{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:18:25Z","timestamp":1791497905294,"version":"4.3.4"},"reference-count":44,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T00:00:00Z","timestamp":1606262400000},"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":["J Intellect Disabil"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:p>Several conditions related to serious difficulty in initiating and maintaining breastfeeding in neonates with Down syndrome are described in the literature. This study aimed to investigate the frequency of breastfeeding in neonates with Down syndrome, as well as the reasons for not breastfeeding, through a systematic literature review by searching MEDLINE via PubMed, Cochrane Library, Scopus, Embase via Elsevier, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases. Sixteen studies were included with a total sample size of 2022 children with Down syndrome. The frequency of exclusive breastfeeding was 31.6\u201355.4%, with five studies reporting breastfeeding for longer than 6 months. Breastfeeding from birth was present for 48\u201392.5% of the children with Down syndrome in six studies. Two studies reported that around 50% and 23.3% of the children with Down syndrome were never breastfed, and rates of breastfeeding in infants with Down syndrome were lower than those in controls in three studies. The reasons for not breastfeeding or cessation of breastfeeding were associated with Down syndrome-specific challenges, maternal reasons, and healthcare aspects.<\/jats:p>","DOI":"10.1177\/1744629520970078","type":"journal-article","created":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T04:22:45Z","timestamp":1606278165000},"page":"244-263","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Down syndrome and breastfeeding: A systematic review"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4564-809X","authenticated-orcid":false,"given":"Marina Lummertz","family":"Magenis","sequence":"first","affiliation":[{"name":"Universidade do Extremo Sul Catarinense, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanessa","family":"de Faveri","sequence":"additional","affiliation":[{"name":"Universidade do Extremo Sul Catarinense, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamila","family":"Castro","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele Carra","family":"Forte","sequence":"additional","affiliation":[{"name":"Faculdades Integradas Machado de Assis, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Jose","family":"Grande","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Mato Grosso do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid Schweigert","family":"Perry","sequence":"additional","affiliation":[{"name":"Hospital de Clinicas de Porto Alegre (HCPA\/UFRGS), Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,11,25]]},"reference":[{"key":"bibr1-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/fmi041"},{"key":"bibr2-1744629520970078","first-page":"132","volume":"89","author":"Amr NH","year":"2018","journal-title":"Acta Biomedica"},{"key":"bibr3-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1186\/s12929-015-0138-y"},{"key":"bibr4-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.1983.tb00323.x"},{"issue":"2","key":"bibr5-1744629520970078","first-page":"1","volume":"71","author":"Bagatini SF\u00c9L","year":"2017","journal-title":"Annals of Nutrition and Metabolism"},{"key":"bibr6-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.36337"},{"key":"bibr7-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2016.06.018"},{"key":"bibr8-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12231"},{"key":"bibr9-1744629520970078","first-page":"340","volume":"28","author":"Col\u00f3n E","year":"2009","journal-title":"Puerto Rico Health Sciences Journal"},{"key":"bibr10-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2020.1734275"},{"key":"bibr11-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroimage.2017.12.056"},{"key":"bibr12-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnn.2018.01.001"},{"key":"bibr13-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.38165"},{"key":"bibr14-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6605244"},{"key":"bibr15-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1111\/apa.13552"},{"key":"bibr16-1744629520970078","doi-asserted-by":"crossref","first-page":"32","DOI":"10.4067\/S0370-41062018000100032","volume":"89","author":"G\u00e9nova L","year":"2018","journal-title":"Revista Chilena de Pediatr\u00eda"},{"key":"bibr17-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1186\/s13052-015-0192-9"},{"key":"bibr18-1744629520970078","volume":"22","author":"Goodchild L","year":"2018","journal-title":"JBI Database of Systematic Reviews and Implementation Reports"},{"issue":"1","key":"bibr19-1744629520970078","first-page":"S4","volume":"6","author":"Hansen TAA","year":"2011","journal-title":"Breastfeeding Medicine"},{"key":"bibr20-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-019-2505-2"},{"key":"bibr21-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(98)00178-3"},{"key":"bibr22-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2018.01.004"},{"key":"bibr23-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1177\/1744629516686571"},{"key":"bibr24-1744629520970078","first-page":"65","volume":"17","author":"Mayoral-Trias MA","year":"2016","journal-title":"European Journal of Paediatric Dentistry"},{"key":"bibr25-1744629520970078","first-page":"189","volume":"66","author":"Mazurek D","year":"2015","journal-title":"Roczniki Panstwowego Zakladu Higieny"},{"key":"bibr26-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813483445"},{"key":"bibr27-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjq094"},{"key":"bibr28-1744629520970078","doi-asserted-by":"publisher","DOI":"10.2319\/072709-421.1"},{"key":"bibr29-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2003.tb00835.x"},{"key":"bibr30-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2014.0034"},{"key":"bibr31-1744629520970078","unstructured":"Preferred Reporting for Systematic Reviews and Meta-Analyses (2015) PRISMA Statement. Available at: http:\/\/www.prismastatement.org\/PRISMAStatement\/PRISMAStatement.aspx (accessed 5 September 2019)."},{"key":"bibr32-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1016\/S2171-9748(10)70002-7"},{"key":"bibr33-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12189"},{"key":"bibr34-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-89102013000100006"},{"key":"bibr35-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-010-9491-z"},{"key":"bibr36-1744629520970078","first-page":"202e208","volume":"40","author":"Tracy J","year":"2011","journal-title":"Australian Family Physician"},{"key":"bibr37-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1111\/aji.12778"},{"key":"bibr38-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2007.09.045"},{"key":"bibr39-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1177\/1941406413496568"},{"key":"bibr40-1744629520970078","doi-asserted-by":"crossref","first-page":"A105","DOI":"10.1136\/archdischild-2016-311645","volume":"102","author":"Williams G","year":"2017","journal-title":"Archives of Disease in Childhood"},{"key":"bibr41-1744629520970078","volume-title":"Indicators for Assessing Infant and Young Child Feeding Practices. Part I: Definition","author":"World Health Organization (WHO)","year":"2008"},{"key":"bibr42-1744629520970078","volume-title":"WHO Indicators for Assessing Infant and Young Child Feeding Practices. Part 3: Country Profiles","author":"World Health Organization (WHO)","year":"2010"},{"key":"bibr43-1744629520970078","unstructured":"World Health Organization (WHO) (2017) United Nations Children\u2019s Fund (UNICEF). Global Breastfeeding Scorecard, 2017\u2014Tracking Breastfeeding Policies and Programmes. Global Breastfeeding Collective. WHO\/UNICEF. Available at: http:\/\/www.who.int\/nutrition\/publications\/infantfeeding\/global-bf-scorecard-2017.pdf (accessed 22 April 2018)."},{"key":"bibr44-1744629520970078","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-1267"}],"container-title":["Journal of Intellectual Disabilities"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1744629520970078","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1744629520970078","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1744629520970078","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T23:18:52Z","timestamp":1777504732000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1744629520970078"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,25]]},"references-count":44,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1177\/1744629520970078"],"URL":"https:\/\/doi.org\/10.1177\/1744629520970078","relation":{},"ISSN":["1744-6295","1744-6309"],"issn-type":[{"value":"1744-6295","type":"print"},{"value":"1744-6309","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,25]]}}}