ArticlePediatrics2013
Breastfeeding concerns at 3 and 7 days postpartum and feeding status at 2 months.
Article in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 81 papers, 6 of them syntheses that pooled 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.
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.
Metformin to Augment Low Milk Supply in Pre-diabetic Mothers, a Phase I/II Randomized Clinical Trial
Open the trial in the graphEffect of an Immediate-postpartum Support by IBCLC to Women With Obesity, on Breastfeeding Performance: A Randomized Trial.
The Effect of Prenatal Breastfeeding Education Through Clinical Demonstrations for Primiparous Women to Prevent Sore Nipples and Engorgement
Who cites it
81 citing papers in PubMed, 6 syntheses or guidelines pooled it, 232 citations in OpenAlex.
- Risk factors for self-reported insufficient milk during the first 6 months of life: A systematic review.Maternal & child nutrition · 2022Pooled it
- The rates and factors of perceived insufficient milk supply: A systematic review.Maternal & child nutrition · 2022Pooled it
- Comprehensively addressing postpartum maternal health: a content and image review of commercially available mobile health apps.BMC pregnancy and childbirth · 2021Pooled it
- Oral galactagogues (natural therapies or drugs) for increasing breast milk production in mothers of non-hospitalised term infants.The Cochrane database of systematic reviews · 2020Pooled it
- Effectiveness of interventions on breastfeeding self-efficacy and perceived insufficient milk supply: A systematic review and meta-analysis.Maternal & child nutrition · 2018Pooled it
- Early additional food and fluids for healthy breastfed full-term infants.The Cochrane database of systematic reviews · 2016Pooled it
- Structured antenatal milk expression education for nulliparous pregnant people: results of a pilot, randomized controlled trial in the United States.International breastfeeding journal · 2022Trial
- Implementing a successful proactive telephone breastfeeding peer support intervention: volunteer recruitment, training, and intervention delivery in the RUBY randomised controlled trial.International breastfeeding journal · 2021Trial
- Online participatory intervention to promote and support exclusive breastfeeding: Randomized clinical trial.Maternal & child nutrition · 2019Trial
- Feasibility and acceptability of a text message intervention used as an adjunct tool by WIC breastfeeding peer counsellors: The LATCH pilot.Maternal & child nutrition · 2018Trial
- Efficacy of a Breastfeeding Pain Self-Management Intervention: A Pilot Randomized Controlled Trial.Nursing researchTrial
- The Effect of Interactive Web-Based Monitoring on Breastfeeding Exclusivity, Intensity, and Duration in Healthy, Term Infants After Hospital Discharge.Journal of obstetric, gynecologic, and neonatal nursing : JOGNNTrial
- A comparison between an early- and a late frenulotomy for neonates with problematic tongue-tie.Pediatric surgery international · 2026Article
- Strengthening breastfeeding counseling through a two-phase training and implementation intervention in Ecuador's local healthcare system.International breastfeeding journal · 2026Article
- High breastfeeding continuation at two months after birth in women receiving home-based postnatal midwifery care and factors associated with breastfeeding cessation: A prospective cohort study.European journal of midwifery · 2026Article
- Quantifying Maternal Health Using Digital Phenotyping: Protocol for a Longitudinal Observational Study.JMIR research protocols · 2025Article
- Psychometric properties of the Turkish version of the neonatal eating assessment tool-breastfeeding (NeoEAT-Breastfeeding).BMC nursing · 2025Article
- Establishing trust through home visits during pregnancy: a realist evaluation of a Danish breastfeeding support intervention.Archives of public health = Archives belges de sante publique · 2025Article
- Psychometric Properties of the Lactation Assessment and Comprehensive Intervention Tool (LAT).Nursing reports (Pavia, Italy) · 2024Article
- Could Photobiomodulation help lactating women and their newborns?Lasers in medical science · 2024Article
21 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveWe characterized breastfeeding concerns from open-text maternal responses and determined their association with stopping breastfeeding by 60 days (stopping breastfeeding) and feeding any formula between 30 and 60 days (formula use).
methodsWe assessed breastfeeding support, intentions, and concerns in 532 expectant primiparas and conducted follow-up interviews at 0, 3, 7, 14, 30, and 60 days postpartum. We calculated adjusted relative risk (ARR) and adjusted population attributable risk (PAR) for feeding outcomes by concern category and day, adjusted for feeding intentions and education.
resultsIn 2946 interviews, 4179 breastfeeding concerns were reported, comprising 49 subcategories and 9 main categories. Ninety-two percent of participants reported ≥ 1 concern at day 3, with the most predominant being difficulty with infant feeding at breast (52%), breastfeeding pain (44%), and milk quantity (40%). Concerns at any postpartum interview were significantly associated with increased risk of stopping breastfeeding and formula use, with peak ARR at day 3 (eg, stopping breastfeeding ARR [95% confidence interval] = 9.2 [3.0-infinity]). The concerns yielding the largest adjusted PAR for stopping breastfeeding were day 7 "infant feeding difficulty" (adjusted PAR = 32%) and day 14 "milk quantity" (adjusted PAR = 23%).
conclusionsBreastfeeding concerns are highly prevalent and associated with stopping breastfeeding. Priority should be given to developing strategies for lowering the overall occurrence of breastfeeding concerns and resolving, in particular, infant feeding and milk quantity concerns occurring within the first 14 days postpartum.
Indexed as
Identifiers
What OpenQuestion holds
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.