{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T23:58:26Z","timestamp":1790467106003,"version":"4.1.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100010628","name":"Universidad de La Sabana","doi-asserted-by":"publisher","award":["MEDEsp-54-2021"],"award-info":[{"award-number":["MEDEsp-54-2021"]}],"id":[{"id":"10.13039\/501100010628","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":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Globally, exclusive breastfeeding (EBF) rates remain &lt; 50%, with the highest rate of discontinuation occurring within the first 30\u2009days. Early identification of breastfeeding difficulties is essential for timely intervention and extension of the EBF duration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Aim:<\/jats:title>\n                    <jats:p>To determine the association between early assessment of breastfeeding techniques (within 48\u2009hr postpartum), breastfeeding-related breast complications (e.g., mastitis, fissures, engorgement, and pain), and EBF duration during the first month.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>This prospective observational study included 120 mother\u2013infant dyads who were followed up for 30\u2009days postpartum. The breastfeeding technique was assessed during rooming-in using the United Nations Children\u2019s Fund (UNICEF) Breastfeeding Observation Aid, and breast-related problems were recorded. The EBF duration was tracked through weekly telephone follow-up. Kaplan-Meier survival curves and Cox regression models were used to analyze the associations between breastfeeding technique, breast complications, and EBF duration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      At 30\u2009days of age, 43% of the infants were exclusively breastfed. Each additional breastfeeding difficulty was associated with a 17% higher risk of EBF interruption over time (adjusted HR: 1.17; 95% CI [1.08, 1.30];\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Breast-related problems during the first week postpartum, present in 29.2% of dyads, were also linked to early EBF cessation (adjusted HR, 1.77; 95% CI [1.07, 2.92];\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.020).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Difficulties in breastfeeding techniques and breast-related problems were significantly associated with a shorter EBF duration in the first month. Structured tools such as the Breastfeeding Observation Aid may support the early identification of at-risk dyads and improve EBF outcomes during the neonatal period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08903344261426887","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T12:53:58Z","timestamp":1775480038000},"page":"535-545","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Maternal Breastfeeding Technique and Early Breastfeeding Problems as Predictors of Exclusive Breastfeeding Duration in the Neonatal Period"],"prefix":"10.1177","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9154-4529","authenticated-orcid":false,"given":"Sergio","family":"Agudelo-P\u00e9rez","sequence":"first","affiliation":[{"name":"PhD, Health Sciences, Perinatologist and Neonatologist, Pediatrician, Universidad de la Sabana, Chia, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Jose","family":"Maldonado","sequence":"additional","affiliation":[{"name":"Masters in medical education. Pediatrician, Universidad de La Sabana, Chia, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Diaz Ritter","sequence":"additional","affiliation":[{"name":"Pediatrician, Universidad de La Sabana, Chia, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00f3nica","family":"Fagua Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Pediatrician, Universidad de La Sabana, Chia, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristian Leonardo","family":"Vargas Fiallo","sequence":"additional","affiliation":[{"name":"Pediatrician, Neonatologist, Head of Neonatal Care Unit. Cl\u00ednica Palermo, Bogot\u00e1, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"crossref","unstructured":"Alahmed S. Meedya S. Mutair A. A. Fernandez R. (2023). 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