Evidence map›Paper›PMID 33399268›Full record

ArticleMaternal & child nutrition2021

Perceived insufficient milk among primiparous, fully breastfeeding women: Is infant crying important?

Lisa M Mohebati, Peter Hilpert, Sarah Bath, Margaret P Rayman, Monique M Raats, Homero Martinez, Laura E Caulfield

Registry-linked trialAbstract read
In one paragraph

Article in Maternal & child nutrition, 2021. 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 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  9. 'Public health nutrition · 2021
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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.

Lisa M MohebatiCenter for Human Nutrition, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0002-9475-3999
Peter HilpertSchool of Psychology, University of Surrey, Guildford, Surrey, UK.ORCID 0000-0001-9424-3019
Sarah BathNutrition, Food and Exercise Sciences Department, School of Biosciences and Medicine, University of Surrey, Guildford, Surrey, UK.ORCID 0000-0001-5391-9932
Margaret P RaymanNutrition, Food and Exercise Sciences Department, School of Biosciences and Medicine, University of Surrey, Guildford, Surrey, UK.ORCID 0000-0003-3126-5709
Monique M RaatsFood, Consumer Behaviour and Health Research Centre, University of Surrey, Guildford, Surrey, UK.ORCID 0000-0002-8057-2783
Homero MartinezNTEAM, Nutrition International, Ottawa, Ontario, Canada.ORCID 0000-0002-1435-0306
Laura E CaulfieldCenter for Human Nutrition, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0001-7152-1004

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breastfeeding mothers often report perceived insufficient milk (PIM) believing their infant is crying too much, which leads to introducing formula and the early abandonment of breastfeeding. We sought to determine if infant crying was associated with reported PIM (yes/no) and number of problems associated with lactation (lactation problem score [LPS] 6-point Likert scale) before formula introduction. Primiparous breastfeeding mothers were recruited at birth and visited at 1, 2 and 4 weeks. Among those fully breastfeeding at 1 week (N = 230), infant crying variables based on maternal reports were not associated with PIM at 1 week, but LPS was. However, a mother's expectation that her infant would cry more than other infants was associated with increased odds of reporting PIM at 2 and 4 weeks, as were delayed onset of lactation and previous LPS. At 1 week, crying variables (frequency, difficulty in soothing) were associated with LPS along with percent weight change. Delayed onset of lactation, infant care style, number of breastfeeds and previous LPS were longitudinally associated with change in LPS from 1 to 2 weeks and 2 to 4 weeks. Our data suggest that reported infant crying is associated with PIM and LPS in the first 4 weeks of life. Guidance on what to expect in crying behaviour and the impact of infant care style may be beneficial in reducing PIM and LPS in the first month.

Indexed as

Breast FeedingCryingFemaleHumansInfantInfant, NewbornLactationMilk, HumanMothersbreast feedingcryinginfantinfant carelactationmilkmothers

Identifiers

PMID33399268
PMCPMC8189230

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.