Evidence map›Paper›PMID 29368596›Full record

ArticleBMC pediatrics2018

Infant formula feeding practices and the role of advice and support: an exploratory qualitative study.

Jessica Appleton, Rachel Laws, Catherine Georgina Russell, Cathrine Fowler, Karen J Campbell, Elizabeth Denney-Wilson

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
4.5field-weighted citation impact, top 5% 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, 3 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Integrative Review of Mental Health and Feeding Styles in Parents of Bottle-Fed Infants.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2023
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  8. Breastfeeding and Early Infant Feeding Practices Among Women in the Hunter New England Region of New South Wales, Australia: A Cross Sectional Study.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
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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

6 authors at 2 institutions in 2 countries.

Jessica AppletonFaculty of Health, University of Technology Sydney, Broadway, P.O. Box 123, Sydney, NSW, 2007, Australia. Jessica.Appleton@student.uts.edu.au.ORCID 0000-0001-5416-4471
Rachel LawsDeakin University, Institute for Physical Activity and Nutrition, Locked Bag 20001, Geelong, VIC, 3220, Australia.
Catherine Georgina RussellFaculty of Health, University of Technology Sydney, Broadway, P.O. Box 123, Sydney, NSW, 2007, Australia.
Cathrine FowlerFaculty of Health, University of Technology Sydney, Broadway, P.O. Box 123, Sydney, NSW, 2007, Australia.
Karen J CampbellDeakin University, Institute for Physical Activity and Nutrition, Locked Bag 20001, Geelong, VIC, 3220, Australia.
Elizabeth Denney-WilsonFaculty of Health, University of Technology Sydney, Broadway, P.O. Box 123, Sydney, NSW, 2007, Australia.
University of Technology Sydney · AUDeakin University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfant formula feeding practices are an important consideration for obesity prevention. An infant's diet is influential on their later risk of developing overweight or obesity, yet very little is known about infant formula feeding practices. It is plausible that certain modifiable practices may put children at higher risk of developing overweight or obesity, for example how much and how often a baby is fed. Understanding how parents use infant formula and what factors may influence this practice is therefore important. Moreover, parents who feed their infants formula have identified a lack of support and access to resources to guide them. Therefore this study aimed to explore parents' infant formula feeding practices to understand how parents use infant formula and what factors may influence this practice.

methodsUsing an explorative qualitative design, data were collected using semi-structured telephone interviews and analysed using a pragmatic inductive approach to thematic analysis.

resultsA total of 24 mothers from across Australia were interviewed. Mothers are influenced by a number of factors in relation to their infant formula feeding practice. These factors include information on the formula tin and marketing from formula manufacturers, particularly in relation to choosing the type of formula. Their formula feeding practices are also influenced by their interpretation of infant cues, and the amount of formula in the bottle. Many mothers would like more information to aid their practices but barriers exist to accessing health professional advice and support, so mothers may rely on informal sources. Some women reported that the social environment surrounding infant feeding wherein breastfeeding is promoted as the best option leads a feeling of stigma when formula feeding.

conclusionsAdditional support for parents' feeding their infants with formula is necessary. Health professionals and policy around infant formula use should include how formula information may be provided to parents who use formula in ways that do not undermine breastfeeding promotion. Further observational research should seek to understand the interaction between advice, interpretation of cues and the amount formula fed to infants.

Indexed as

Education, NonprofessionalParentingSocial SupportAdultAustraliaFemaleHumansInfantInfant BehaviorInfant CareInfant FormulaInfant, NewbornInterviews as TopicMaleMaternal BehaviorMother-Child RelationsFeeding behaviourInfant formulaMarketingMothersObesityOverweightParents

Identifiers

PMID29368596
PMCPMC5784678
OpenAlexW2793688020

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.