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April 24, 2026PEC Innovation0 citationsOpen Access

Barriers to breastfeeding among Medicaid mothers: Perceptions of telelactation education and support

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CJC JonesRJRebecca D. JonesKLKarina Leal

Key Points

  • The research aims to understand barriers to breastfeeding and evaluate patient perceptions of telelactation education among Medicaid mothers.
  • Conducted four virtual lactation visits with participants.
  • Performed semi-structured interviews to gather feedback on telelactation experiences.
  • Assessed breastfeeding rates at one and two months postpartum.
  • 85.5% of participants were breastfeeding at one month post-intervention.
  • 79% were still breastfeeding at two months.
  • 93% reported increased confidence in breastfeeding after telelactation support.

Abstract

In Arkansas, only 55.8% of infants receive breastmilk during the first six, months of life, despite recommendations from the American Academy of Pediatrics.,Breast feeding rates are significantly lower among Medicaid users, an issue that can be addressed through telehealth visits which aim to address challenges that cause early breastfeeding cessation. This study evaluated patient perspectives on telelactation and explored barriers to breastfeeding among a Medicaid population. Participants received four virtual lactation visits followed by a semistructured interview. 85.5% of participants were breastfeeding at one month and 79% were still breastfeeding at 2 months. The overall participant perception of telelactation was positive, with 93% of participants stating their confidence in breastfeeding increased conclusion: This study highlights the wide acceptance and benefit of telelactation for sustaining breastfeeding within a Medicaid population. This study utilized digital technologies to bring professional lactation support directly to breastfeeding mothers. Virtual consultations expand access to specialty health services and education by overcoming geographical limitations and reducing burdens to care access. While telehealth technologies have been used in other healthcare settings, the use of telelactation is an innovative tool to address gaps in in care and improve continuity of care. • Telelactation significantly boosts breastfeeding confidence. • Virtual visits with an IBCLC make expert support more available. • Telelactation works to remove barriers to breastfeeding support access. • Virtual lactation support addresses obstacles preventing successful breastfeeding.

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Cite This Study

Jones et al. (2026) studied this question.

synapsesocial.com/papers/69eb084f553a5433e34b362chttps://doi.org/10.1016/j.pecinn.2026.100479
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