Missouri
New research sheds light on breastfeeding barriers in rural communities
March 3, 2025
Contact: Brian Consiglio, consigliob@missouri.edu
Breastfeeding can be a challenge for many new moms, regardless of where they live. However, a new study from the University of Missouri highlights a unique struggle faced by mothers in rural America: a lack of access to support systems and information. As a result, rural moms are more likely to stop breastfeeding within the first few days or weeks compared to their urban and suburban counterparts.
Like all new mothers, women in rural areas want to ensure their babies are getting enough nourishment — but without proper guidance on breastfeeding best practices, it can be difficult to gauge.
“Growing up in rural Missouri and working in maternal child health myself, I wanted to understand how rural moms in Missouri made their decisions about breastfeeding and how their rural environment impacted those decisions,” said Karry Weston, the study’s lead author and a postdoctoral fellow in Mizzou’s Sinclair School of Nursing. “I found that many of the rural moms I spoke with were highly motivated to breastfeed at first and were aware of the many health benefits breastfeeding provides for both them and their babies — they just ended up not sticking with it after a few days or weeks.”
During her research, Weston discovered several factors that led rural moms to discontinue breastfeeding after a short period of time. Those factors include a lack of practical knowledge on what to expect, feeling overwhelmed, a lack of access to lactation consultants in rural areas and a lack of community support.
For her study, Weston interviewed first-time moms throughout rural Missouri about their experiences feeding their newborn babies. She found that many were unsure whether their babies were getting enough milk or if they were producing sufficient supplies.
Some rural moms Weston spoke with had questions regarding pumping or latching techniques. Others found formula to be more convenient given their busy schedules with work and school. Some rural moms reported being hours away from the nearest lactation consultant. Others came from families and communities where formula feeding is considered the norm.
Weston hopes this research can help improve the information, resources and support given to new moms.
Telehealth and home visiting nurse programs with lactation-certified nurses can be potential touchpoints for rural moms looking for breastfeeding guidance.
Weston’s interest in this research stemmed from her experience at Hannibal Regional Hospital, Missouri’s first hospital to be designated “baby-friendly” for its efforts to increase breastfeeding rates. Working as both a labor and delivery nurse and a childbirth educator, Weston recognized the need to find ways to better support new moms immediately after they give birth.
“For example, we give them pumps, but we could also give them more information about how to use them or what to expect when pumping,” Weston said. “Some moms may think they are not producing enough milk when in reality, they are. We can help moms feel more confident.”
Weston added that giving new moms more practical tips on balancing breastfeeding with a busy lifestyle can be beneficial. Local support systems can also offer valuable assistance.
“For new moms, seeing someone in their family or community successfully breastfeeding can be very inspiring and lead to a domino effect,” Weston said. “When rural moms who choose to breastfeed have the support of family, friends, neighbors or co-workers who also chose to breastfeed, the support system is very encouraging to rural moms by reducing the stigma.”
Mizzou’s emphasis on supporting rural communities, particularly with MU Extension programs, motivates Weston to continue her research.
“Hopefully I can help rural moms access more support and feel more confident in whatever decisions they choose,” Weston said. “Whether it is hearing new moms say they used a new resource or learned about a new program that improved their experience, I feel motivated to support rural moms.”
“Expectations and perspectives about infant feeding of their first child among rural women” was published in the Journal of Obstetric, Gynecologic and Neonatal Nursing.
Missouri
Missouri Lottery Powerball, Pick 3 winning numbers for April 18, 2026
The Missouri Lottery offers several draw games for those aiming to win big.
Here’s a look at April 18, 2026, results for each game:
Winning Powerball numbers from April 18 drawing
24-25-39-46-61, Powerball: 01, Power Play: 5
Check Powerball payouts and previous drawings here.
Winning Pick 3 numbers from April 18 drawing
Midday: 5-8-2
Midday Wild: 3
Evening: 3-8-5
Evening Wild: 1
Check Pick 3 payouts and previous drawings here.
Winning Pick 4 numbers from April 18 drawing
Midday: 0-1-6-1
Midday Wild: 2
Evening: 4-7-6-9
Evening Wild: 5
Check Pick 4 payouts and previous drawings here.
Winning Cash Pop numbers from April 18 drawing
Early Bird: 08
Morning: 01
Matinee: 05
Prime Time: 04
Night Owl: 05
Check Cash Pop payouts and previous drawings here.
Winning Show Me Cash numbers from April 18 drawing
07-10-21-27-33
Check Show Me Cash payouts and previous drawings here.
Winning Powerball Double Play numbers from April 18 drawing
02-38-45-53-63, Powerball: 21
Check Powerball Double Play payouts and previous drawings here.
Feeling lucky? Explore the latest lottery news & results
Are you a winner? Here’s how to claim your lottery prize
All Missouri Lottery retailers can redeem prizes up to $600. For prizes over $600, winners have the option to submit their claim by mail or in person at one of Missouri Lottery’s regional offices, by appointment only.
To claim by mail, complete a Missouri Lottery winner claim form, sign your winning ticket, and include a copy of your government-issued photo ID along with a completed IRS Form W-9. Ensure your name, address, telephone number and signature are on the back of your ticket. Claims should be mailed to:
Ticket Redemption
Missouri Lottery
P.O. Box 7777
Jefferson City, MO 65102-7777
For in-person claims, visit the Missouri Lottery Headquarters in Jefferson City or one of the regional offices in Kansas City, Springfield or St. Louis. Be sure to call ahead to verify hours and check if an appointment is required.
For additional instructions or to download the claim form, visit the Missouri Lottery prize claim page.
When are the Missouri Lottery drawings held?
- Powerball: 9:59 p.m. Monday, Wednesday and Saturday.
- Mega Millions: 10 p.m. Tuesday and Friday.
- Pick 3: 12:45 p.m. (Midday) and 8:59 p.m. (Evening) daily.
- Pick 4: 12:45 p.m. (Midday) and 8:59 p.m. (Evening) daily.
- Cash4Life: 8 p.m. daily.
- Cash Pop: 8 a.m. (Early Bird), 11 a.m. (Late Morning), 3 p.m. (Matinee), 7 p.m. (Prime Time) and 11 p.m. (Night Owl) daily.
- Show Me Cash: 8:59 p.m. daily.
- Lotto: 8:59 p.m. Wednesday and Saturday.
- Powerball Double Play: 9:59 p.m. Monday, Wednesday and Saturday.
This results page was generated automatically using information from TinBu and a template written and reviewed by a Missouri editor. You can send feedback using this form.
Missouri
Missouri Lottery Mega Millions, Pick 3 winning numbers for April 17, 2026
The Missouri Lottery offers several draw games for those aiming to win big.
Here’s a look at April 17, 2026, results for each game:
Winning Mega Millions numbers from April 17 drawing
38-43-44-49-62, Mega Ball: 08
Check Mega Millions payouts and previous drawings here.
Winning Pick 3 numbers from April 17 drawing
Midday: 4-8-6
Midday Wild: 2
Evening: 8-8-2
Evening Wild: 1
Check Pick 3 payouts and previous drawings here.
Winning Pick 4 numbers from April 17 drawing
Midday: 3-9-4-2
Midday Wild: 4
Evening: 7-3-7-7
Evening Wild: 7
Check Pick 4 payouts and previous drawings here.
Winning Cash Pop numbers from April 17 drawing
Early Bird: 07
Morning: 06
Matinee: 08
Prime Time: 05
Night Owl: 07
Check Cash Pop payouts and previous drawings here.
Winning Show Me Cash numbers from April 17 drawing
04-06-25-37-39
Check Show Me Cash payouts and previous drawings here.
Feeling lucky? Explore the latest lottery news & results
Are you a winner? Here’s how to claim your lottery prize
All Missouri Lottery retailers can redeem prizes up to $600. For prizes over $600, winners have the option to submit their claim by mail or in person at one of Missouri Lottery’s regional offices, by appointment only.
To claim by mail, complete a Missouri Lottery winner claim form, sign your winning ticket, and include a copy of your government-issued photo ID along with a completed IRS Form W-9. Ensure your name, address, telephone number and signature are on the back of your ticket. Claims should be mailed to:
Ticket Redemption
Missouri Lottery
P.O. Box 7777
Jefferson City, MO 65102-7777
For in-person claims, visit the Missouri Lottery Headquarters in Jefferson City or one of the regional offices in Kansas City, Springfield or St. Louis. Be sure to call ahead to verify hours and check if an appointment is required.
For additional instructions or to download the claim form, visit the Missouri Lottery prize claim page.
When are the Missouri Lottery drawings held?
- Powerball: 9:59 p.m. Monday, Wednesday and Saturday.
- Mega Millions: 10 p.m. Tuesday and Friday.
- Pick 3: 12:45 p.m. (Midday) and 8:59 p.m. (Evening) daily.
- Pick 4: 12:45 p.m. (Midday) and 8:59 p.m. (Evening) daily.
- Cash4Life: 8 p.m. daily.
- Cash Pop: 8 a.m. (Early Bird), 11 a.m. (Late Morning), 3 p.m. (Matinee), 7 p.m. (Prime Time) and 11 p.m. (Night Owl) daily.
- Show Me Cash: 8:59 p.m. daily.
- Lotto: 8:59 p.m. Wednesday and Saturday.
- Powerball Double Play: 9:59 p.m. Monday, Wednesday and Saturday.
This results page was generated automatically using information from TinBu and a template written and reviewed by a Missouri editor. You can send feedback using this form.
Missouri
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