{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T20:51:18Z","timestamp":1775249478476,"version":"3.50.1"},"reference-count":44,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Arch Dis Child Fetal Neonatal Ed"],"accepted":{"date-parts":[[2013,6,25]]},"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To synthesise what is known about the parents\u2019 views on factors that help or hinder breast milk supply during their infants\u2019 hospitalisation in neonatal intensive care units (NICU).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A systematic search of PubMed, ISI WoK, PsycINFO and SciELO, targeting studies presenting original empirical data that examined parents\u2019 perspectives regarding breast milk supply experiences in NICU, was performed. Based on content analysis, three independent researchers synthesised the findings of seven studies. Categories of facilitators and barriers were identified using quotations stated in the studies: parents\u2019 breast milk supply experience; parents\u2013professionals relationships; characteristics of the NICU; and parents\u2019 social background and expectations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The studies, five qualitative and two mixed methods, were published between 1994 and 2011. With heterogeneous study designs, fathers\u2019 perspectives were analysed in one article. Only one study defined breastfeeding. According to parents\u2019 perspectives, successful breast milk supply in NICU depends on coherent and accurate knowledge about its techniques and benefits, reinforcement of mothers\u2019 motivation and alignment between NICU's routines and parents\u2019 needs. Parents perceived issues related to their own current breast milk supply experience, simultaneously, as main facilitators and barriers. Parents\u2013professionals relationship constituted the second group of facilitators, but the fourth of barriers. The characteristics of the NICU were more relevant as a barrier than as a facilitator.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Although parents\u2019 perspectives are grounded on individual child-focused experiences, their emphasis on learning and motivation guided by short-term goals opens room to the collective intervention of experts. This may facilitate the engagement of mothers, fathers and health professionals on family-centred care.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/archdischild-2013-304029","type":"journal-article","created":{"date-parts":[[2013,7,18]],"date-time":"2013-07-18T21:35:03Z","timestamp":1374183303000},"page":"F511-F517","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":60,"title":["Parents\u2019 views on factors that help or hinder breast milk supply in neonatal care units: systematic review"],"prefix":"10.1136","volume":"98","author":[{"given":"Elisabete","family":"Alves","sequence":"first","affiliation":[{"name":"Department of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Porto, Portugal"},{"name":"Institute of Public Health\u2014University of Porto, Porto, Portugal"}]},{"given":"Carina","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Porto, Portugal"},{"name":"Institute of Public Health\u2014University of Porto, Porto, Portugal"}]},{"given":"S\u00edlvia","family":"Fraga","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Porto, Portugal"},{"name":"Institute of Public Health\u2014University of Porto, Porto, Portugal"}]},{"given":"Henrique","family":"Barros","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Porto, Portugal"},{"name":"Institute of Public Health\u2014University of Porto, Porto, Portugal"}]},{"given":"Susana","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Porto, Portugal"},{"name":"Institute of Public Health\u2014University of Porto, Porto, Portugal"}]}],"member":"239","published-online":{"date-parts":[[2013,7,18]]},"reference":[{"key":"2025090510032549000_98.6.F511.1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2009.179564"},{"key":"2025090510032549000_98.6.F511.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.adnc.2004.12.003"},{"key":"2025090510032549000_98.6.F511.3","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3552"},{"key":"2025090510032549000_98.6.F511.4","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/46.1.15"},{"key":"2025090510032549000_98.6.F511.5","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.089490"},{"key":"2025090510032549000_98.6.F511.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2010.02064.x"},{"key":"2025090510032549000_98.6.F511.7","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2010.10.005"},{"key":"2025090510032549000_98.6.F511.8","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-2916"},{"key":"2025090510032549000_98.6.F511.9","doi-asserted-by":"publisher","DOI":"10.1186\/1746-4358-3-30"},{"key":"2025090510032549000_98.6.F511.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(02)00542-7"},{"key":"2025090510032549000_98.6.F511.11","doi-asserted-by":"publisher","DOI":"10.1111\/j.0730-7659.2006.00072.x"},{"key":"2025090510032549000_98.6.F511.12","doi-asserted-by":"publisher","DOI":"10.1001\/jama.281.9.799"},{"key":"2025090510032549000_98.6.F511.13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2009.01018.x"},{"key":"2025090510032549000_98.6.F511.14","first-page":"281","article-title":"Perceived needs of parents of critically ill infants in a neonatal intensive care unit (NICU)","volume":"27","author":"Ward","year":"2001","journal-title":"Pediatr Nurs"},{"key":"2025090510032549000_98.6.F511.15","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2007.135921"},{"key":"2025090510032549000_98.6.F511.16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2008.04618.x"},{"key":"2025090510032549000_98.6.F511.17","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1891\/0730-0832.24.6.25","article-title":"A concept analysis of family-centered care in the NICU","volume":"24","author":"Malusky","year":"2005","journal-title":"Neonatal Netw"},{"key":"2025090510032549000_98.6.F511.18","unstructured":"Corrigan J Donaldson M Kohn L . 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