Evidence map›Paper›PMID 39390945›Full record

SynthesisMaternal & child nutrition2025

Mobile applications for promoting and supporting breastfeeding: Systematic review and meta-analysis.

Monika Ziebart, Michael Kammermeier, Berthold Koletzko, Bernadeta Patro-Golab

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Maternal & child nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

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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

4 authors.

Monika ZiebartStiftung Kindergesundheit, c/o Dr. von Hauner Children's Hospital, LMU University Hospital, Munich, Germany.ORCID 0009-0006-5524-1401
Michael KammermeierDepartment of Pediatrics, Division of Metabolic and Nutritional Medicine, Dr. von Hauner Children's Hospital, University Hospital, LMU Munich, Munich, Germany.
Berthold KoletzkoStiftung Kindergesundheit, c/o Dr. von Hauner Children's Hospital, LMU University Hospital, Munich, Germany.
Bernadeta Patro-GolabStiftung Kindergesundheit, c/o Dr. von Hauner Children's Hospital, LMU University Hospital, Munich, Germany.

Funding

Alexander von Humboldt Foundation, Bonn, GermanyCharitable Else Kröner-Fresenius-Foundation, LMU Medical Faculty and LMU University HospitalsChild Health Foundation, Munich, Germany (Stiftung Kindergesundheit, www. kindergesundheit. de)German Ministry of Education and Research as part of the German Center for Child and Adolescent Health (DZKJ) 01GL2406A
6 · The paper itself

Abstract

Breastfeeding practices require improvement. We performed a systematic review of randomised controlled trials (RCTs) and analytic observational studies to assess effects of mobile applications (apps) aiming to support and promote breastfeeding targeting pregnant women, mothers of infants or their partners, on breastfeeding outcomes. We searched MEDLINE, EMBASE, Cochrane CENTRAL and Association of Computing Machinery Digital Library from 1 July 2008 to 29 November 2022, with lack of coverage of the most recent period before publication date being a limitation of this review. We performed meta-analyses of findings from RCTs on primary outcomes, namely early breastfeeding initiation, exclusive and any breastfeeding rates. Joanna Briggs Institute tools were used for risk of bias assessment. Six RCTs, one quasi-experimental and two cohort studies, mainly from high-income countries, were included. Most studies focused on maternal app usage starting from pregnancy. One study targeted fathers as app-users. Population characteristics, such as parity or delivery mode, apps scope of content and applied active components varied between studies. Main methodological limitations of studies were baseline differences between groups and lack of blinding. Compared to controls, app usage tended to increase the odds of exclusive breastfeeding. This nonsignificant effect was most pronounced at 1-1.5 months (n = 1294, odds ratio 1.45 (95% Confidence Interval, CI 0.83, 2.54), with considerable heterogeneity between studies [I

Indexed as

Breast FeedingHealth PromotionMobile ApplicationsFemaleHumansMothersPregnancyRandomized Controlled Trials as Topicbreastfeedinginfant nutritionlactationmHealthmobile applicationsystematic review

Identifiers

PMID39390945
PMCPMC11650046

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.