{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:07:05Z","timestamp":1791234425343,"version":"4.1.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Breastfeeding Medicine"],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To determine whether a target-guided milk expression approach improves cumulative milk volume during the first postpartum week among mothers of late preterm infants experiencing maternal\u2013infant separation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A parallel-group randomized controlled trial was conducted at a university hospital in Thailand. Thirty mothers of late preterm infants who were separated from their infants were randomized to receive the target-guided milk expression approach or usual care. The primary outcome was cumulative milk volume across postpartum Days 1\u20137; secondary outcomes included daily milk expression frequency. Exploratory outcomes assessed the timing of achieving 2 consecutive days meeting prespecified expression frequency and milk-volume targets.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Mothers in the intervention group produced greater cumulative milk volume than controls (1,791.4 \u00b1 637.7 versus 894.4 \u00b1 351.1 mL; mean difference 896.9 mL, 95% confidence interval 506.9\u20131,287.0;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) and expressed milk more frequently across Days 1\u20137 (7.14 [interquartile range (IQR): 7.00\u20138.14] versus 5.29 [IQR: 5.00\u20135.86] sessions\/day;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Higher expression frequency in the intervention group was observed during hospitalization and after hospital discharge. Exploratory outcomes showed that more mothers in the intervention group achieved the predefined 2-day frequency and volume criteria.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A target-guided milk expression approach improved early expressed milk volume and supported more frequent milk expression during the first postpartum week, including after hospital discharge. A longer follow-up is needed to determine whether these early differences are sustained after maternal\u2013infant reunion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15568253261470306","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T06:49:27Z","timestamp":1784098167000},"page":"646-653","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Target-Guided Milk Expression to Improve Early Milk Volume in Mothers of Late Preterm Infants During Separation: A Randomized Controlled Trial"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1528-7845","authenticated-orcid":false,"given":"Sakonsupa","family":"Matrakul","sequence":"first","affiliation":[{"name":"Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piyaporn","family":"Prasitwattanasaree","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Nursing Department, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piyanut","family":"Xuto","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Nursing Department, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2019.0035"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2025-073625"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogn.2021.06.003"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2020.0379"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.13274"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/pxad034"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2016.29031.egb"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0307522"},{"key":"e_1_3_3_10_1","volume-title":"Breastfeeding: a guide for the medical profession","author":"Lawrence RA","year":"2021","unstructured":"9.Lawrence RA, , Lawrence RM. Breastfeeding: a guide for the medical profession. 9th ed. Elsevier: Philadelphia, PA; 2021.","edition":"9"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.enfcli.2019.06.012"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-06323-3"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2020.00191"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnn.2021.08.015"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90022-L"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2024.1278818"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-023-01662-z"}],"container-title":["Breastfeeding Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15568253261470306","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15568253261470306","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15568253261470306","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T14:16:14Z","timestamp":1790864174000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15568253261470306"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,14]]},"references-count":16,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11,1]]}},"alternative-id":["10.1177\/15568253261470306"],"URL":"https:\/\/doi.org\/10.1177\/15568253261470306","relation":{},"ISSN":["1556-8253","1556-8342"],"issn-type":[{"value":"1556-8253","type":"print"},{"value":"1556-8342","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,14]]}}}