Evidence map›Paper›PMID 17592486›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2007

Ethnic/racial diversity, maternal stress, lactation and very low birthweight infants.

C Lau, N M Hurst, E O Smith, R J Schanler

Registry-linked trialAbstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06047470 (Macronutrients in Lactating NICU Parents - Impact of Kangaroo Care), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06047470 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Macronutrients in Lactating NICU Parents - Impact of Kangaroo Care

TypeinterventionalSponsorUniversity of California, DavisRan2023 to 2027Enrolled25ConditionsLactation Disorder With Baby Delivered, Nutrition Disorder, InfantArmsKangaroo Care, No Kangaroo Care
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. A global perspective on parental stress in the neonatal intensive care unit: a meta-analytic study.Journal of perinatology : official journal of the California Perinatal Association · 2020
    Pooled it
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  18. Milk Volume at 2 Weeks Predicts Mother's Own Milk Feeding at Neonatal Intensive Care Unit Discharge for Very Low Birthweight Infants.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2018
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  19. Article
  20. Barriers to Human Milk Feeding at Discharge of Very Low-Birthweight Infants: Evaluation of Neighborhood Structural Factors.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

C LauDepartment of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USA. clau@bcm.edu
N M Hurst
E O Smith
R J Schanler

Funding

ZOLENDRONIC ACID IN CHILDREN W/ SEVERE OSTEOGENESIS IMPERFECTAM01RR000188 · NCRR · BAYLOR COLLEGE OF MEDICINE · PI PLON, SHARON E. · 1985 to 2011
$30.6M
Oral Feeding in InfantsR01HD044469 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI LAU, CHANTAL · 2005 to 2009
$1.7M
FEEDING STRATEGIES FOR LOW BIRTH WEIGHT INFANTSR01HD028140 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI SCHANLER, RICHARD J. · 1992 to 2000
$380k
NCRR NIH HHS M01-RR00188NICHD NIH HHS R01 HD028140NICHD NIH HHS R01 HD044469NICHD NIH HHS R01-HD44469
6 · The paper itself

Abstract

objective(1) To compare maternal characteristics and psychological stress profile among African-American, Caucasian and Hispanic mothers who delivered very low birthweight infants. (2) To investigate associations between psychosocial factors, frequency of milk expression, skin-to-skin holding (STS), and lactation performance, defined as maternal drive to express milk and milk volume. STUDY

designSelf-reported psychological questionnaires were given every 2 weeks after delivery over 10 weeks. Milk expression frequency, STS, and socioeconomic variables were collected.

resultInfant birthweight, education, and milk expression frequency differed between groups. Trait anxiety, depression and parental stress in a neonatal intensive care unit (PSS:NICU) were similar. African-American and Caucasian mothers reported the lowest scores in state anxiety and social desirability, respectively. Maternal drive to express milk, measured by maintenance of milk expression, correlated negatively with parental role alteration (subset of PSS:NICU) and positively with infant birthweight and STS. Milk volume correlated negatively with depression and positively with milk expression frequency and STS.

conclusionDifferences between groups were observed for certain psychosocial factors. The response bias to self-reported questionnaires between groups may not provide an accurate profile of maternal psychosocial profile. With different factors correlating with maintenance of milk expression and milk volume, lactation performance can be best enhanced with a multi-faceted intervention program, incorporating parental involvement in infant care, close awareness and management of maternal mental health, and encouragement for frequent milk expression and STS.

Indexed as

Infant, Very Low Birth WeightStress, PsychologicalAdultCultural CharacteristicsEthnicityFemaleGestational AgeHumansInfant, NewbornInfant Nutritional Physiological PhenomenaLactationPregnancySurveys and Questionnaires

Identifiers

PMID17592486
PMCPMC2282065

What OpenQuestion holds

Textmetadata
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.