Evidence map›Paper›PMID 34382733›Full record

SynthesisMaternal & child nutrition2022

The rates and factors of perceived insufficient milk supply: A systematic review.

Yi Huang, Yu Liu, Xiao-Yan Yu, Tie-Ying Zeng

3 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Maternal & child nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 65 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 5 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.

NCT06673160 narecruitingnot on this mapstarted 2025, after this paper: background citation

Pumping to Up Maternal Milk Production for Preterms (PUMMPP)

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2025 to 2027Enrolled70ConditionsBreastfeeding, Breastmilk ExpressionArmsPumping every 2 hours, breast pumping every 3 hours
NCT06857461 nacompletednot on this mapstarted 2025, after this paper: background citation

Effect of the Uriclarity Program on the Perception of Insufficient Milk Supply in Postpartum Women From Three Hospitals in Piura-Peru Evaluated Through a Randomized Controlled Trial

TypeinterventionalSponsorCrianzamorRan2025 to 2025Enrolled91ConditionsPerceived Insufficient Milk SupplyArmsUriclarity Program
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

65 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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5 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

4 authors.

Yi HuangNursing Department, Tongji Hospital, Tongji Medical College, HuaZhong University of Science and Technology, Wuhan, China.ORCID 0000-0002-6072-9210
Yu LiuNursing Department, Tongji Hospital, Tongji Medical College, HuaZhong University of Science and Technology, Wuhan, China.
Xiao-Yan YuNursing Department, Tongji Hospital, Tongji Medical College, HuaZhong University of Science and Technology, Wuhan, China.
Tie-Ying ZengNursing Department, Tongji Hospital, Tongji Medical College, HuaZhong University of Science and Technology, Wuhan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Perceived insufficient milk supply (PIMS) is one of the major reasons for discontinued breastfeeding. We aimed to estimate the rates and evaluate related factors of PIMS. We searched four databases for relevant articles published from January 2000 to March 2021. We then performed a meta-analysis of the pooled data to estimate the rates and related factors of PIMS using Stata 15.0. Descriptive analyses of textual data were performed to summarise the related factors of PIMS if data could not be synthesised quantitatively. The quality of included studies was assessed using Newcastle-Ottawa scale (NOS), AHRQ checklist or Consolidated Criteria for Reporting Qualitative Research (COREQ). Overall, 27 studies were included in this review. At different periods after delivery, approximately 50% of mothers reported PIMS as the reason for stopping breastfeeding, while for breastfeeding mothers, the incidence of PIMS ranged from 10% to 25%. Breastfeeding initiation (OR 4.22, 95%CI 1.57-11.34) and breastfeeding knowledge (OR 7.10, 95%CI 2.00-25.26) were two factors influencing PIMS. Besides, PIMS had a strong negative relationship with breastfeeding self-efficacy (r = -0.57); moderate negative association with infant suck ability (r = -0.46) and planned breastfeeding duration (r = -0.45); and a moderate positive correlation with formula supplementation (r = 0.42). Descriptive analyses revealed that infant crying was reported to be a sign of PIMS, and inadequate intake of energy/liquids was a reported cause of it. This review identified a high proportion of women reporting PIMS, particularly among those who stopped breastfeeding. Deliberate interventions were needed to improve breastfeeding for mothers at risk.

Indexed as

Breast FeedingMilk, HumanFemaleHumansInfantMothersSelf Efficacybreastfeedingperceived insufficient milk supplyreview

Identifiers

PMID34382733
PMCPMC8710095

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.