@article{singletary_sanchez_spencer_fogleman_chetwynd_2023, title={Immersive Videos Improve Student Self-Efficacy in Clinical Lactation}, volume={32}, ISSN={["1548-8519"]}, DOI={10.1891/JPE-2022-0013}, abstractNote={The current study examined the use of immersive technology as a way to improve access to high-quality interpersonal breastfeeding interactions in an undergraduate clinical lactation course. In particular, we investigated the impact of immersive consultation videos and related activities on student self-efficacy, motivational beliefs, and perceived skill level. Results indicate that usability was high, with participants rating videos, interactives, and activities positively. Students did report a significant increase in self-efficacy and their perceived ability to meet the course learning objectives; no significant changes in the level of interest or perceived skill were found. Our results demonstrate that high-quality immersive videos can be an important learning tool for teaching clinical skills when access to direct patient care is limited or absent.}, number={3}, journal={JOURNAL OF PERINATAL EDUCATION}, author={Singletary, Nicola and Sanchez, Rebecca and Spencer, Dan and Fogleman, April Danielle and Chetwynd, Ellen}, year={2023}, pages={162–174} }
 @article{unger_chetwynd_costello_2020, title={Ankyloglossia Identification, Diagnosis, and Frenotomy: A Qualitative Study of Community Referral Pathways}, volume={36}, ISSN={["1552-5732"]}, DOI={10.1177/0890334419887368}, abstractNote={BackgroundResearchers and practitioners continue to debate the most appropriate assessment, diagnostic, and treatment practices for ankyloglossia (tongue-tie). Health care workers struggle to provide evidence-based care in the absence of consistent standards.}, number={3}, journal={JOURNAL OF HUMAN LACTATION}, author={Unger, Crystal and Chetwynd, Ellen and Costello, Rebecca}, year={2020}, month={Aug}, pages={519–527} }
 @article{chetwynd_2020, title={JHL News}, volume={36}, ISSN={["1552-5732"]}, DOI={10.1177/0890334419887958}, number={1}, journal={JOURNAL OF HUMAN LACTATION}, author={Chetwynd, Ellen}, year={2020}, month={Feb}, pages={19–20} }
 @article{liberty_wouk_chetwynd_ringel-kulka_2019, title={A Geospatial Analysis of the Impact of the Baby-Friendly Hospital Initiative on Breastfeeding Initiation in North Carolina}, volume={35}, ISSN={["1552-5732"]}, DOI={10.1177/0890334418776645}, abstractNote={Background: Significant disparities in breastfeeding support and practice exist in North Carolina. The Baby-Friendly Hospital Initiative is a worldwide intervention that encourages birth facilities to adopt specific practices in support of breastfeeding. }, number={1}, journal={JOURNAL OF HUMAN LACTATION}, author={Liberty, Abigail L. and Wouk, Kathryn and Chetwynd, Ellen and Ringel-Kulka, Tamar}, year={2019}, month={Feb}, pages={114–126} }
 @misc{chetwynd_wasser_poole_2019, title={Breastfeeding Support Interventions by International Board Certified Lactation Consultants: A Systemic Review and Meta-Analysis}, volume={35}, ISSN={["1552-5732"]}, DOI={10.1177/0890334419851482}, abstractNote={Background: International Board Certified Lactation Consultants (IBCLC) are healthcare professionals who are highly trained in lactation science; however, little is known about the efficacy of IBCLC-specific support on breastfeeding outcomes. }, number={3}, journal={JOURNAL OF HUMAN LACTATION}, author={Chetwynd, Ellen M. and Wasser, Heather M. and Poole, Charles}, year={2019}, month={Aug}, pages={424–440} }
 @article{chetwynd_facelli_2019, title={Lactation Support for LGBTQIA plus Families}, volume={35}, ISSN={["1552-5732"]}, DOI={10.1177/0890334419831269}, abstractNote={Background: Despite a documented underutilization of healthcare by the LGBTQIA+ community due to fear of mistreatment, reproduction incurs a likely dependence on the medical system. Within breastfeeding medicine, the language used for breastfeeding or chestfeeding has broadened and there is an emphasis on inclusion of all types of gender identities; however, that care can be heavily biased toward the inclusion of all breasts/chests in infant feeding. }, number={2}, journal={JOURNAL OF HUMAN LACTATION}, author={Chetwynd, Ellen M. and Facelli, Victoria}, year={2019}, month={May}, pages={244–247} }
 @article{chetwynd_stuebe_rosenberg_troester_palmer_2019, title={Prepregnancy Diabetes and Breastfeeding Cessation Among Black Women in the United States}, volume={14}, ISSN={["1556-8342"]}, DOI={10.1089/bfm.2018.0074}, abstractNote={Background: The incidence of diabetes is rising, and with it, the number of pregnancies affected by diabetes. U.S. black women have a disproportionately high prevalence of diabetes and lower rates of breastfeeding. Objective: The objective of this study was to quantify the relationship between diabetes before pregnancy and breastfeeding duration among black women in the United States. Materials and Methods: We analyzed women from the Black Women's Health Study (N = 59,000) to assess the relationship between prepregnancy diabetes and time to breastfeeding cessation occurring up to 24 months postdelivery using Kaplan-Meier survival curves, log rank tests, and Cox proportional hazards models. The study population included primiparous women with births between 1995 and 2009 (N = 3,404). Obesity, hypertension before pregnancy, and family history of diabetes were examined for effect modification. Results: Survival curves demonstrated a markedly reduced duration of breastfeeding in women who had been diagnosed with prepregnancy diabetes (p < 0.01). The hazard ratio for breastfeeding cessation for women with prepregnancy diabetes was 1.5 (95% confidence interval 1.1-2.0) compared with women without prepregnancy diabetes after control for age, body mass index (BMI) at age 18, prepregnancy BMI, other metabolic factors, demographics, and health behaviors. Conclusions: Our results suggest that prepregnancy diabetes is a strong predictor of curtailed breastfeeding duration, even after control for BMI. This underscores the need for targeted lactation support for diabetic women.}, number={4}, journal={BREASTFEEDING MEDICINE}, author={Chetwynd, Ellen M. and Stuebe, Alison M. and Rosenberg, Lynn and Troester, Melissa A. and Palmer, Julie R.}, year={2019}, month={May}, pages={249–255} }
 @article{bryant_bauer_muddana_wouk_chetwynd_yourkavitch_stuebe_2019, title={The Lactational Effects of Contraceptive Hormones: an Evaluation (LECHE) Study}, volume={100}, ISSN={["1879-0518"]}, DOI={10.1016/j.contraception.2019.03.040}, abstractNote={To estimate the proportion of women for whom use of hormonal contraception was associated with reporting a decreased breast milk supply.The Lactational Effects of Contraceptive Hormones: an Evaluation ("LECHE") Study was an anonymous, internet-based, exploratory, cross-sectional survey of postpartum women using approximately 70 questions. Women were eligible to participate in the survey if they were 18 years or older, had a singleton infant between 3 and 9 months of age, had breastfed this infant for any amount of time and could read English. The survey included questions about breastfeeding, reproductive health, demographic characteristics and the timing of postpartum events.A total of 3971 participants clicked on the survey. Our final study population included 2922 participants. Overall, 1201 (41%) reported having had milk supply concerns at some point in the first 12 weeks postpartum. The median time from birth until milk supply concerns was 3 weeks (IQR 1-7). Eight hundred fifty-two women (29%) started hormonal contraception in the first 12 weeks postpartum. Fifteen percent (127/852) of women reported new or additional milk supply concerns after starting hormonal contraception. Reported milk supply concerns were higher for women who used hormonal contraception than those who did not (44% vs. 40%; p=.05) Adjusted hazard ratios (HRs) assessing the association between contraceptive use and time to milk supply concerns were not statistically significant (HR 1.18, 95% confidence interval 0.94-1.47 for any type of hormonal contraception).This study found a slightly increased proportion of reported milk supply concerns among women who started hormonal contraception.It is important for caregivers in the postpartum period to recognize the potential for multiple factors, including initiation of hormonal contraception, to affect breastfeeding. Patient-centered counseling can help elicit women's values and preferences regarding breastfeeding and pregnancy prevention.}, number={1}, journal={CONTRACEPTION}, author={Bryant, Amy G. and Bauer, Anna E. and Muddana, Anitha and Wouk, Kathryn and Chetwynd, Ellen and Yourkavitch, Jennifer and Stuebe, Alison M.}, year={2019}, month={Jul}, pages={48–53} }
 @article{yourkavitch_chetwynd_2019, title={Toward Consistency: Updating Lactation and Breastfeeding Terminology for Population Health Research}, volume={35}, ISSN={["1552-5732"]}, DOI={10.1177/0890334419851488}, abstractNote={ There has, historically, been a lack of consistency in the use and definition of terms and their associated measurement in breastfeeding research. The purpose of this paper is to promote consistency through a taxonomy and lexicon for population-based breastfeeding research with the modern nursing dyad. The taxonomy organizes concepts in categories related to research on feeding human milk to infants, noting the perspective from the provider of human milk (parent or alloparent) and the receiver of human milk (child). The taxonomy includes these categories: psychology, physiology, behavior, and modality. The intensity of behaviors and modalities can be characterized qualitatively or quantitatively. Other terms are introduced or defined for the modern era and measurement standards are posed. These suggestions invite discussion and debate, in an effort to move researchers toward consistent measurement, documentation, and presentation, to build a credible evidence base for breastfeeding and practices related to the provision and consumption of human milk. }, number={3}, journal={JOURNAL OF HUMAN LACTATION}, author={Yourkavitch, Jennifer and Chetwynd, Ellen M.}, year={2019}, month={Aug}, pages={418–423} }
 @article{yourkavitch_rasmussen_pence_aiello_ennett_bengtson_chetwynd_robinson_2018, title={Early, regular breast-milk pumping may lead to early breast-milk feeding cessation}, volume={21}, ISSN={["1475-2727"]}, DOI={10.1017/s1368980017004281}, abstractNote={Abstract}, number={9}, journal={PUBLIC HEALTH NUTRITION}, author={Yourkavitch, Jennifer and Rasmussen, Kathleen M. and Pence, Brian W. and Aiello, Allison and Ennett, Susan and Bengtson, Angela M. and Chetwynd, Ellen and Robinson, Whitney}, year={2018}, month={Jun}, pages={1726–1736} }
 @misc{singletary_chetwynd_goodell_fogleman_2017, title={Stakeholder views of breastfeeding education in schools: a systematic mixed studies review of the literature}, volume={12}, ISSN={["1746-4358"]}, DOI={10.1186/s13006-017-0106-0}, abstractNote={Breastfeeding provides numerous health benefits for mothers and infants, but worldwide breastfeeding rates fall below recommendations. As part of efforts to increase breastfeeding initiation and duration, the World Health Organization and UNICEF UK recommend educational interventions to increase awareness and positive attitudes towards breastfeeding beginning during the school years. Breastfeeding education in the school setting offers the opportunity to improve the knowledge base, address misconceptions, and positively influence beliefs and attitudes for students from a wide range of socioeconomic and cultural backgrounds. The purpose of this paper is to present a comprehensive narrative review of the literature regarding student and teacher (stakeholder) views of breastfeeding and breastfeeding education programs in schools to inform future research in the area.Articles were located through a systematic search of online databases and journals using the following keywords in various combinations: (1) breastfeeding, lactation, breast-feeding, "bottle feeding", "infant feeding" (2) student, educator, teacher, "school administrator" and (3) schools, "secondary education", "primary education", "K-12", "high school", "middle school", "elementary school", education, adolescents, curriculum, and a manual search of article references. Studies were screened for inclusion against specific criteria and included papers were assessed using the Mixed Methods Appraisal Tool (MMAT).This review suggests that adolescents have a deficit in breastfeeding knowledge and express negative conceptions about breastfeeding. Breastfeeding is being discussed in some school environments, but the extent of lessons and the specific messages that teachers communicate have not been explored. Students appear to be interested in receiving more information about breastfeeding, especially if delivered by health professionals or breastfeeding mothers. The majority of teachers are supportive of incorporating breastfeeding education in family and consumer sciences, sexual education, and health classes; however, time constraints and limited knowledge of infant feeding recommendations may be barriers to implementation of appropriate lesson plans.Students generally support and are receptive to breastfeeding education; however, research on educator attitudes, knowledge, and experiences are necessary for appropriate implementation of breastfeeding education in varying school settings around the world.}, journal={INTERNATIONAL BREASTFEEDING JOURNAL}, author={Singletary, Nicola and Chetwynd, Ellen and Goodell, L. Suzanne and Fogleman, April}, year={2017}, month={Mar} }