Evidence map›Paper›PMID 24304033›Full record

Trial reportBreastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine

Women's perceptions of breastfeeding barriers in early postpartum period: a qualitative analysis nested in two randomized controlled trials.

Alice S Teich, Josephine Barnett, Karen Bonuck

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06770595 (The Effect of Prenatal Breastfeeding Education Through Clinical Demonstrations for Primiparous Women to Prevent Sore Nipples and Engorgement), which is not on this map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 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.

NCT06770595 nanot yet recruitingnot on this map

The Effect of Prenatal Breastfeeding Education Through Clinical Demonstrations for Primiparous Women to Prevent Sore Nipples and Engorgement

TypeinterventionalSponsorGadjah Mada UniversityRan2025 to 2026Enrolled100ConditionsNipple Infection, Nipple Discharge, EngorgementArmsbreastfeeding positions and attachment practice.
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  14. Breastfeeding practices among Syrian refugees in Turkey.International breastfeeding journal · 2022
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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

3 authors.

Alice S Teich1 Department of Family and Social Medicine, Montefiore Medical Center/Albert Einstein College of Medicine , Bronx, New York.
Josephine Barnett
Karen Bonuck

Funding

Training/Education CoreP20MD000516 · NIMHD · MEHARRY MEDICAL COLLEGE · PI LEVINE, ROBERT A · 2003 to 2013
$14.2M
The impact of fast food, supermarkets & parks on obesity and diabetes in New YorkP60MD000514 · NIMHD · YESHIVA UNIVERSITY · PI BARNHART, JANICE · 2003 to 2011
$11.3M
NICHD NIH HHS R01 HD04976301A2NIMHD NIH HHS 1P60 MD 000516-06NIMHD NIH HHS P60 MD000514
6 · The paper itself

Abstract

objectivesThis study examined women's perceptions of early infant feeding experiences and identified early postpartum barriers to successful breastfeeding. SUBJECTS AND

methodsWe conducted semistructured exit interviews at 6 months postpartum with a subsample of participants (n=67) enrolled in two randomized controlled trials of breastfeeding promotion. Study arms included (1) routine pre- and postnatal visits with an International Board Certified Lactation Consultant (IBCLC) (LC group), (2) electronically prompted guidance from prenatal care providers (EP group), (3) EP+LC combined, and (4) standard of care (control group). Interview transcripts were coded using grounded theory and analyzed in MAXqda. Code matrices were used to identify early postpartum breastfeeding barriers and were further examined in relation to treatment group using a mixed methods analysis.

resultsThe majority of the participants reported experiencing at least one barrier to breastfeeding. Barriers to breastfeeding were more commonly reported in the early postpartum than late postpartum period. The most common barrier during the early postpartum period was the perception of inadequate milk supply ("lactational") (n=18), followed by problems with latch, medical problems that were perceived as precluding breastfeeding, and medical staff and hospital practices. Participants frequently reported that the IBCLCs assisted them in anticipating, managing, and overcoming these barriers.

conclusionsOur findings underscore the importance of integrating IBCLCs into routine pre- and postpartum care because they provide critical support that effectively addresses early postpartum barriers to breastfeeding.

Indexed as

PerceptionPostnatal CareAdultBreast FeedingEvaluation Studies as TopicFeeding BehaviorFemaleHealth Knowledge, Attitudes, PracticeHumansInfantPostpartum PeriodWomenYoung Adult

Identifiers

PMID24304033
PMCPMC3903167

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.