Evidence map›Paper›PMID 33614547›Full record

ReviewFrontiers in pediatrics2020

Promoting and Protecting Human Milk and Breastfeeding in a COVID-19 World.

Diane L Spatz, Riccardo Davanzo, Janis A Müller, Rebecca Powell, Virginie Rigourd, Ann Yates, Donna T Geddes, Johannes B van Goudoever, Lars Bode

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Frontiers in pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05979571 (Development of Educational Intervention Through Technological Platform to Support Exclusive Breastfeeding up to Six Months Pilot Study), which is not on this map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
10.4field-weighted citation impact, top 1% 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.

NCT05979571 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Development of Educational Intervention Through Technological Platform to Support Exclusive Breastfeeding up to Six Months Pilot Study

TypeinterventionalSponsorPacifica Salud HospitalRan2024 to 2025Enrolled10ConditionsBreastfeeding, ExclusiveArmsMobile health app
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Deliberating the scientific evidence base for influenza transmission to raw milk consumers.Risk analysis : an official publication of the Society for Risk Analysis · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. The global status of human milk banking.Maternal & child nutrition · 2024
    Review
  10. Review
  11. Skilled lactation support using telemedicine in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Observational
  20. Article
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

9 authors at 8 institutions in 5 countries.

Diane L SpatzUniversity of Pennsylvania School of Nursing, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Riccardo DavanzoInstitute for Maternal and Child Health Institute, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Burlo Garofolo, Trieste, Italy.
Janis A MüllerDepartment of Virology, Institute of Molecular Virology, Ulm University Medical Center, Ulm, Germany.
Rebecca PowellDivision of Infectious Diseases, Department of Medicine, Mount Sinai Hospital, New York, NY, United States.
Virginie RigourdRegional Human Milk Bank (Ile de France), Hôpital Necker Enfants Malade, Paris, France.
Ann YatesInternational Confederation of Midwives, The Hague, Netherlands.
Donna T GeddesSchool of Molecular Sciences, The University of Western Australia, Crawley, WA, Australia.
Johannes B van GoudoeverEmma Children's Hospital, Amsterdam University Medical Centers (Amsterdam UMC), Amsterdam, Netherlands.
Lars BodeDepartment of Pediatrics and Larsson-Rosenquist Foundation Mother-Milk-Infant Center of Research Excellence (MOMI CORE), University of California, San Diego, La Jolla, CA, United States.
Amsterdam University Medical Centers · NLHôpital Necker-Enfants Malades · FRInternational Confederation of Midwives · NLIRCCS Materno Infantile Burlo Garofolo · ITMount Sinai Hospital · USUniversity of California, San Diego · USUniversity of Pennsylvania · USUniversity of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The global COVID-19 pandemic has put enormous stress on healthcare systems and hospital staffing. However, through all this, families will continue to become pregnant, give birth, and breastfeed. Unfortunately, care of the childbearing family has been de-prioritized during the pandemic. Additionally, many healthcare practices during the pandemic have not been positive for the childbearing family or breastfeeding. Despite recommendations from the World Health Organization to promote early, direct breastfeeding and skin to skin contact, these and other recommendations are not being followed in the clinical setting. For example, some mothers have been forced to go through labor and birth alone in some institutions whilst some hospitals have limited or no parental visitation to infants in the NICU. Furthermore, hospitals are discharging mothers and their newborns early, limiting the amount of time that families receive expert lactation care, education, and technical assistance. In addition, some hospitals have furloughed staff or transferred them to COVID-19 wards, further negatively impacting direct care for families and their newborns. We are concerned that these massive changes in the care of childbearing families will be permanently adopted. Instead, we must use the pandemic to underscore the importance of human milk and breastfeeding as lifesaving medical interventions. We challenge healthcare professionals to change the current prenatal and post-birth practice paradigms to protect lactation physiology and to ensure that all families in need receive equal access to evidence-based lactation education, care and technical assistance.

Indexed as

breastfeedingCOVIDevidence basedhuman milkparadigm

Identifiers

PMID33614547
PMCPMC7888272
OpenAlexW3128816473

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.