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Aim: This article provides a concept analysis of anticipatory guidance regarding breastfeeding-related pain and establishes a definition to inform the concept's practical use., Background: Breastfeeding-related pain is a barrier to achieving optimal breastfeeding outcomes, which can impede maternal and infant health. Education through anticipatory guidance that addresses breastfeeding-related pain can improve breastfeeding outcomes, but no formal definition is currently available for practitioner use., Design: Walker and Avant's protocol for concept analyses was employed., Data Source: A comprehensive literature review was conducted using CINAHL, PubMed, Scopus, and OMNI. Search terms included anticipatory guidance, breastfeeding, pediatrics, nursing, and lactating. This identified 379 articles, of which six addressed anticipatory guidance for breastfeeding-related pain., Review Methods: Inclusion criteria asked that literature be available in English and published between 2000 and 2020., Results: Three key characteristics of anticipatory guidance regarding breastfeeding-related pain were identified: timing, content, and intention. Antecedents included maternal intention to breastfeed and interaction with a healthcare provider. Consequences included improved breastfeeding outcomes, enhanced maternal understanding of challenges, and maternal empowerment in relation to pain management., Conclusions: Anticipatory guidance about breastfeeding-related pain can empower women to sustain breastfeeding in spite of challenges, thus prolonging the breastfeeding period, and subsequently improving infant nutrition and health outcomes., (© 2021 Wiley Periodicals LLC.)

We describe the largest-to-date single-center implementation of tele-epilepsy. Beginning in 2017, all patients at a single tertiary care academic epilepsy center were offered the option to complete outpatient follow-up visits via video-conferencing using personal devices. A retrospective review of all patients who self-selected virtual visits over nearly 3 years showed 2140 patients completed 3698 tele-epilepsy visits, with 41% completing more than one visit during the study period. Based on the distance from the center to the home address, 26.7% of patients were local (≤50 miles), 30.5% were near regional (51-150 miles), 20.1% were far regional (151-270 miles), and 22.7% were remote (>270 miles), from 43 different states. An estimated 928 696 miles of travel was prevented, with a median travel distance saved of 124.5 miles (interquartile range = 45.0-253.0). The mean visit time was 15.7 (±10.4) minutes. More than 90% of patients gave the visit and provider experience the maximum rating, with a nearly 60% response rate on the post-visit survey. Virtual outpatient follow-up care provides a convenient way to connect with epilepsy specialists and reduce the burden of care by cutting travel time. Our experience demonstrates that outpatient tele-epilepsy is feasible, sustainable, and scalable., (© 2020 International League Against Epilepsy.)