Observational studyJournal of human lactation : official journal of International Lactation Consultant Association2017
An Ecological Momentary Assessment of Primiparous Women's Breastfeeding Behavior and Problems From Birth to 8 Weeks.
Observational study in Journal of human lactation : official journal of International Lactation Consultant Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 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
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Factors that influence women's engagement with breastfeeding support: A qualitative evidence synthesis.Maternal & child nutrition · 2022Pooled it
- Determinants of rapid infant weight gain: A pooled analysis of seven cohorts.Pediatric obesity · 2022Pooled it
- Impact of prelacteal feeds and neonatal introduction of breast milk substitutes on breastfeeding outcomes: A systematic review and meta-analysis.Maternal & child nutrition · 2022Pooled it
- Early Postpartum Patterns of Breastfeeding Exclusivity and Perceived Insufficient Milk by Prepregnancy Body Mass Index.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 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
- Breastfeeding counseling based on formative research at primary healthcare Services in Mexico.International journal for equity in health · 2021Trial
- The Development and Evaluation of a Text Message Program to Prevent Perceived Insufficient Milk Among First-Time Mothers: Retrospective Analysis of a Randomized Controlled Trial.JMIR mHealth and uHealth · 2020Trial
- Perceptions of Coping With Breastfeeding Pain: A Secondary Analysis.Journal of midwifery & women's healthTrial
- Quantifying Maternal Health Using Digital Phenotyping: Protocol for a Longitudinal Observational Study.JMIR research protocols · 2025Article
- App-based intervention for parents of children with crying, sleeping, and feeding problems: Usability, usefulness and implications for improvement.Internet interventions · 2024Article
- On the Asymptotic Capacity of Information-Theoretic Privacy-Preserving Epidemiological Data Collection.Entropy (Basel, Switzerland) · 2023Article
- Descriptive Exploratory Study to Understand Postpartum Anxiety Using Multiple Measures.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2023Article
- Factors contributing to neonatal readmissions to a level 4 hospital within 28 days after birth.Journal of paediatrics and child health · 2022Article
- 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
- Adaptive Text Messaging for Postpartum Risky Drinking: Conceptual Model and Protocol for an Ecological Momentary Assessment Study.JMIR research protocols · 2022Article
- Mobile Phone Applications to Support Breastfeeding Among African-American Women: a Scoping Review.Journal of racial and ethnic health disparities · 2022Article
- Determinants of breastfeeding self-efficacy among postpartum women in rural China: A cross-sectional study.PloS one · 2022Article
- "It Is a Very Emotional Topic for Me"-Managing Breastfeeding Problems among German Mothers: A Qualitative Approach.Healthcare (Basel, Switzerland) · 2021Article
- Possibilities, Problems, and Perspectives of Data Collection by Mobile Apps in Longitudinal Epidemiological Studies: Scoping Review.Journal of medical Internet research · 2021Article
- EFFECT OF PASTEURIZATION ON THE ANTIOXIDANT AND OXIDANT PROPERTIES OF HUMAN MILK.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2021Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundPrimiparous women are at risk for early, unintended breastfeeding reduction and cessation. Breastfeeding patterns that contribute to these outcomes require further exploration. Research aim: This study aimed to describe early, "real-time" breastfeeding behaviors and perceived problems of primiparous women.
methodsFirst-time mothers intending to exclusively breastfeed downloaded a commercial infant-feeding app during their postpartum hospitalization. Women logged feedings and their breastfeeding experiences, as they occurred, through 8 weeks postpartum. Additional feeding and background data were collected via electronic medical records and questionnaires administered at enrollment and 2 and 8 weeks postpartum. Summary statistics were compiled to examine weekly breastfeeding behaviors and problems.
resultsIn this sample of 61 primarily highly educated, White women committed to breastfeeding, 38% ( n = 23) used formula during the postpartum hospitalization and 68% ( n = 34) used formula at least once by 2 weeks. Nine women stopped breastfeeding during the study. Women using any formula in the hospital and those with less positive baseline attitudes toward breastfeeding were less likely to be exclusively breastfeeding at 2 and 8 weeks, respectively ( p < .05). There was a trend toward declining at-breast feeds and high rates of milk expression during the study. Breastfeeding problems peaked at Week 2, with 81% of women ( n = 39) endorsing at least one problem at that time. The most prevalent problems included perception of inadequate milk, pain, latching, and inefficient feeds.
conclusionInterventions to address suboptimal breastfeeding in primiparous women should consider the pervasiveness of early milk expression and in-hospital formula supplementation in this population, as well as the trajectory of common problems.
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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.