LACTATION outcomes in critically ill postpartum patients remain an understudied aspect of intensive care, but a new retrospective study highlights both the promise and pitfalls of current ICU practices. Conducted at an academic medical center between 2018 and 2024, this study reviewed 102 postpartum ICU admissions to investigate lactation rates, support service use, and documented care plans.
The majority of ICU patients initiated lactation (85%), but only 70% continued through to discharge. A key finding was that patients with a documented intention to lactate before delivery were over nine times more likely to initiate lactation afterward (OR 9.21; 95% CI 1.96–43.3). Despite this, such plans were documented in only 60% of cases.
Although lactation consultants (LCs) were involved in care for most patients (75%), less than 30% saw a consultant within the first 24 hours of delivery. The study found a significant link between LC support and continued lactation through discharge (OR 4.74; 95% CI 1.77–12.7). Alarmingly, nearly 20% of mechanically ventilated patients did not express milk during intubation, highlighting systemic gaps.
The authors emphasize that while critical illness does not inherently prevent successful lactation, timely and structured support appears essential. Delays in LC consultation, lack of planning, and inconsistent documentation may all hinder patients from achieving their lactation goals.
These findings suggest a pressing need for improved ICU protocols to support lactation, particularly for patients receiving mechanical ventilation or intensive support.
Reference:
Kolbe KJ et al. Lactation Practices in Critically Ill Patients. ICU Organization. 2025;3:100123.
