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US telehealth platform to support breastfeeding mothers in Ohio
Lactation consultants aim to prioritise postpartum care for new mothers in hospital and after discharge
Two US health companies have launched a telehealth breastfeeding support platform to help new mothers at maternity centres in Ohio.
The virtual lactation platform Nest Collaborative and the health network Kettering Health aim to give new parents in Ohio access to lactation support via telehealth.
Nest Collaborative’s International Board Certified Lactation Consultants (IBCLCs) will augment Kettering Health’s lactation programme by providing virtual prenatal and postpartum support for new parents at the health system’s maternity centres in Ohio.
“Kettering Health’s collaboration with Nest Collaborative is a wonderful supplementation and support to our robust lactation program,” says Michelle Beebe, manager of childbirth education and perinatal outreach at Kettering Health.
“Our goal is to reduce barriers to breastfeeding and Nest Collaborative makes expert consults available for new mothers, even at night and on the weekends,.”
Kettering Health has a long history of supporting patients in breastfeeding, explains Beebe, which imparts significant health benefits to both babies and their mothers.
The health system’s own lactation consultants aim to prioritise postpartum care for new mothers both in the hospital and after discharge within Kettering Health’s outpatient clinics, as they have less time to provide prenatal education to prepare families for breastfeeding.
Some families also face barriers in accessing the clinic’s facilities for support after birth.
“Nest Collaborative’s diverse, experienced lactation consultants fill in gaps our outpatient clinic may not be able to support,” Beebe adds.
“We have rural moms who have trouble driving in for support prenatally, and career moms who can’t make it in during working hours. And we have inner city challenges where it can take a person two hours on a bus to go to a clinic and then turn around and ride home.
“Now they can get quality lactation care in their own homes, with consultants who look like them and for non-native English speakers, who speak their language.”
Judith Nowlin, CEO of Nest Collaborative, said: “We want families to be successful and supported through access to expert lactation care when and where they need it.
“I am excited about how this collaboration with Kettering Health will further remove barriers to support families on their breastfeeding journeys.
“We also know that breastfeeding can be challenging, so we focus on helping parents find safe feeding options if exclusive breastfeeding is not possible or desired.”
Nest Collaborative’s network of lactation consultants are available to families for virtual consultations, seven days a week, in all 50 states and in 11 languages.
Breastfeeding has important positive long-term health consequences for infants and mothers. The World Health Organisation recommends that all infants should be exclusively breastfed for six months or longer and advises continuation of breastfeeding for two years or beyond.
According to a survey conducted in 2016, more than 80 per cent of US mothers breastfeed their newborns, but fewer than a third keep doing so for the recommended one year.
Support may, however, be effective in reducing the number of women stopping breastfeeding at three to four months compared to later time points.
Transdermal HRT best protects bone density in women with functional hypothalamic amenorrhoea, a condition that stops periods, a review of trials has found.
The meta-analysis pooled randomised clinical trials involving 692 participants and found transdermal hormone replacement therapy and teriparatide increased bone mineral density by between 2 and 13 per cent.
Functional hypothalamic amenorrhoea can follow anorexia or intense exercise. Bone mineral density measures bone strength and the amount of mineral in bone.
Around half of women with the condition have low bone mineral density, compared with about 1 per cent of healthy women, and their fracture risk is up to seven times higher.
The research was conducted by scientists at Imperial College London and Imperial College Healthcare NHS Trust.
Professor Alexander Comninos, senior author of the study and consultant endocrinologist at the trust, said: “Bone density is lost very rapidly in FHA and so addressing bone health early is very important to reduce the lifelong risk of fractures.
“Our study provides much needed comparisons of all the available treatments from all available studies.
“Clearly the best treatment is to restore normal menstrual cycles and therefore oestrogen levels through various psychological, nutritional or exercise interventions – but that is not always possible.
“The foundation for bone health is good calcium and vitamin D intake (through diet and/or supplements) but we have additional treatments that are more effective.”
When FHA is diagnosed, clinicians first try to restore periods through lifestyle measures, including psychological and dietary support, but these can fail. Guidelines then recommend giving oestrogen, though the best form was unclear.
The team reviewed all prior randomised trials comparing therapies, including oral and transdermal oestrogen, and also assessed teriparatide, a prescription bone-building drug used for severe osteoporosis.
They found no significant benefit for oral contraceptive pills or oral hormone therapy.
A recent UK audit reported that about a quarter of women with anorexia-related FHA are prescribed the oral contraceptive pill for bone loss; the study suggests using transdermal therapy instead.
Comninos said: “Our goal is simple: to help women receive the right treatment sooner and to protect their bone health in the long-term.
“We hope this study provides clinicians with better evidence to choose transdermal oestrogen when prescribing oestrogen and so inform future practice guidelines.
“Right now, millions of women with FHA may not be receiving the best treatments for their bone health.”
An AI tool cut interval breast cancers by 12 per cent in a Swedish screening trial of more than 105,000 women.
The study also found 27 per cent fewer aggressive breast cancers detected at screening when AI was used.
Interval cancers are cancers found between routine screening appointments because they were missed at the original scan. They are often more dangerous and linked to higher death rates than cancers found at screening.
The MASAI trial is described as the first large randomised study to test whether AI can improve mammography screening, which uses low-dose X-rays to examine breast tissue for signs of cancer.
The AI tool, called Transpara Detection and developed by ScreenPoint Medical, supported radiologists in analysing mammography images.
Earlier results from the same trial showed that Transpara Detection increased cancers found by 29 per cent and reduced radiologist workload by 44 per cent compared with standard double-reading, where two radiologists independently review each scan.
The latest findings indicate higher accuracy with AI support. Sensitivity, the ability to detect cancer, was 6.7 percentage points higher in the AI group while specificity, the ability to rule out healthy cases, was maintained. Results were similar across age groups and breast density levels.
Women screened with AI had 16 per cent fewer invasive interval cancers and 21 per cent fewer large interval cancers than those in the standard screening group.
The system also helps doctors assess risk more precisely by subdividing suspicious findings into BI-RADS 4 categories A, B and C. BI-RADS (Breast Imaging Reporting and Data System) is a standardised scale that guides whether a patient needs closer monitoring, further tests or treatment.
Ageing anxiety may accelerate biological ageing in women, with fears about worsening health linked to faster epigenetic ageing, according to new research.
The study found that greater anxiety about growing old was associated with accelerated epigenetic ageing, as measured by the DunedinPACE clock, based on biological markers in blood samples.
Epigenetic changes are shifts in how genes are switched on or off without altering DNA itself, which can influence how the body ages and functions.
“Our research suggests that subjective experiences may be driving objective measures of ageing,” said Mariana Rodrigues, a PhD student and the first author of the study.
“Ageing-related anxiety is not merely a psychological concern, but may leave a mark on the body with real health consequences.”
Researchers analysed data from 726 women in the Midlife in the US study.
Participants were asked how much they worried about becoming less attractive with age, having more health issues and being too old to have children.
Blood samples were used to assess ageing with two epigenetic clocks: DunedinPACE, which estimates the pace of biological ageing, and GrimAge2, which estimates cumulative biological damage.
The study was conducted by researchers at NYU School of Global Public Health.
Worrying about declining health showed the strongest links with epigenetic ageing, while anxiety about attractiveness and fertility was not significantly associated with biological markers.
The authors suggest health worries are more common and persist over time, whereas concerns about appearance and reproduction may fade with age.
“Women in midlife may also be multiple in roles, including caring for their ageing parents,” Rodrigues said.
“As they see older family members grow older and become sick, they may worry about whether the same thing will happen to them.”
The authors caution that the study offers a snapshot in time and other factors may influence these biological changes.
When analyses were adjusted for health behaviours such as smoking and alcohol use, the link between ageing anxiety and epigenetic ageing decreased and was no longer significant.
“Our research identifies ageing anxiety as a measurable and modifiable psychological determinant that seems to be shaping ageing biology,” said Adolfo Cuevas, associate professor of social and behavioural sciences and the study’s senior author.
They call for more research to clarify how this anxiety influences ageing over time, to guide support for those experiencing ageing anxiety.
“Ageing is a universal experience.” Rodrigues said.
“We need to start a discourse about how we as a society, through our norms, structural factors and interpersonal relationships, address the challenges of ageing.”
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