Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Wednesday, July 01, 2020 at 8:00 PM to 10:00 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?

Accepted for/Published in: Interactive Journal of Medical Research

Date Submitted: Dec 15, 2024
Date Accepted: May 5, 2025

The final, peer-reviewed published version of this preprint can be found here:

Lactation Consultant Access and Breastfeeding Outcomes in the United States: Cross-Sectional Analysis

Dockins JF, Pahl HD, Lingerfelt DJ

Lactation Consultant Access and Breastfeeding Outcomes in the United States: Cross-Sectional Analysis

Interact J Med Res 2025;14:e70098

DOI: 10.2196/70098

PMID: 40674391

PMCID: 12288860

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Where Are the Lactation Consultants: Mapping Their Impact on U.S. Breastfeeding Outcomes

  • James F Dockins; 
  • Heather D Pahl; 
  • David J Lingerfelt

ABSTRACT

Background:

This research project examines the relationship between the population density of International Board-Certified Lactation Consultants (lactation consultants) and breastfeeding outcomes in the United States.

Objective:

The study focuses on three key breastfeeding indicators: initiation, exclusive breastfeeding at three months, and exclusive breastfeeding at six months.

Methods:

Data was analyzed using simple and multiple linear regression analyses.

Results:

The findings suggest that lactation consultant density is positively correlated with breastfeeding outcomes. The correlation coefficients ranged from small to moderate, with lactation consultant density positively associated with increased rates of breastfeeding initiation, exclusive breastfeeding at three months, and exclusive breastfeeding at six months. This research contributes to the understanding of the role of lactation consultants in improving breastfeeding outcomes in the United States, highlighting the need for further research and initiatives to support the expansion of lactation consultant care.

Conclusions:

The research underscores the value of lactation consultants in promoting positive breastfeeding outcomes, even when controlling for potential confounding factors. While there is wide variation in lactation consultant density across states, the study suggests that increasing access to lactation consultants could have a positive impact on breastfeeding success. Limitations include the availability and granularity of data, as well as the complexity of sociocultural influences on breastfeeding outcomes that may not be fully captured through quantitative analysis.


 Citation

Please cite as:

Dockins JF, Pahl HD, Lingerfelt DJ

Lactation Consultant Access and Breastfeeding Outcomes in the United States: Cross-Sectional Analysis

Interact J Med Res 2025;14:e70098

DOI: 10.2196/70098

PMID: 40674391

PMCID: 12288860

Download PDF


Request queued. Please wait while the file is being generated. It may take some time.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.