ArticleMaternal & child nutrition2015
Weighing worth against uncertain work: the interplay of exhaustion, ambiguity, hope and disappointment in mothers breastfeeding late preterm infants.
Article in Maternal & child nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Positive breastfeeding experiences and facilitators in mothers of preterm and low birthweight infants: a meta-ethnographic review.International breastfeeding journal · 2021Pooled it
- Parents' Experiences of Feeding Preterm Infants After Hospital Discharge: A Scoping Review.Maternal & child nutrition · 2026Article
- Mother's Own Milk Provision During the First 12 Weeks of Life by Gestational Age.JAMA network open · 2025Article
- Practices supporting cue-based breastfeeding of preterm infants in neonatal intensive care units across Europe.International breastfeeding journal · 2025Article
- Feeding Difficulties in Late Preterm Infants and Their Impact on Maternal Mental Health and the Mother-Infant Relationship: A Literature Review.Nutrients · 2023Review
- Breastfeeding initiation, duration, and experiences of mothers of late preterm twins: a mixed-methods study.International breastfeeding journal · 2022Article
- Breastfeeding Difficulties Predict Mothers' Bonding with Their Infants from Birth to Age Six Months.Maternal and child health journal · 2021Article
- Breastfeeding progression in late preterm infants from birth to one month.Maternal & child nutrition · 2020Article
- "Something is wrong with your milk": Qualitative study of maternal dietary restriction and beliefs about infant colic.Canadian family physician Medecin de famille canadien · 2019Article
- Observational
- A qualitative study: Mothers of late preterm infants relate their experiences of community-based care.PloS one · 2017Article
- Breastfeeding Evaluation Indicators System is a Promising Evaluation Tool for Preterm Infants in Neonatal Intensive Care Units (NICU).Medical science monitor : international medical journal of experimental and clinical research · 2016Article
- Breastfeeding the late preterm infant: experiences of mothers and perceptions of public health nurses.International breastfeeding journal · 2016Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
Poor breastfeeding outcomes among late preterm infants (LPIs) have been attributed to inadequate breast milk transfer stemming from physiological immaturities. However, breastfeeding is more than a biological phenomenon, and it is unclear how mothers of LPIs manage other factors that may also impact the breastfeeding course. Using grounded theory methods and incorporating serial post-partum interviews with several novel data collection techniques, we examined breastfeeding establishment over a 6-8-week-period among 10 late preterm mother-infant dyads recruited from a maternity hospital in Pittsburgh, Pennsylvania, USA. We found that breastfeeding in the LPI population was a fluctuating, cascade-like progression of trial and error, influenced by a host of contextual factors and events and culminating with breastfeeding continuation (with or without future caveats for duration or exclusivity of breastfeeding) or cessation. The trajectory was explained by the basic psychosocial process Weighing Worth against Uncertain Work, which encompassed the tension among breastfeeding motivation, the intensity of breastfeeding work and the ambiguity surrounding infant behaviour and feeding cues. Several sub-processes were also identified: Playing the Game, Letting Him Be the Judge vs. Accommodating Both of Us and Questioning Worth vs. Holding out Hope. If valid, our theoretical model indicates a need for earlier, more extensive and more qualified breastfeeding support for mothers of LPIs that emphasizes the connection between prematurity and observed feeding behaviours.
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Registered trials
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