Is it compatible with breastfeeding? www.e-lactancia.org: Analysis of visits, user profile and most visited products

INTRODUCTION One of the factors to influence abandoning breastfeeding is mothers' use of medications. The www.e-lactancia.org website is a reliable source in Spanish and English for online free-access information about the compatibility of medications with breastfeeding. The aim of this study was to analyse the search profiles, and groups and products, searched the most on this website. MATERIALS AND METHODS A retrospective and descriptive study of the e-lactancia.org website during 2014-2018. Google Analytics was used for data collection. The following variables were analysed: number of users and queries; professional profile; country; language; users' and groups' access modes/devices; most searched products. RESULTS We found 16,821.559 users and 63,783.866 pages. Of users, 62.7 % were "mother/father", and 31.9 % were health professionals. Visits came mostly from: Spain (25.86 %); Mexico (16.87 %); Argentina (7.99 %); Chile (7.31 %). The preferred access mode and device were organic searches (62.1 %) and mobile phones (73.4 %), respectively. Phytotherapy (14.4 %), antibacterial agents (12.3 %) and NSAIDs (12.3 %) were the most searched groups, and ibuprofen (6.25 %) was the most popular product. CONCLUSION Users and consultations in e-lactation increased significantly during the study period. Mothers/fathers were the main website users, followed by health professionals. The main consulted groups were antibacterial agents, NSAIDs and systemic phytotherapy. Ibuprofen, paracetamol and amoxicillin stood out as the most consulted products. These results revealed increase Internet resources use to solve parents and health professionals' breastfeeding doubts. Future research should study how users (parents, health professionals) interact with this information.

[1]  P. Anderson LactMed Update--An Introduction. , 2016, Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.

[2]  P. Anderson Choosing Medication Alternatives During Breastfeeding, Avoiding Alternative Facts. , 2017, Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.

[3]  N. Rollins,et al.  Breastfeeding and maternal health outcomes: a systematic review and meta-analysis , 2015, Acta paediatrica.

[4]  Hao Hu,et al.  Healthcare providers' role regarding the safe and appropriate use of herbal products by breastfeeding mothers: A systematic literature review. , 2019, Complementary therapies in clinical practice.

[5]  L. Lindh-Åstrand,et al.  Women's perceptions of medication use during pregnancy and breastfeeding—A Swedish cross‐sectional questionnaire study , 2019, Acta obstetricia et gynecologica Scandinavica.

[6]  N. Alianmoghaddam,et al.  "I did a lot of Googling": A qualitative study of exclusive breastfeeding support through social media. , 2019, Women and birth : journal of the Australian College of Midwives.

[7]  C. Owen,et al.  Breast‐feeding and childhood cancer: A systematic review with metaanalysis , 2005, International journal of cancer.

[8]  John Mantas,et al.  Online Information Seeking Behaviour by Nurses and Physicians: A Cross-Sectional Study , 2016, Nursing Informatics.

[9]  A. Sacker,et al.  Exclusive breastfeeding duration and infant infection , 2016, European Journal of Clinical Nutrition.

[10]  O. AndersonPhilip Medication Information Sources for Breastfeeding Mothers. , 2017 .

[11]  A. Pottegård,et al.  Alcohol and breastfeeding. , 2014, Basic & clinical pharmacology & toxicology.

[12]  M. Bartick,et al.  Lactation Safety Recommendations and Reliability Compared in 10 Medication Resources , 2007, The Annals of pharmacotherapy.

[13]  Reece-StremtanSarah,et al.  ABM Clinical Protocol #15: Analgesia and Anesthesia for the Breastfeeding Mother, Revised 2017 , 2017 .

[14]  L. Rubert,et al.  Meta-variability of advice on drugs in the breastfeeding mother: the example of β-blockers , 2008, Archives of Disease in Childhood Fetal and Neonatal Edition.

[15]  M. Væth,et al.  The role of intention and self-efficacy on the association between breastfeeding of first and second child, a Danish cohort study , 2018, BMC Pregnancy and Childbirth.

[16]  Website reviews , 2002 .

[17]  M. HamidR.Jamali,et al.  Evaluating information seeking and use in the changing virtual world: the emerging role of Google Analytics , 2014, Learn. Publ..

[18]  A. Huntington,et al.  Primary health-care nurses and Internet health information-seeking: Access, barriers and quality checks. , 2016, International journal of nursing practice.

[19]  M. Shaffer,et al.  Extent of medication use in breastfeeding women. , 2007, Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.

[20]  C. Chambers,et al.  Evaluation of the Safety of Drugs and Biological Products Used During Lactation: Workshop Summary , 2017, Clinical pharmacology and therapeutics.

[21]  S. Ito Mother and Child: Medication Use in Pregnancy and Lactation , 2016, Clinical pharmacology and therapeutics.

[22]  S. R. Hahn,et al.  [Medications in breastfeeding: what evidence is there?] , 2019, Ciencia & saude coletiva.

[23]  E. O’Sullivan,et al.  Breastfeeding and health outcomes for the mother-infant dyad. , 2013, Pediatric clinics of North America.

[24]  R. Alfenas,et al.  Does breastfeeding influence the risk of developing diabetes mellitus in children? A review of current evidence. , 2014, Jornal de pediatria.

[25]  R. Alvaro,et al.  The Difficulties in Antihypertensive Drug Prescription During Lactation: Is the Information Consistent? , 2015, Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.

[26]  Mitsue Fujimaki,et al.  Influência da autoconfiança materna sobre o aleitamento materno exclusivo aos seis meses de idade: uma revisão sistemática , 2018, Ciência & Saúde Coletiva.

[27]  C. Neville,et al.  The relationship between breastfeeding and postpartum weight change—a systematic review and critical evaluation , 2014, International Journal of Obesity.

[28]  H. Boskabadi,et al.  Comparison between infants receiving traditional supplements (camel thorn, flix weed, and sugar water) and exclusively breast fed infants , 2015, Avicenna journal of phytomedicine.

[29]  Jeanette Senior,et al.  Primary health-care nurses and Internet health information-seeking: Access, barriers and quality checks , 2014 .

[30]  A. Manoguerra,et al.  Adverse Drug Reactions in Breastfed Infants: Less Than Imagined , 2003, Clinical pediatrics.

[31]  T. Hale,et al.  Balancing the Use of Medications While Maintaining Breastfeeding. , 2019, Clinics in perinatology.

[32]  T. Hale,et al.  Maternal medication, drug use, and breastfeeding. , 2013, Pediatric clinics of North America.

[33]  John Mantas,et al.  Health Professionals' Use of Online Information Retrieval Systems and Online Evidence , 2016, MIE.

[34]  R. Mačiulaitis,et al.  [Breastfeeding and medications]. , 2006, Medicina.

[35]  R. Pérez‐Escamilla,et al.  Pacifier Use and Exclusive Breastfeeding in Brazil , 2016, Journal of human lactation : official journal of International Lactation Consultant Association.