Evidence map›Paper›PMID 39951457›Full record

ArticlePLOS global public health2025

"Feeding the baby breast milk shouldn't be a problem" breastfeeding confidence and intention in pregnant persons with type 2 diabetes mellitus from Thailand.

Ratchanok Phonyiam, Chiao-Hsin Teng, Yamnia I Cortés, Catherine S Sullivan, Aunchalee E L Palmquist, Eric A Hodges, Marianne Baernholdt

Abstract read
In one paragraph

Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Observational
  2. Article
  3. 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

7 authors.

Ratchanok PhonyiamRamathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-2339-8889
Chiao-Hsin TengSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Yamnia I CortésUniversity of Iowa College of Nursing, Iowa City, Iowa, United States of America.
Catherine S SullivanCarolina Global Breastfeeding Institute, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Aunchalee E L PalmquistDuke Global Health Institute, Durham, North Carolina, United States of America.ORCID https://orcid.org/0000-0002-0848-6952
Eric A HodgesSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Marianne BaernholdtUniversity of Virginia School of Nursing, Charlottesville, Virginia, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breastfeeding initiation has been found to be lower in pregnant persons with type 2 diabetes mellitus (T2DM). However, no studies have explored the potential impact of T2DM during pregnancy on breastfeeding plans among Thai pregnant persons. This study aimed to describe breastfeeding confidence and intention during pregnancy among Thai pregnant persons with T2DM. This qualitative analysis utilized data from a parent study with a convergent parallel mixed-methods design. This study was guided by the National Institute on Minority Health and Health Disparities (NIMHD) Framework. Eligible participants were pregnant persons diagnosed with T2DM, aged 20-44 years, and proficient in speaking Thai. The pregnant persons participated in semi-structured interviews and completed three questionnaires: demographic, infant feeding intentions, and breastfeeding self-efficacy. Data analysis involved descriptive statistics for quantitative data and directed content analysis for qualitative data. Twelve interviews revealed four main themes: breastfeeding intentions during pregnancy, breastfeeding confidence throughout pregnancy, breastfeeding barriers (such as previous challenging experiences and physical distance between mother and baby), and breastfeeding facilitators (including benefits and cost-effectiveness, consumption of Thai foods and herbs, and the availability of breast milk shipping services). This study offers insights into the intentions and confidence of Thai pregnant persons with T2DM regarding breastfeeding their baby after childbirth. To improve breastfeeding outcomes, the pregnancy period could serve as an opportunity to assess breastfeeding confidence, barriers, and facilitators that influence breastfeeding intentions among pregnant persons with diabetes.

Identifiers

PMID39951457
PMCPMC11828413

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Registered trials

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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.