Overall, breastfeeding initiation in the U.S. has increased over the past two decades, yet initiation rates vary by several sociodemographic and psychosocial factors. We examined prenatal demographic, behavioral, and psychosocial factors associated with breastfeeding initiation in the U.S. Data from 16,452 participants in the Environmental influences on Child Health Outcomes (ECHO) program on breastfeeding initiation (ever vs. never) were assessed through maternal self‑report. Generalized estimating equation regression models estimated adjusted risk ratios (RRs) for initiating breastfeeding. The primary model included maternal age, race/ethnicity, partnership status, country of origin, education, gestational weight gain, and prenatal smoking. Additional subsample models examined associations between breastfeeding initiation and prenatal sleep characteristics, reported discrimination, and maternal mental health. Overall, 81
Gliomatosis peritonei (GP) is a rare condition characterized by peritoneal implants of mature glial tissue, often associated with ovarian immature teratoma (IMT). Because of its rarity, very few studies have focused on the outcomes of GP. This study aimed to describe the clinical outcomes of patients with pure IMT and GP. We retrospectively reviewed the clinicopathological data for 38 patients with pure IMT and GP at a single center between January 2000 and December 2024. Twenty-five (65.8
Uterine fibroids are common benign tumours contributing to infertility in approximately 3
Breastfeeding is strongly recommended for preterm infants because of its nutritional, immunological, developmental, and psychological benefits. However, mothers of preterm infants frequently encounter various barriers that complicate breastfeeding experiences. Although qualitative studies have explored these experiences across diverse contexts, evidence remains fragmented. This study aimed to systematically synthesize qualitative evidence regarding the breastfeeding experiences of mothers of preterm infants, and to identify the barriers, facilitators, emotional meanings, and support needs associated with breastfeeding in this population. A systematic review and metasynthesis of qualitative studies was conducted in accordance with PRISMA and ENTREQ guidelines. Electronic databases, including PubMed/MEDLINE, Scopus, Web of Science, CINAHL, Embase, PsycINFO, and ProQuest, were searched from January 2006 to April, 2026. Eligibility criteria were defined using the SPIDER framework. Peer-reviewed English-language qualitative studies exploring breastfeeding experiences among mothers of preterm infants (< 37 week gestation) were included. Two reviewers independently performed study selection, quality appraisal using the Critical Appraisal Skills Programme (CASP) checklist, and data extraction. Findings were synthesized using the thematic synthesis approach of Thomas and Harden. Confidence in the synthesized findings was assessed using GRADE-CERQual. Finally, 47 qualitative studies were included in the metasynthesis. Five overarching themes emerged: (1) the fractured transition to motherhood, characterized by disrupted maternal identity, guilt, and emotional distress; (2) the pump as both lifeline and burden, reflecting the exhausting yet necessary role of milk expression; (3) navigating the neonatal intensive care unit as a paradoxical space, highlighting inconsistent professional support, surveillance, and limited maternal autonomy; (4) the struggle for reciprocity in breastfeeding, describing challenges related to infant immaturity, feeding cues, and the transition from tube to breast; and (5) the journey home: from surveillance to self-governance, illustrating the gradual reconstruction of maternal confidence and autonomy after discharge. Breastfeeding was experienced not only as a nutritional practice but also as a relational and identity-forming process shaped by emotional, institutional, technological, and social influences. Breastfeeding a preterm infant is a complex and emotionally demanding process extending beyond milk provision. Consistent, compassionate, and family-centered breastfeeding support across hospital and community settings is essential to strengthen maternal confidence, reduce emotional burden, and improve breastfeeding outcomes for preterm infants and their families.
To evaluate pregnancy outcomes after ornidazole exposure and describe major congenital malformations in a case series. Pregnant women who contacted the TERAFAR between 2010 and 2025 for ornidazole exposure in pregnancy with known outcomes were included. Maternal characteristics, exposure details, and outcomes were obtained from standardized records and postpartum interviews. The primary outcome was major congenital malformations; secondary outcomes were miscarriage, elective termination, stillbirth, preterm birth, and neonatal outcomes. Of 89 pregnancies analyzed, 71 (79.8
