Accepted for/Published in: Interactive Journal of Medical Research
Date Submitted: Dec 15, 2024
Date Accepted: May 5, 2025
Lactation Consultant Access and Breastfeeding Outcomes in the United States: A Cross-Sectional Analysis
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.
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Copyright
© 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.