Evidence map›Paper›PMID 28727931›Full record

ArticleBreastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine2017

Pumping Milk Without Ever Feeding at the Breast in the Moms2Moms Study.

Sarah A Keim, Kelly M Boone, Reena Oza-Frank, Sheela R Geraghty

Open access · greenAbstract read
In one paragraph

Article in Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Breastfeeding in term and preterm infants with and without growth restriction: A 50-year analysis of incidence and duration.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. A National Survey: Trends in U.S. Postpartum Pumping Practices After Term Deliveries.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2025
    Article
  10. Article
  11. Article
  12. Impact of diet on the gut mycobiome of Hong Kong Chinese infants.Computational and structural biotechnology journal · 2025
    Article
  13. Article
  14. Article
  15. Pumps: A Possible Tool to Promote More Equitable Lactation Outcomes.The Yale journal of biology and medicine · 2024
    Review
  16. Review
  17. Article
  18. ABM Clinical Protocol #37: Physiological Infant Care-Managing Nighttime Breastfeeding in Young Infants.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2023
    Article
  19. Article
  20. Article
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

4 authors at 2 institutions in 1 country.

Sarah A Keim1 Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital , Columbus, Ohio.
Kelly M Boone1 Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital , Columbus, Ohio.
Reena Oza-Frank2 Department of Pediatrics, College of Medicine, The Ohio State University , Columbus, Ohio.
Sheela R Geraghty5 Cincinnati Children's Center for Breastfeeding Medicine, Cincinnati Children's Hospital Medical Center , Cincinnati, Ohio.
Nationwide Children's Hospital · USCincinnati Children's Hospital Medical Center · US

Funding

The Ohio State University Center for clinical and Translational ScienceUL1TR001070 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2013 to 2017
$22.6M
NCATS NIH HHS UL1 TR001070
6 · The paper itself

Abstract

backgroundMore than 85% of contemporary lactating women in the United States express their milk at least sometimes. Some produce milk exclusively through pumping. We characterized women who pumped but never fed at the breast and compared their infant feeding practices with those of women who fed at the breast with or without pumping. SUBJECTS AND

methodsStudy participants were those delivered at Ohio State University Wexner Medical Center in 2011 and completed a questionnaire at 12 months postpartum (n = 478). We used bivariate and multivariate approaches (survival analysis) to compare women who pumped but never fed at the breast with women who fed at the breast with or without pumping.

resultsWomen (n = 33, 6.9%) who pumped but never fed at the breast comprised a diverse group but were more likely to have delivered preterm and were of lower socioeconomic status on average. They initiated pumping and formula feeding earlier (median = day 1 after delivery) and were more likely to report difficulty making enough milk compared with women who fed at the breast with or without pumping. They had much shorter total duration of milk production (adjusted hazard ratio = 3.3, 95% confidence interval: 2.1, 5.2) after controlling for clinical and sociodemographic confounders.

conclusionsPumping without feeding at the breast is associated with shorter milk feeding duration and earlier introduction of formula compared with feeding at the breast with or without pumping. Establishing feeding at the breast, rather than exclusive pumping, may be important for achieving human milk feeding goals.

Indexed as

Feeding BehaviorMothersAdultBottle FeedingBreast FeedingBreast Milk ExpressionChoice BehaviorEducational StatusFemaleHealth Knowledge, Attitudes, PracticeHumansInfantInfant, NewbornLactationMaternal AgeOhiobreastfeedingbreast pumpfeeding at the breasthuman milk expressionhuman milk supply

Identifiers

PMID28727931
PMCPMC5646745
OpenAlexW2736511003

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.