Evidence map›Paper›PMID 41877171›Full record

SynthesisInternational breastfeeding journal2026

Impact of paternal support interventions on exclusive breastfeeding and breastfeeding self-efficacy: a systematic review and meta-analysis.

Zulfia Samiun, Muhammad Syafar, Citrakesumasari Citrakesumasari, Yahya Thamrin, Apik Indarty Moedjiono, Kadek Ayu Erika, Abdul Salam, Musliha Mustary

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis 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.

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

8 authors.

Zulfia SamiunDoctoral Study Program of Public Health Sciences, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia. zulfia.samiun@unismuh.ac.id.
Muhammad SyafarDepartment of Health Promotion and Behavioral Science, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia.
Citrakesumasari CitrakesumasariDepartment of Nutritional Sciences, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia.
Yahya ThamrinDepartment of Occupational Health and Safety, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia.
Apik Indarty MoedjionoDepartment of Reproductive Health, Faculty of Public Health, Universitas Hasanuddin, Makassar, Indonesia.
Kadek Ayu ErikaDepartment of Pediatric Nursing, Faculty of Nursing, Hasanuddin University, Makassar, Indonesia.
Abdul SalamDepartment of Nutritional Sciences, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia.
Musliha MustaryDepartment of Midwifery, STIKES Salewangang Maros, Maros Regency, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFather support is an important determinant of breastfeeding success; however, evidence regarding its effects on exclusive breastfeeding (EBF) duration and maternal breastfeeding self-efficacy remains limited. This systematic review and meta-analysis evaluated the effectiveness of paternal support interventions on these outcomes.

methodsThis review followed PRISMA 2020 guidelines. Searches were conducted in Scopus, Web of Science, PubMed, and Cochrane Library for studies published between January 2010 and October 2025. Eligible studies included randomized controlled trials or quasi-experimental designs involving postpartum mothers and fathers, father-focused support interventions, standard care comparators, and outcomes related to EBF duration or breastfeeding self-efficacy. Risk of bias was assessed using the Cochrane Handbook. Random-effects models were applied using risk ratios and standardized mean differences.

resultsSix studies involving 716 participants were included. Paternal support interventions increased early breastfeeding initiation by 17% (RR = 1.17; 95% CI: 1.02–1.34), which was not statistically significant at 1 month (RR = 1.30; 95% CI: 0.94–1.81), at four months it was 2.67 times (RR = 2.67; 95% CI: 1.29–5.52), and the effect at six months postpartum did not reach statistical significance (RR = 1.53; 95% CI: 0.99–2.38). Overall breastfeeding success increased by 41% (RR = 1.41; 95% CI: 1.17–1.69). Breastfeeding self-efficacy showed a positive trend compared with usual care (SMD = 1.06; 95% CI: −0.12 to 2.24; P = 0.08).

conclusionPaternal support interventions are associated with improved early initiation and exclusive breastfeeding duration at four months and showed a positive trend toward increased maternal self-efficacy.

Indexed as

Breast FeedingFathersMothersSelf EfficacyAdultFamily SupportFemaleHumansInfantInfant, NewbornMalePostpartum PeriodBreastfeedingBreastfeeding self-efficacyFather involvementMeta-analysisSupport interventionSystematic review

Identifiers

PMID41877171
PMCPMC13134082

What OpenQuestion holds

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LicenceCC BY
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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.