Evidence map›Paper›PMID 30950165›Full record

Trial reportMaternal & child nutrition2019

"It gave me so much confidence": First-time U.S. mothers' experiences with antenatal milk expression.

Jill R Demirci, Melissa Glasser, Jessica Fichner, Erin Caplan, Katherine P Himes

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Maternal & child nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05516199 (Antenatal Breastmilk Expression From Week 34 of Gestation Safety in Pregnancy and Benefits for the Newborn Infant), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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.

NCT05516199 nacompletednot on this mapstarted 2022, after this paper: background citation

Antenatal Breastmilk Expression From Week 34 of Gestation Safety in Pregnancy and Benefits for the Newborn Infant: A Pilot Randomized Study

TypeinterventionalSponsorOdense University HospitalRan2022 to 2023Enrolled60ConditionsBreastmilk Expression, Collection, Breastmilk, Breastfeeding, HealthyArmsAntenatal breastmilk expression, Breastfeeding consultation
3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Trial
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  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Antenatal colostrum expression: are we interfering with nature?International breastfeeding journal · 2025
    Article
  9. Article
  10. A Longitudinal Observation of Antenatal Milk Expression in Mothers of Infants with Congenital Anomalies.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2024
    Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. 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

5 authors.

Jill R DemirciDepartment of Health Promotion & Development, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania.ORCID 0000-0002-4802-7849
Melissa GlasserDepartment of Health Promotion & Development, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania.
Jessica FichnerOrthopedic, Neurosurgery, Neurology, and Trauma Unit, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Erin CaplanDepartment of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Katherine P HimesDepartment of OBGYN and Reproductive Sciences, Division of Maternal-Fetal Medicine, University of Pittsburgh School of Medicine, UPMC Magee-Womens Hospital, Pittsburgh, Pennsylvania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antenatal milk expression (AME) involves maternal hand-expression, collection, and storage of breast milk during pregnancy for the purposes of reducing the early formula use in breastfed infants. AME is not widely practiced in the United States, despite its growing popularity elsewhere. In this study, we examined the experiences of first-time mothers recruited from a U.S. midwife practice who engaged in AME within the context of a pilot randomized controlled trial. The AME intervention involved demonstration and practice of AME with a lactation consultant beginning at 37 weeks of gestation, reinforcement at weekly study visits until delivery, and daily home practice. Nineteen women participated in a semistructured interview at 1-2 weeks postpartum regarding their study experiences. Major themes included (1) perceived benefits and impact of AME, (b) AME implementation, and (c) use of AME milk. Women perceived multiple benefits of AME, most notably that it increased their confidence that they would be able to make milk and breastfeed successfully postpartum. Women expressed some concern that no/little milk expressed could be indicative of postpartum milk production problems. Regarding implementation, women found that the AME protocol fit well into their daily routine. There was mixed feedback regarding comfort with practicing AME in the presence of partners. Reasons for postpartum use of AME milk varied; barriers to provision included inadequate milk storage options at the birth hospital and unsupportive hospital providers/staff. With few caveats, AME appears to be an acceptable breastfeeding support intervention among a sociodemographically homogeneous group of first-time mothers in the United States.

Indexed as

Self ConceptAdultBreast FeedingFemaleHumansMothersPilot ProjectsPregnancyPrenatal CareUnited Statesantenatal breast expressionantenatal milk expressionbreast feedingcolostrum expressionparitypregnancy

Identifiers

PMID30950165
PMCPMC6859991

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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 Socratic graph.