Evidence map›Paper›PMID 31547061›Full record

Observational studyNutrients2019

Breastfeeding Difficulties and Risk for Early Breastfeeding Cessation.

Maria Lorella Gianni, Maria Enrica Bettinelli, Priscilla Manfra, Gabriele Sorrentino, Elena Bezze, Laura Plevani, Giacomo Cavallaro, Genny Raffaeli, Beatrice Letizia Crippa, Lorenzo Colombo and 6 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Nutrients, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07435363 (Effects of Breath-Based Yoga Supported Breastfeeding Education on Anxiety, Breastfeeding Self-Efficacy, and Perceived Insufficient Milk Supply in Primiparous Mothers), which is not on this map. Cited by 175 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
175citing papers in PubMed, 8 pooled it
–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.

NCT07435363 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effects of Breath-Based Yoga Supported Breastfeeding Education on Anxiety, Breastfeeding Self-Efficacy, and Perceived Insufficient Milk Supply in Primiparous Mothers: A Randomized Controlled Trial

TypeinterventionalSponsorSakarya UniversityRan2026 to 2027Enrolled90ConditionsBreastfeeding, Perceived Insufficient Milk SupplyArmsOnline Breastfeeding Education, Breath-Based Postpartum Yoga Program
3 · Its place in the literature

Who cites it

175 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Effects of Prenatal Breastfeeding Education on Breastfeeding Duration Beyond 12 Weeks: A Systematic Review.Health education & behavior : the official publication of the Society for Public Health Education · 2024
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Impact and Effectiveness of Group Strategies for Supporting Breastfeeding after Birth: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Article
  18. Article
  19. Article
  20. The Effects of Therapeutic Ultrasound on Human Milk Composition: A Quasi-Experimental Pre-Post Design Study.Journal of human lactation : official journal of International Lactation Consultant Association · 2026
    Article

115 more citing papers are in PubMed but not listed here.

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

16 authors.

Maria Lorella GianniFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, via Commenda 12, 20122 Milan, Italy. maria.gianni@unimi.it.
Maria Enrica BettinelliDepartment of Clinical Sciences and Community Health, University of Milan, Via San Barnaba 8, 20122 Milan, Italy. maria.bettinelli@unimi.it.
Priscilla ManfraFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, via Commenda 12, 20122 Milan, Italy. priscilla.manfra@gmail.com.
Gabriele SorrentinoFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, via Commenda 12, 20122 Milan, Italy. gabriele.sorrentino@mangiagalli.it.
Elena BezzeFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, via Commenda 12, 20122 Milan, Italy. elena.bezze@policlinico.mi.it.
Laura PlevaniFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, via Commenda 12, 20122 Milan, Italy. laura.plevani@mangiagalli.it.
Giacomo CavallaroFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, via Commenda 12, 20122 Milan, Italy. giacomo.cavallaro@mangiagalli.it.
Genny RaffaeliFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, via Commenda 12, 20122 Milan, Italy. giacomo.cavallaro@mangiagalli.it.
Beatrice Letizia CrippaFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, via Commenda 12, 20122 Milan, Italy. beatriceletizia.crippa@gmail.com.
Lorenzo ColomboFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, via Commenda 12, 20122 Milan, Italy. lorenzo.colombo@policlinico.mi.it.
Daniela MorniroliFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, via Commenda 12, 20122 Milan, Italy. daniela.morniroli@gmail.com.
Nadia LiottoFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, via Commenda 12, 20122 Milan, Italy. nadia.liotto@mangiagalli.it.
Paola RoggeroFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, via Commenda 12, 20122 Milan, Italy. paola.roggero@unimi.it.
Eduardo VillamorDepartment of Pediatrics, Maastricht University Medical Center (MUMC+), School for Oncology and Developmental Biology (GROW), 6202 AZ Maastricht, The Netherlands. e.villamor@mumc.nl.
Paola MarchisioFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. paola.marchisio@unimi.it.
Fabio MoscaFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, via Commenda 12, 20122 Milan, Italy. fabio.mosca@mangiagalli.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although breast milk is the normative feeding for infants, breastfeeding rates are lower than recommended. We investigated breastfeeding difficulties experienced by mothers in the first months after delivery and their association with early breastfeeding discontinuation. We conducted a prospective observational study. Mothers breastfeeding singleton healthy term newborns at hospital discharge were enrolled and, at three months post-delivery, were administered a questionnaire on their breastfeeding experience. Association among neonatal/maternal characteristics, breastfeeding difficulties and support after hospital discharge, and type of feeding at three months was assessed using multivariate binary logistic regression analysis. We enrolled 792 mothers, 552 completed the study. Around 70.3% of mothers experienced breastfeeding difficulties, reporting cracked nipples, perception of insufficient amount of milk, pain, and fatigue. Difficulties occurred mostly within the first month. Half of mothers with breastfeeding issues felt well-supported by health professionals. Maternal perception of not having a sufficient amount of milk, infant's failure to thrive, mastitis, and the return to work were associated with a higher risk of non-exclusive breastfeeding at three months whereas vaginal delivery and breastfeeding support after hospital discharge were associated with a decreased risk. These results underline the importance of continued, tailored professional breastfeeding support.

Indexed as

AdultBreast FeedingFemaleHumansInfantInfant, NewbornLogistic ModelsMothersPostpartum PeriodProspective StudiesRisk FactorsTime FactorsYoung Adultbreastfeeding difficultiesbreastfeeding supportearly breastfeeding cessationterm infants

Identifiers

PMID31547061
PMCPMC6835226

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.