Evidence map›Paper›PMID 33059706›Full record

ArticleInternational breastfeeding journal2020

Barriers and facilitators to breastfeeding during the immediate and one month postpartum periods, among Mexican women: a mixed methods approach.

Sonia Hernández-Cordero, Ana Lilia Lozada-Tequeanes, Ana Cecilia Fernández-Gaxiola, Teresa Shamah-Levy, Matthias Sachse, Paula Veliz, Izchel Cosío-Barroso

Open access · goldAbstract read
In one paragraph

Article in International breastfeeding journal, 2020. 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
4.4field-weighted citation impact, top 4% 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, 56 citations in OpenAlex.

  1. Pooled it
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  4. Observational
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  8. Exploring exclusive breastfeeding readiness: experiences of first-time mothers in Lusaka, Zambia.International journal of qualitative studies on health and well-being · 2025
    Article
  9. Article
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  11. Mixed Methods Studies on Breastfeeding: A Scoping Review.Healthcare (Basel, Switzerland) · 2025
    Review
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Hospital Adhering to the Ten Steps to Successful Breastfeeding Predicts Exclusive Breastfeeding in Latinx Mothers.Hispanic health care international : the official journal of the National Association of Hispanic Nurses · 2023
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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

7 authors at 3 institutions in 1 country.

Sonia Hernández-CorderoUniversidad Iberoamericana, Ciudad de México, Mexico.
Ana Lilia Lozada-TequeanesAna Cecilia Fernández-Gaxiola- Universidad Iberoamericana, Ciudad de México, Mexico. cinys20@insp.mx.ORCID 0000-0002-7371-3525
Ana Cecilia Fernández-GaxiolaAna Cecilia Fernández-Gaxiola- Universidad Iberoamericana, Ciudad de México, Mexico.
Teresa Shamah-LevyCentro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, Mexico.
Matthias SachseFondo de las Naciones Unidas para la Infancia, Ciudad de México, Mexico.
Paula VelizFondo de las Naciones Unidas para la Infancia, Ciudad de México, Mexico.
Izchel Cosío-BarrosoUniversidad Iberoamericana, Ciudad de México, Mexico.
Ibero American University · MXUniversidad de las Naciones · MXInstituto Nacional de Salud Pública · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence suggests that inadequate hospital practices, as well as sociocultural and community factors have detrimental effects on timely initiation as the first breastfeed within first hour after birth, and exclusive breastfeeding. The purpose of the study was to examine the factors that influence timely initiation of breastfeeding and exclusive breastfeeding at birth and 1 month postpartum in Mexican women delivering in public and private hospitals.

methodsMixed methods were conducted between May and July 2017, including surveys (n = 543) and semi-structured interviews (n = 60) in the immediate (7 h) and intermediate (30 days) postpartum periods. Participants were women aged 15-49 years, in public and private hospitals, of urban and rural municipalities of Chihuahua and Puebla, Mexico.

resultsTimely initiation was reported by 49.4% of mothers, and 34.7% reported that their children received infant formula at the hospital. Only 44.8% of women reported exclusive breastfeeding at 1 month postpartum. Timely initiation of breastfeeding was higher in women with vaginal delivery (62.1 vs 35.5%; p < 0.05) and those who received information during pregnancy (OR 1.07; p = 0.018). Exclusive breastfeeding at 1 month postpartum was related to older maternal age (OR 1.05; p < 0.001) and the fact that the mothers had received more information about breastfeeding during pregnancy (OR 1.13; p = 0.0001). Infant formula use was less associated with timely initiation (OR 0.46; p = 0.001). Participants in qualitative data identified the emotional, physical and economic benefits of breastfeeding, however, the perception about insufficient production of human milk, and the belief that infant formula is recommended, persists.

conclusionsModification of hospital practices, such as decreasing the number of cesarean and the use of infant formula, as well as the support of the initiation and continuation of exclusive breastfeeding by health personnel and family members, could help increase breastfeeding practices in Mexican women.

Indexed as

AdolescentAdultBreast FeedingFemaleHealth Knowledge, Attitudes, PracticeHumansMexicoMiddle AgedMothersPostpartum PeriodYoung AdultBottle feedingBreastfeedingHealth services researchInternational code of Marketing of Breast-milk SubstitutesPostpartum careSocial support

Identifiers

PMID33059706
PMCPMC7559131
OpenAlexW3093024126

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.