SynthesisInternational breastfeeding journal2021
Positive breastfeeding experiences and facilitators in mothers of preterm and low birthweight infants: a meta-ethnographic review.
Synthesis in International breastfeeding journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Mothers' experiences of feeding their premature infants after discharge from the hospital: a systematic review and thematic synthesis.International breastfeeding journal · 2026Pooled it
- Breastfeeding infants with CHD: an evidence summary and recommendations from the Cardiac Newborn Neuroprotective Network, a special interest group of the Cardiac Neurodevelopmental Outcome Collaborative.Cardiology in the young · 2025Guideline
- Human milk and breastfeeding at the first oral feed for infants with critical congenital heart disease: a multi-institutional study.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Sustaining Breastmilk Expression and Direct Feeding at Breast for Very Low Birth Infants: A Qualitative Exploration of Parental Perspectives.Maternal & child nutrition · 2026Article
- Social Representations of Bedside Milk Expression Among Mothers of Preterm Newborns in Neonatal Intensive Care Units.Journal of advanced nursing · 2026Article
- Interoceptive and exteroceptive pregnant bodily experiences and postnatal well-being: A network analysis.British journal of health psychology · 2025Observational
- Twin Challenges in Türkiye: Exclusive Breastfeeding Rates and Predictors of Breastfeeding Duration in a Tertiary Care Center.Children (Basel, Switzerland) · 2025Article
- Article
- The role of bodily experiences during pregnancy on mother and infant outcomes.Journal of neuropsychology · 2025Article
- Practices supporting cue-based breastfeeding of preterm infants in neonatal intensive care units across Europe.International breastfeeding journal · 2025Article
- Article
- Complications of Preterm Birth-The Importance of Care for the Outcome: A Narrative Review.Medicina (Kaunas, Lithuania) · 2024Review
- Exclusive breastfeeding among Indonesian working mothers: does early initiation of breastfeeding matter?BMC public health · 2024Article
- Human Milk-The Biofluid That Nourishes Infants from the First Day of Life.Foods (Basel, Switzerland) · 2024Review
- [Sense of coherence in breastfeeding women: A scoping review].Anales del sistema sanitario de Navarra · 2024Article
- Predictors of Human Milk Feeding and Direct Breastfeeding for Infants with Single Ventricle Congenital Heart Disease: Machine Learning Analysis of the National Pediatric Cardiology Quality Improvement Collaborative Registry.The Journal of pediatrics · 2023Article
- "Breastfeeding at Night Is Awesome" Mothers' Intentions of Continuation of Breastfeeding Extreme and Very Preterm Babies upon Discharge from a Kangaroo Mother Care Unit of a Tertiary Hospital in South Africa.Healthcare (Basel, Switzerland) · 2023Article
- Patterns of Breastfeeding and Human Milk Feeding in Infants with Single-Ventricle Congenital Heart Disease: A Population Study of the National Pediatric Cardiology Quality Improvement Collaborative Registry.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2023Article
- Learning from mothers' success in breastfeeding maintenance: coping strategies and cues to action.Frontiers in psychology · 2023Article
- Experiences of mothers of NICU preterm infants in milk management out of the hospital: a qualitative study.International breastfeeding journal · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMost qualitative research on breastfeeding the preterm or low-birthweight (LBW) infant has focused on negative insights; there are no comprehensive insights into how, when and why mothers experience positive breastfeeding experiences. We aimed to address this knowledge gap by exploring what characterizes and facilitates a positive breastfeeding experience in mothers of preterm and/or LBW infants.
methodsA systematic review using meta-ethnographic methods was conducted. Search strategies involved a comprehensive search strategy on six bibliographic databases, citation tracking and reference checking. The analysis involved a reciprocal level of translation and a line of argument synthesis.
resultsSearches identified 1774 hits and 17 articles from 14 studies were included, representing the views of 697 mothers. A positive breastfeeding experience was identified as being 'attuned'. Three themes and eight sub-themes were developed to describe what characterizes attuned breastfeeding. 'Trusting the body and what it can do', concerned how attuned breastfeeding was facilitated through understanding the bodily responses and capacity and feeling comfortable with holding the infant and to breastfeed. 'Being emotionally present - in the here and now' described the importance of feeling relaxed and reassured. 'Experiencing mutual positive responses', illuminated how attunement was related to feelings of mutuality - when the mother recognises the infant's cues, responds to these signals and receives a positive response from the infant. The key factors to facilitate attuned breastfeeding were opportunities for prolonged close physical contact with the infant, positive relationships with and support from staff and peers, and being facilitated to breastfeed when the infant showed feeding cues.
conclusionsThis study provides new insights into what characterizes a positive breastfeeding experience and how staff can facilitate and enable mothers to achieve attuned breastfeeding. Improvements in units' design, such as for rooming-in and having prolonged skin-to-skin contact, and care provided by knowledgeable, supportive and encouraging staff and peers, are crucial. The mother's physical and emotional states and the infant's behavioural responses and physiological signals should guide the process towards positive breastfeeding practices.
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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.