Evidence map›Paper›PMID 40634838›Full record

ArticleBMC pregnancy and childbirth2025

Longitudinal studies on breastfeeding among preterm infants: a scoping review.

Xin Jiang, Lijing Ding, Na Wu, Yue Wan, Yiting Xu, Xiao Yao, Ke Ying Huo, Rong Huang

Abstract readScoping Review
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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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

8 authors.

Xin Jiang *Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Lijing Ding *Nursing Department, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450052, China.
Na Wu *Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Yue WanShanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Yiting XuShanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Xiao YaoShanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Ke Ying HuoShanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Rong HuangShanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, 200092, China. huangrong_1986@hotmail.com.

Funding

China Health Human Resources Training Programme RCLX2320052the National Natural Science Foundation of China 72004163
6 · The paper itself

Abstract

aimThis study aims to assess the exclusive breastfeeding rate among preterm infants, examine the factors influencing breastfeeding practices, and identify evidence-based interventions to enhance lactation support.

methodThis scoping review was conducted following Arksey and O'Malley (2005) methodological framework and reported in accordance with the PRISMA-ScR (Preferred Reporting Items for Systematic Review and Meta-analyses Extension for Scoping Review) guidelines. We comprehensively searched five English databases and three Chinese databases in September 2023. This systematic review incorporated longitudinal, cohort, and randomized controlled trials (RCTs) published between 2013 and 2023 in English or Chinese. It specifically investigated WHO-compliant exclusive breastfeeding practices (rates and duration) among mother-preterm infant dyads (< 37 weeks gestation), with observational studies requiring documented follow-up protocols for inclusion. Three reviewers independently screened records, selected relevant studies, and performed the data charting. Finally, discrepancies were resolved through consensus-based discussion and final adjudication by a third reviewer to ensure methodological transparency and minimize selection bias.

results11 studies met the inclusion criteria and were included in this review. This scoping review observed a progressive decline in exclusive breastfeeding rates among preterm infants within one year postpartum, with challenges in the immediate postpartum period related to breastfeeding techniques and milk supply insufficiency. Factors such as maternal age, infant gestational age and health status, and hospital transfers also influence breastfeeding cessation at 6-12 months postpartum.

conclusionThis scoping review study provides the complex and evolving breastfeeding challenges faced by preterm infants, shaped by physiological, social, and psychological factors. Key findings underscore the need for longitudinal, adaptive lactation support strategies that align with infants' developmental trajectories and parental psychosocial needs. To address critical gaps, future research should prioritize multicenter trials evaluating stepped-care interventions through standardized CONSORT-compliant protocols, while integrating machine learning models to predict individualized lactation failure risks based on dynamic NICU biometrics.

Indexed as

Breast FeedingInfant, PrematureFemaleHumansInfant, NewbornLongitudinal StudiesBreastfeedingLongitudinal studyPreterm infantsScoping review

Identifiers

PMID40634838
PMCPMC12243211

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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.