{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:50:59Z","timestamp":1777852259626,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,10,8]],"date-time":"2020-10-08T00:00:00Z","timestamp":1602115200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["R15NRO13566"],"award-info":[{"award-number":["R15NRO13566"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although mother\u2019s own milk decreases prematurity-associated morbidities, mothers of infants born preterm and very low birth weight experience a significantly shorter lactation duration. Little is known regarding factors associated with lactation cessation during the hospitalization of a very low birth weight infant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research aim<\/jats:title>\n                    <jats:p>To determine demographic, social, and personal factors associated with lactation cessation by 6-weeks postpartum in mothers delivering very low birth weight infants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We used a retrospective, longitudinal, two-group comparison design using data from a randomized control study. Mothers of very low birth weight infants (\n                      <jats:italic>N<\/jats:italic>\n                      = 142) were enrolled from a labor and delivery unit associated with a Level 4 neonatal intensive care unit. Demographic, social, and health information was obtained from the medical records. Participants were surveyed regarding lactation goals, experience, and reason(s) for cessation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants who did not continue lactating for more than 6 weeks were more likely to be unemployed (\n                      <jats:italic>p<\/jats:italic>\n                      = .019), Medicaid eligible (\n                      <jats:italic>p<\/jats:italic>\n                      = .009), less educated (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .031), smoke (\n                      <jats:italic>p<\/jats:italic>\n                      = .002), provide less skin-to-skin care (\n                      <jats:italic>p<\/jats:italic>\n                      = .007), and to delay the decision to provide their milk to their infant (\n                      <jats:italic>p<\/jats:italic>\n                      = .007). After Bonferroni adjustment, only minutes of skin-to-skin care remained statistically significant. Insufficient maternal milk production was the most common reason for lactation cessation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While the etiology of lactation cessation is often non-modifiable, strategies aimed at maintaining mother\u2019s own milk production, smoking cessation, increasing skin-to-skin care, and promoting an earlier decision to lactate, may prolong lactation duration in this vulnerable population.<\/jats:p>\n                    <jats:p>This RCT was registered (2012-00071) with ClinicalTrials.com on 6\/28\/2013.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890334420940239","type":"journal-article","created":{"date-parts":[[2020,10,8]],"date-time":"2020-10-08T11:59:08Z","timestamp":1602158348000},"page":"511-520","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Demographic, Social, and Personal Factors Associated With Lactation Cessation by 6 Weeks in Mothers of Very Low Birth Weight Infants"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8787-7945","authenticated-orcid":false,"given":"Leslie A.","family":"Parker","sequence":"first","affiliation":[{"name":"University of Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlene","family":"Krueger","sequence":"additional","affiliation":[{"name":"University of Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Sullivan","sequence":"additional","affiliation":[{"name":"University of Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"Mueller","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina, Charleston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,10,8]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002501"},{"issue":"1","key":"e_1_3_4_3_1","first-page":"e1","article-title":"American College of Obstetricians and Gynecologists Practice Bulletin No. 202: Gestational hypertension and preeclampsia","volume":"133","author":"American College of Obstetricians and Gynecologists","year":"2019","unstructured":"American College of Obstetricians and Gynecologists. 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