Evidence map›Paper›PMID 29276003›Full record

ArticleJournal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners

"I Just Want to Do Everything Right:" Primiparous Women's Accounts of Early Breastfeeding via an App-Based Diary.

Jill Demirci, Erin Caplan, Nora Murray, Susan Cohen

Registry-linked trialAbstract read
In one paragraph

Article in Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06121973 (The Effects of Video-Assisted Breastfeeding Education Given to Primiparous Pregnant Women on Breastfeeding Self-Efficacy), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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.

NCT06121973 nacompletednot on this map

The Effects of Video-Assisted Breastfeeding Education Given to Primiparous Pregnant Women on Breastfeeding Self-Efficacy: Randomised Control Study

TypeinterventionalSponsorErzurum Technical UniversityRan2022 to 2023Enrolled80ConditionsPregnancy Related, Breastfeeding, Breastfeeding, Exclusive, Educational ProblemsArmseducational group
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Trial
  2. Improving Breastfeeding by Empowering Mothers in Vietnam: A Randomised Controlled Trial of a Mobile App.International journal of environmental research and public health · 2020
    Trial
  3. Trial
  4. Article
  5. Article
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  11. Realigning Expectations With Reality: A Case Study on Maternal Mental Health During a Difficult Breastfeeding Journey.Journal of human lactation : official journal of International Lactation Consultant Association · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Review
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.

Jill Demirci
Erin Caplan
Nora Murray
Susan Cohen

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Preventing Perceived Insufficient Milk: Development of a Text Message-Based InterR00NR015106 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DEMIRCI, JILL RADTKE · 2016 to 2018
$719k
Preventing Perceived Insufficient Milk: Development of a Text Message-Based InterK99NR015106 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DEMIRCI, JILL RADTKE · 2014 to 2015
$175k
NCATS NIH HHS UL1 TR001857NINR NIH HHS K99 NR015106NINR NIH HHS R00 NR015106
6 · The paper itself

Abstract

introductionOur objective was to describe the early breastfeeding experience of primiparous women.

methodsHealthy, primiparous women intending to exclusively breastfeed downloaded a commercial infant feeding mobile application (app) during their postpartum hospitalization. Women free-texted breastfeeding thoughts and experiences through 8 weeks postpartum in the app's diary. Diary content was qualitatively coded.

resultsThirty-five participants completed diaries and were included in analyses. The overarching theme was Seeking sustainability and validation. Mothers felt overwhelmed, anxious, and frustrated with the intensity and unpredictability of breastfeeding and inconsistent professional breastfeeding support. The ability to exclusively breastfeed was seen as a bellwether of maternal competence. Breastfeeding progress was primarily measured through external feedback (e.g., weight checks) and managed through strict adherence to provider feeding plans. As breastfeeding problems and intensity abated, women exhibited optimism and assumed greater independence in feeding decisions. DISCUSSION: The primiparous breastfeeding experience is fraught with internally imposed and externally reinforced pressure to produce and persevere despite inadequate breastfeeding support infrastructure.

Indexed as

Diaries as TopicMobile ApplicationsAdultBreast FeedingEducational StatusFemaleHumansParityPregnancyBreastfeedingmobile applicationsprimiparityqualitative research

Identifiers

PMID29276003
PMCPMC5818309

What OpenQuestion holds

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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.