ArticleBreastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine
Barriers to Human Milk Feeding at Discharge of Very-Low-Birth-Weight Infants: Maternal Goal Setting as a Key Social Factor.
Article 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. Cited by 30 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
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Understanding the Domains of Experiences of Black Mothers with Preterm Infants in the United States: A Systematic Literature Review.Journal of racial and ethnic health disparities · 2023Pooled it
- Pooled it
- Timing and intensity of lactation support influences NICU discharge on maternal milk.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Short outcomes of donor milk and mother's own milk for preterm infants.Pediatric research · 2026Article
- Racial and Ethnic Disparities in Mother's Milk Provision Among Mothers of Preterm Infants.JAMA network open · 2025Article
- National Trends in Breastfeeding by Gestational Age Category.The Journal of pediatrics · 2025Article
- Implementing a colostrum-kit reduces the time to first colostrum for neonates admitted to the NICU - a retrospective observational study.International breastfeeding journal · 2024Observational
- Determinants of health care worker breastfeeding experience and practices and their association with provision of care for breastfeeding mothers: a mixed-methods study from Northern Thailand.International breastfeeding journal · 2024Article
- Milk Biomarkers of Secretory Activation in Breast Pump-Dependent Mothers of Preterm Infants: An Integrative Review.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2024Review
- Human Milk Feeding Is Associated with Decreased Incidence of Moderate-Severe Bronchopulmonary Dysplasia in Extremely Preterm Infants.Children (Basel, Switzerland) · 2023Article
- Early pumping frequency and coming to volume for mother's own milk feeding in hospitalized infants.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- The impact of a Donor Human Milk Program on the provision of mothers' own milk at discharge in very low birth weight infants.Journal of perinatology : official journal of the California Perinatal Association · 2022Article
- Barriers to optimal breast milk provision in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2022Article
- Evaluating Care in Safety Net Hospitals: Clinical Outcomes and Neonatal Intensive Care Unit Quality of Care in California.The Journal of pediatrics · 2022Article
- Article
- Advocating for donor milk access in Medicaid: bringing equity to the neonatal intensive care unit.Pediatric research · 2022Article
- Breastfeeding in Incarcerated Settings in the United States: A National Survey of Frequency and Policies.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2021Article
- Black/African American Breastfeeding Experience: Cultural, Sociological, and Health Dimensions Through an Equity Lens.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2021Review
- Human milk fortification: the clinician and parent perspectives.Pediatric research · 2020Review
- Racial/ethnic disparities and human milk use in necrotizing enterocolitis.Pediatric research · 2020Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundWhile black mothers initiate human milk (HM) provision at lower rates than non-black mothers in the United States, some neonatal intensive care units (NICUs) report similar initiation rates regardless of race/ethnicity for mothers of very-low-birth-weight (VLBW) infants. However, racial disparity frequently becomes evident in the proportion of black infants who continue to receive HM feedings at NICU discharge. Since social factors have been associated with differences in HM provision for term infants, we sought to identify differences in social factors associated with HM feeding at discharge based on race/ethnicity. MATERIALS AND
methodsA prospective cohort study of racially diverse mothers of VLBW infants measured social factors including maternal education, breastfeeding support, return to work/school, HM feeding goal, previous breastfeeding, or formula experience. Multivariate logistic regression modeling was applied to social factors to predict HM feeding at discharge. Additional regression models were created for racial/ethnic subgroups to identify differences.
resultsFor all 362 mothers, WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) eligibility and maternal goal near time of discharge of providing any HM negatively and positively predicted HM feeding at discharge, respectively. Perceived breastfeeding support from the infant's maternal grandmother negatively predicted HM feeding at discharge for black mothers.
conclusionsFuture interventions to increase duration of HM provision in VLBW infants should focus on the establishment and maintenance of maternal HM feeding goals. Further studies of the familial support system of black mothers are warranted to determine multigenerational impact and potential interventions.
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