Evidence map›Paper›PMID 41501785›Full record

ArticleInternational breastfeeding journal2026

Maternal recall of exclusive and any breastfeeding duration during the first 6 months- an examination of retrospective accuracy at 12 months within a large prospective breastfeeding survey in Germany.

Mathilde Kersting, Erika Sievers, Nele Hockamp, Philipp Hülk, Thomas Lücke

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Article in International breastfeeding journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Mathilde KerstingResearch Department of Child Nutrition, University Hospital of Pediatrics and Adolescent Medicine, St. Josef-Hospital Ruhr-University Bochum, Alexandrinenstraße 5, 44791, Bochum, Germany. mathilde.kersting@ruhr-uni-bochum.de.ORCID https://orcid.org/0000-0001-6555-6104
Erika Sievers, Haale, Germany.
Nele HockampResearch Department of Child Nutrition, University Hospital of Pediatrics and Adolescent Medicine, St. Josef-Hospital Ruhr-University Bochum, Alexandrinenstraße 5, 44791, Bochum, Germany.
Philipp HülkResearch Department of Child Nutrition, University Hospital of Pediatrics and Adolescent Medicine, St. Josef-Hospital Ruhr-University Bochum, Alexandrinenstraße 5, 44791, Bochum, Germany.
Thomas LückeResearch Department of Child Nutrition, University Hospital of Pediatrics and Adolescent Medicine, St. Josef-Hospital Ruhr-University Bochum, Alexandrinenstraße 5, 44791, Bochum, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective promotion and support of breastfeeding requires reliable data on breastfeeding duration, particularly of exclusive breastfeeding (EBF). Maternal retrospective recall of breastfeeding duration is often used to assess breastfeeding rates and trends in a certain population, but recall accuracy is limited by potential recall bias or imprecision of memory. Objective of this study was to examine mothers’ ability to accurately recall their breastfeeding duration at 12 months postpartum after individual recall periods of 6, 8 or 10 months.

methodsThis assessment has been embedded into the web-based nationwide prospective survey on breastfeeding and infant nutrition SuSe-II 2017–19 in Germany. A set of 2–3 simple recall questions on duration of EBF (as defined by World Health Organization) and any breastfeeding (ABF) has been compared to prospective maternal reports of breastfeeding at 2, 4 and 6 months as reference.

resultsData pairs of recalled duration and reference duration were provided by 572 mothers for EBF and 163 mothers for ABF. On average, duration of EBF and ABF differs statistically significantly between methods, but deviations are small (2–3 weeks), and tend to increase with longer recall period. For both, EBF and ABF, at a tolerance level of ±2 weeks, the recall overestimates breastfeeding duration in about 50% of recall-reference pairs, while underestimation is scarce (about 10%) and about 40% of data pairs are accurate. In scenarios with a deviation tolerance of 1, 2, or 4 weeks, around 20%, 40% or 70% of recalls would be classified as accurate.

conclusionsAsking about duration of EBF and ABF at 12 months postpartum with a simple set of questions in a large sample of mothers was found to be suitable for assessing ABF and EBF duration within the first 6 months. Specific scenarios of tolerance levels suggest a deviation between recall and reference breastfeeding duration of ±2 weeks as feasible compromise between high accuracy and high proportion of acceptable recalls.

trial registrationGerman Clinical Trials Register (DRKS) (ID: DRKS00014601).

Indexed as

Breast FeedingMental RecallMothersAdultFemaleGermanyHumansInfantInfant, NewbornProspective StudiesRetrospective StudiesSurveys and QuestionnairesTime FactorsAccuracyAny breastfeedingBreastfeeding promotionBreastfeeding supportExclusive breastfeedingMonitoringRecallScenarios

Identifiers

PMID41501785
PMCPMC12849334

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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.