Evidence map›Paper›PMID 39868923›Full record

ArticlePediatric pulmonology2025

"It's Like You're Feeding Your Child Twice": Barriers and Facilitators to Human Milk Feeding Children With Cystic Fibrosis.

Adrianne Colborg, Brandon M Smith, Deanna M Green, Samya Nasr, Gregory S Sawicki, Michael S Schechter, Kristin A Riekert, Kimberly M Dickinson

Abstract read
In one paragraph

Article in Pediatric pulmonology, 2025. 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. Review
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.

Adrianne ColborgDepartment of Pediatrics, Pulmonary Section, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas, USA.
Brandon M SmithDepartment of Pediatrics, Division of General Pediatrics, Johns Hopkins University, Baltimore, Maryland, USA.
Deanna M GreenDepartment of Pediatrics, Division of Pediatric Pulmonology, Johns Hopkins All Children's Hospital, St. Petersburg, Florida, USA.
Samya NasrDepartment of Pediatrics, Division of Pediatric Pulmonology, University of Michigan, Ann Arbor, Michigan, USA.ORCID http://orcid.org/0000-0002-4124-316X
Gregory S SawickiDepartment of Pediatrics, Division of Pulmonary Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID http://orcid.org/0000-0003-3356-709X
Michael S SchechterDepartment of Pediatrics, Division of Pulmonary and Sleep Medicine, Virginia Commonwealth University, Richmond, Virginia, USA.
Kristin A RiekertDepartment of Medicine, Division of Pulmonary & Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Kimberly M DickinsonDepartment of Pediatrics, Division of Pulmonary, Allergy/Immunology, Cystic Fibrosis and Sleep, Emory University, Atlanta, Georgia, USA.ORCID http://orcid.org/0000-0001-8530-5089

Funding

BCM-Respiratory Research TrainingT32HL170991 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI Farrah Kheradmand, Ivan O. Rosas · 2024 to 2026
$888k
NHLBI NIH HHS T32 HL170991This research was supported by the Cystic Fibrosis Foundation.
6 · The paper itself

Abstract

backgroundCystic Fibrosis Foundation guidelines recommend human milk (HM) as the ideal source of nutrition for children with CF (cwCF). Despite known pulmonary and nutritional benefits, fewer cwCF ever receive HM compared to the general population. Early nutrition choices are preference-sensitive, yet little is known about the factors that impede or sustain HM feeding among parents of cwCF.

objectivesExplore perceptions and experiences of mothers of cwCF who initiated HM feeding.

methodsMothers of cwCF aged ≤ 10 years completed audio-taped, semi-structured interviews describing their experiences with HM feeding. Interviews were transcribed and two researchers independently coded the transcripts and conducted content and thematic analysis using an inductive approach.

resultsParticipants included 28 mothers who initiated HM feeding. Major themes included: (1) the impact of a CF diagnosis on HM feeding plans; (2) CF-specific challenges to HM feeding; (3) mixed perceptions of the CF care team's support for HM feeding and of the role of formula in CF nutritional care; and (4) the benefit of lactation consultants as part of the CF care team.

conclusionMany parents prioritize HM for their cwCF given the well-established health benefits. However, CF-specific barriers to HM feeding are common and nutritional challenges necessitating fortification add additional barriers to sustained HM feeding efforts. While HM may improve long-term pulmonary outcomes, our findings demonstrate the need for personalized support for mothers desiring to HM feed to facilitate shared decision-making around options to optimize early nutritional status among cwCF.

Indexed as

Breast FeedingCystic FibrosisMilk, HumanMothersAdultChildChild, PreschoolFemaleHumansInfantInterviews as TopicMaleQualitative Researchcaregivercystic fibrosis (CF)decision‐makingHMpediatrics

Identifiers

PMID39868923
PMCPMC12767139

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.