ReviewMaternal & child nutrition2017
Understanding process and context in breastfeeding support interventions: The potential of qualitative research.
Review in Maternal & child nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- What do we want to get out of this? a critical interpretive synthesis of the value of process evaluations, with a practical planning framework.BMC medical research methodology · 2022Pooled it
- Pooled it
- Men's views and experiences of infant feeding: A qualitative systematic review.Maternal & child nutrition · 2018Pooled it
- Exploring UK breastmilk donors' perspectives on breastfeeding as a protective factor against breast cancer: a qualitative study.BMJ open · 2026Article
- The impact of one-to-one peer support on mothers' personal breastfeeding goals and emotional well-being: a scoping review.Public health nutrition · 2026Article
- Breastfeeding with primary low milk supply: a phenomenological exploration of mothers' lived experiences of postnatal breastfeeding support.International breastfeeding journal · 2025Article
- Becoming breastfeeding friendly in Wales: Recommendations for scaling up breastfeeding support.Maternal & child nutrition · 2023Article
- Maternal perceptions and experiences of breastfeeding support in Baby-Friendly hospitals: An integrative review.International journal of nursing studies advances · 2022Review
- Well-Informed and Willing, but Breastfeeding Does Not Work: A Qualitative Study on Perceived Support from Health Professionals among German Mothers with Breastfeeding Problems.Healthcare (Basel, Switzerland) · 2022Article
- Self-conscious emotions and breastfeeding support: A focused synthesis of UK qualitative research.Maternal & child nutrition · 2022Review
- A Mixed-Methods Examination of Inpatient Breastfeeding Education Using a Human Factors Perspective.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2021Article
- UNICEF UK Baby Friendly Initiative: Providing, receiving and leading infant feeding care in a hospital maternity setting-A critical ethnography.Maternal & child nutrition · 2021Article
- Vulnerable mothers' experiences breastfeeding with an enhanced community lactation support program.Maternal & child nutrition · 2020Article
- 'Surely you're not still breastfeeding': a qualitative exploration of women's experiences of breastfeeding beyond infancy in the UK.BMJ open · 2020Article
- Supporting, failing to support and undermining breastfeeding self-efficacy: Analysis of helpline calls.Maternal & child nutrition · 2020Article
- Previous breastfeeding difficulties: an existential breastfeeding trauma with two intertwined pathways for future breastfeeding-fear and longing.International journal of qualitative studies on health and well-being · 2019Article
- Antenatal breastfeeding self-efficacy and breastfeeding outcomes among mothers participating in a feasibility breastfeeding-support intervention.Irish journal of medical science · 2019Article
- Care during Breastfeeding: Perceptions of Mothers and Health Professionals.Investigacion y educacion en enfermeria · 2019Article
- Experiences with peer support for breastfeeding in Beirut, Lebanon: A qualitative study.PloS one · 2019Article
- Capturing Changes in HIV-Infected Breastfeeding Mothers' Cognitive Processes from Before Delivery to 5 Months Postpartum: An Application of the Pile-Sorting Technique in Haiti.Current developments in nutrition · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Considerable effort has been made in recent years to gain a better understanding of the effectiveness of different interventions for supporting breastfeeding. However, research has tended to focus primarily on measuring outcomes and has paid comparatively little attention to the relational, organizational, and wider contextual processes that may impact delivery of an intervention. Supporting a woman with breastfeeding is an interpersonal encounter that may play out differently in different contexts, despite the apparently consistent aims and structure of an intervention. We consider the limitations of randomized controlled trials for building understanding of the ways in which different components of an intervention may impact breastfeeding women and how the messages conveyed through interactions with breastfeeding supporters might be received. We argue that qualitative methods are ideally suited to understanding psychosocial processes within breastfeeding interventions and have been underused. After briefly reviewing qualitative research to date into experiences of receiving and delivering breastfeeding support, we discuss the potential of theoretically informed qualitative methodologies to provide fuller understanding of intervention processes by focusing on three examples: phenomenology, ethnography, and discourse analysis. The paper concludes by noting some of the epistemological differences between the broadly positivist approach of trials and qualitative methodologies, and we suggest there is a need for further dialog as to how researchers might bridge these differences in order to develop a fuller and more holistic understanding of how best to support breastfeeding women.
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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.