Evidence map›Paper›PMID 40619948›Full record

Trial reportMaternal & child nutrition2025

Efficacy of Breast Crawling on Breastfeeding Outcomes, Knowledge, Attitudes, and Anxiety Status After Term Vaginal Birth: A Randomized Controlled Trial.

Huang Lingling, Chen Fan, He Hongyu, Huang Yinying, Lu Meidan, Lin Qiaoli, Li Linghong, Yang Bifeng, Xie Yuezhen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Maternal & child nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Huang LinglingSchool of Medicine, Department of Obstetrics, Women and Children's Hospital, Xiamen University, Xiamen, China.
Chen FanSchool of Medicine, Department of Obstetrics, Women and Children's Hospital, Xiamen University, Xiamen, China.ORCID 0000-0002-7685-2627
He HongyuSchool of Medicine, Department of Obstetrics, Women and Children's Hospital, Xiamen University, Xiamen, China.
Huang YinyingSchool of Medicine, Department of Obstetrics, Women and Children's Hospital, Xiamen University, Xiamen, China.
Lu MeidanSchool of Medicine, Department of Obstetrics, Women and Children's Hospital, Xiamen University, Xiamen, China.
Lin QiaoliSchool of Medicine, Department of Obstetrics, Women and Children's Hospital, Xiamen University, Xiamen, China.
Li LinghongSchool of Medicine, Department of Obstetrics, Women and Children's Hospital, Xiamen University, Xiamen, China.
Yang BifengSchool of Medicine, Department of Obstetrics, Women and Children's Hospital, Xiamen University, Xiamen, China.
Xie YuezhenSchool of Medicine, Department of Obstetrics, Women and Children's Hospital, Xiamen University, Xiamen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast crawl technique is a strategy for initiating breastfeeding immediately after delivery. This study evaluated the effects of breast crawl on neonatal feeding style, knowledge, attitudes, and anxiety levels of breastfeeding through a single-center randomized controlled trial. A total of 295 mother-infant pairs were recruited and randomly divided into the breast crawl group (n = 149) and the conventional skin-to-skin contact group (n = 146). Compared with the conventional skin-to-skin contact group, the breast crawl group had higher rates of exclusive breastfeeding at 24 h (65.1% vs. 15.8%, p < 0.001), day 3 (58.4% vs. 24.7%, p = 0.005), month 1 (57.7% vs. 45.9%, p = 0.025), and month 6 (47.0% vs. 11.6%, p < 0.001), higher BAT scores (11.00 vs. 9.00, p = 0.001), higher success rates of first breastfeeding (93.3% vs. 82.9%, p = 0.006), shorter time for the onset of lactogenesis stage II (23.65 vs. 49.38, p < 0.001), more stable forehead skin temperature within 2 h of birth, and improved maternal anxiety (38.75 vs 41.88, p < 0.001) and breastfeeding attitudes (59.00 vs. 57.00, p < 0.032) on the first day postpartum. There was no statistically significant difference in breastfeeding knowledge (89.00 vs. 89.00, p < 0.909) between the two groups on the first day postpartum. This study demonstrated that breast crawling has a positive effect on increasing exclusive breastfeeding rates and neonatal thermoregulation, reducing maternal anxiety levels, and improving feeding attitudes.

trial registrationChiCTR2500099756.

Indexed as

AnxietyBreast FeedingHealth Knowledge, Attitudes, PracticeMothersAdultFemaleHumansInfant, NewbornYoung Adultanxietyattitudesbreast crawlbreastfeedingknowledge

Identifiers

PMID40619948
PMCPMC12454173

What OpenQuestion holds

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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.