The role of antenatal screening and postnatal point-of-care testing in maximizing milk production and extending lactation

Several factors not routinely identified in pregnancy:are associated with reduced exclusivity and duration of breastfeeding. Identification of pregnant women at risk of low milk production creates a window for education and intervention. This screening in combination with point-of-care milk testing that can detect delayed secretory activation:breast inflammation or infection:and low milk production:directly informs lactation care that may optimize breastfeeding outcomes. Advances in practice are urgent due to the increasing prevalence of pregnancy complications found to be associated with low milk production. It is critical that research is carried out to develop interventions to improve lactation outcomes.