ArticlePloS one2014
Medically complex pregnancies and early breastfeeding behaviors: a retrospective analysis.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Metabolic effects of breastfeed in women with prior gestational diabetes mellitus: A systematic review and meta-analysis.Diabetes/metabolism research and reviews · 2019Pooled it
- Interventions for women who have a caesarean birth to increase uptake and duration of breastfeeding: A systematic review.Maternal & child nutrition · 2017Pooled it
- Severe Maternal Morbidity and Breastfeeding Among Nulliparous Individuals in the United States.Obstetrics and gynecology · 2026Article
- The Breastfeeding Experiences of Mother-Infant Dyads and the Effects of an FMR1 Mutation.Journal of autism and developmental disorders · 2026Article
- Healthcare professionals' knowledge and perceptions of infant formulas composition: a comparative study of Spanish pediatricians and pharmacy professionals.Frontiers in nutrition · 2026Article
- Association of Pre- and Gestational Conditions and Barriers to Breastfeeding with Exclusive Breastfeeding Practices.Nutrients · 2025Article
- Breastfeeding in Turkey: practices, barriers, and cultural dynamics for global insights.Frontiers in pediatrics · 2025Article
- Challenges and Choices in Breastfeeding Healthy, Sick and Preterm Babies: Review.Healthcare (Basel, Switzerland) · 2024Review
- Breastfeeding Intention and Breastfeeding Postpartum Outcomes between High-Risk and Low-Risk Pregnant Women: A Greek Prospective Cohort Study.International journal of environmental research and public health · 2024Article
- The multidimensional impact of maternal near-miss on the lives of women in Zanzibar, Tanzania: a prospective, 1-year follow-up study.AJOG global reports · 2023Article
- Study protocol for the sheMATTERS study (iMproving cArdiovascular healTh in new moThERS): a randomized behavioral trial assessing the effect of a self-efficacy enhancing breastfeeding intervention on postpartum blood pressure and breastfeeding continuation in women with hypertensive disorders of pregnancy.BMC pregnancy and childbirth · 2023Article
- All-Cause Severe Maternal Morbidity (SMM) and Transfusion-Only SMM Are Independently Associated with a Lower Likelihood of Exclusive Breastfeeding.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2022Article
- Does COVID-19 Policy Affect Initiation and Duration of Exclusive Breastfeeding? A Single-center Retrospective Study.Risk management and healthcare policy · 2022Article
- Factors associated with early cessation of exclusive breast feeding among Saudi mothers: A prospective observational study.Journal of family medicine and primary care · 2021Article
- Association of prenatal medical risk with breastfeeding outcomes up to 12 months in the All Our Families community-based birth cohort.International breastfeeding journal · 2021Article
- Breastfeeding Practices and Problems Among Obese Women Compared with Nonobese Women in a Brazilian Hospital.Women's health reports (New Rochelle, N.Y.) · 2021Article
- Factors that influence mothers' prenatal decision to breastfeed in Spain.International breastfeeding journal · 2020Observational
- Breast Milk, a Source of Beneficial Microbes and Associated Benefits for Infant Health.Nutrients · 2020Review
- A cross-country exploratory study to investigate the labelling, energy, carbohydrate and sugar content of formula milk products marketed for infants.British dental journal · 2020Article
- Formula Feeding and Associated Factors among a Group of Egyptian Mothers.Open access Macedonian journal of medical sciences · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundBreastfeeding is beneficial for women and infants, and medical contraindications are rare. Prenatal and labor-related complications may hinder breastfeeding, but supportive hospital practices may encourage women who intend to breastfeed. We measured the relationship between having a complex pregnancy (entering pregnancy with hypertension, diabetes, or obesity) and early infant feeding, accounting for breastfeeding intentions and supportive hospital practices.
methodsWe performed a retrospective analysis of data from a nationally-representative survey of women who gave birth in 2011-2012 in a US hospital (N = 2400). We used logistic regression to examine the relationship between pregnancy complexity and breastfeeding. Self-reported prepregnancy diabetes or hypertension, gestational diabetes, or obesity indicated a complex pregnancy. The outcome was feeding status 1 week postpartum; any breastfeeding was evaluated among women intending to breastfeed (N = 1990), and exclusive breastfeeding among women who intended to exclusively breastfeed (N = 1418). We also tested whether breastfeeding intentions or supportive hospital practices mediated the relationship between pregnancy complexity and infant feeding status.
resultsMore than 33% of women had a complex pregnancy; these women had 30% lower odds of intending to breastfeed (AOR = 0.71; 95% CI, 0.52-0.98). Rates of intention to exclusively breastfeed were similar for women with and without complex pregnancies. Women who intended to breastfeed had similar rates of any breastfeeding 1 week postpartum regardless of pregnancy complexity, but complexity was associated with >30% lower odds of exclusive breastfeeding 1 week among women who intended to exclusively breastfeed (AOR = 0.68; 95% CI, 0.47-0.98). Supportive hospital practices were strongly associated with higher odds of any or exclusive breastfeeding 1 week postpartum (AOR = 4.03; 95% CI, 1.81-8.94; and AOR = 2.68; 95% CI, 1.70-4.23, respectively).
conclusionsImproving clinical and hospital support for women with complex pregnancies may increase breastfeeding rates and the benefits of breastfeeding for women and infants.
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