ArticleInternational breastfeeding journal2022
Breastfeeding initiation, duration, and experiences of mothers of late preterm twins: a mixed-methods study.
Article in International breastfeeding journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Mothers' experiences of feeding their premature infants after discharge from the hospital: a systematic review and thematic synthesis.International breastfeeding journal · 2026Pooled it
- Donor human milk versus infant formula for low-risk infants: a systematic review.Pediatric research · 2025Pooled it
- The breastfeeding experience of women with multiple pregnancies: a meta-synthesis of qualitative studies.BMC pregnancy and childbirth · 2024Pooled it
- Parents' Experiences of Feeding Preterm Infants After Hospital Discharge: A Scoping Review.Maternal & child nutrition · 2026Article
- Innovative mitochondria-based holistic 3PM approach to female health status: Facts and outlook.The EPMA journal · 2026Article
- Factors associated with multiple births in the United Kingdom during COVID-19: A cross-sectional survey.PloS one · 2026Article
- Recent Advancements and Best Practices in Supporting Newborn Feeding: A Narrative Review.Pediatric clinics of North America · 2025Review
- Longitudinal studies on breastfeeding among preterm infants: a scoping review.BMC pregnancy and childbirth · 2025Article
- Twin Challenges in Türkiye: Exclusive Breastfeeding Rates and Predictors of Breastfeeding Duration in a Tertiary Care Center.Children (Basel, Switzerland) · 2025Article
- Breastfeeding trajectory of mothers of preterm infants within 6 months postpartum: A longitudinal study.International journal of nursing studies advances · 2025Article
- Article
- Mixed Methods Studies on Breastfeeding: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- Article
- Review
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTwins and late preterm (LPT) infants are at an increased risk of being breastfed to a lesser extent than term singletons. This study aimed to describe the initiation and duration of any and exclusive breastfeeding at the breast for mothers of LPT twins and term twins during the first 4 months and to explore the breastfeeding experiences of mothers of LPT twins.
methodsA sequential two-sample quantitative-qualitative explanatory mixed-methods design was used. The quantitative data were derived from a longitudinal cohort study in which 22 mothers of LPT twins and 41 mothers of term twins answered questionnaires at one and four months after birth (2015-2017). The qualitative data were obtained from semi-structured interviews with 14 mothers of LPT twins (2020-2021), based on results from the quantitative study and literature. Analysis included descriptive statistics of quantitative data and deductive content analysis of the qualitative data, followed by condensation and synthesis.
resultsAll mothers of LPT twins (100%) and most mothers of term twins (96%) initiated breastfeeding. There was no difference in any breastfeeding during the first week at home (98% versus 95%) and at 1 month (88% versus 85%). However, at 4 months, the difference was significant (44% versus 75%). The qualitative data highlighted that mothers of LPT twins experienced breastfeeding as complex and strenuous. Key factors influencing mothers' experiences and decisions were their infants' immature breastfeeding behaviors requiring them to express breast milk alongside breastfeeding, the burden of following task-oriented feeding regimes, and the lack of guidance from healthcare professionals. As a result, mothers started to question the worth of their breastfeeding efforts, leading to changes in breastfeeding management with diverse results. Support from fathers and grandparents positively influenced sustained breastfeeding.
conclusionsMothers of LPT twins want to breastfeed, but they face many challenges in breastfeeding during the first month, leading to more LPT twins' mothers than term twins' mothers ceasing breastfeeding during the following months. To promote and safeguard breastfeeding in this vulnerable group, care must be differentiated from routine term infant services, and healthcare professionals need to receive proper education and training.
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