human Development. Drugs and Lactation Database (LactMed\u00ae). Metoprolol. National Institute of Child Health and Human Development: Bethesda (MD). Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK501156\/?report=reader#_NBK501156_pubdet_ [Last accessed: April13 2026]."},{"issue":"4","key":"e_1_3_4_25_1","first-page":"453","article-title":"Should breastfeeding be interrupted after radiological imaging examinations? evidence and clinical applications","volume":"11","author":"Karatekin \u015e","year":"2024","unstructured":"24.Karatekin \u015e, , \u015eenol E, , Karabay\u0131r N. Should breastfeeding be interrupted after radiological imaging examinations? evidence and clinical applications. Children (Basel) 2024;11(4):453.","journal-title":"Children (Basel)"},{"issue":"12","key":"e_1_3_4_26_1","first-page":"e76070","article-title":"Assessment of the knowledge of healthcare professionals regarding radiological examination in lactating mothers: A cross-sectional survey study in the kingdom of bahrain","volume":"16","author":"Alomran B","year":"2024","unstructured":"25.Alomran B, , Fakhroo L, , Al Khalifa M, et al. Assessment of the knowledge of healthcare professionals regarding radiological examination in lactating mothers: A cross-sectional survey study in the kingdom of bahrain. Cureus 2024;16(12):e76070.","journal-title":"Cureus"},{"key":"e_1_3_4_27_1","doi-asserted-by":"publisher","DOI":"10.18332\/ejm\/149830"}],"container-title":["Breastfeeding Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15568253261492475","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15568253261492475","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15568253261492475","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T19:46:36Z","timestamp":1790883996000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15568253261492475"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,30]]},"references-count":26,"alternative-id":["10.1177\/15568253261492475"],"URL":"https:\/\/doi.org\/10.1177\/15568253261492475","relation":{},"ISSN":["1556-8253","1556-8342"],"issn-type":[{"value":"1556-8253","type":"print"},{"value":"1556-8342","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,30]]},"article-number":"15568253261492475"}}