Evidence map›Paper›PMID 40102944›Full record

Observational studyInternational breastfeeding journal2025

Influence of abuse and disrespect during childbirth on early initiation of breastfeeding.

Ana Ballesta-Castillejos, Julián Rodríguez-Almagro, Silvia García De-Mateos, Inmaculada Ortiz-Esquinas, Juan Miguel Martínez-Galiano, Antonio Hernández-Martínez

Abstract readObservational Study
In one paragraph

Observational study in International breastfeeding journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Ana Ballesta-CastillejosUniversidad de Castilla la Mancha, Albacete, España.
Julián Rodríguez-AlmagroUniversidad de Castilla la Mancha, Ciudad Real, España. julianj.rodriguez@uclm.es.
Silvia García De-MateosGerencia de Atención Integrada de Ciudad Real, Ciudad Real, España.
Inmaculada Ortiz-EsquinasHospital Universitario Reina Sofía de Córdoba, Córdoba, España.
Juan Miguel Martínez-GalianoUniversidad de Jaén, CIBER de Epidemiología y Salud Pública (CIBERESP), Jaén, España.
Antonio Hernández-MartínezUniversidad de Castilla la Mancha, Ciudad Real, España.

Funding

Instituto de Salud Carlos III (ISCIII) PI22/00541
6 · The paper itself

Abstract

backgroundAn increasing trend among women and professionals is recognizing the existence of abuse and disrespect by professionals toward women during childbirth. The promotion of breastfeeding is a priority objective, and few studies address the relationship between this mistreatment during birth and its impact on breastfeeding rates. Our objective was to evaluate the relationship between abusive treatment and the disrespect that women receive from professionals during childbirth with the early initiation and maintenance of breastfeeding on hospital discharge.

methodsA cross-sectional observational study conducted in Spain with women who had become mothers in 2022. The data were obtained through an online questionnaire distributed via women's associations in which breastfeeding rates in the first hour of life and upon hospital discharge were included as dependent variables, and sociodemographic, obstetric, breastfeeding variables, and abuse and lack of respect during childbirth were included as independent variables. Crude Odds Ratio (OR) and adjusted (aOR) were calculated with their respective 95% CI.

results2048 women participated. The perception of abuse and disrespect, expressed as higher scores on the CARE-MQ scale, showed a lower probability of breastfeeding in the first hour of life by 0.69 to 0.43 (percentile 50-74 aOR:0.69; 95% CI:0.49, 0.97; p74-89 aOR:0.59; 95% CI:0.39, 0.87; p > 90 aOR:0.43; 95% CI:0.32, 0.76). Attending more than 5 prenatal education sessions, skin-to-skin contact, and previous breastfeeding experience increase the probability of early initiation of breastfeeding and maintaining it when the woman is discharged from the hospital.

conclusionsWomen who perceive more abuse and disrespect from professionals during childbirth are less likely to initiate breastfeeding early; however, this relationship is not observed when assessing breastfeeding at hospital discharge.

Indexed as

Breast FeedingMothersParturitionProfessional-Patient RelationsAdultCross-Sectional StudiesFemaleHumansInfant, NewbornPregnancySpainSurveys and QuestionnairesYoung AdultBreastfeedingDisrespectMistreatmentObstetric violence

Identifiers

PMID40102944
PMCPMC11921623

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.