{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:49:33Z","timestamp":1777852173311,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2016,9,26]],"date-time":"2016-09-26T00:00:00Z","timestamp":1474848000000},"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 Hum Lact"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Successful human milk supply in neonatal intensive care units (NICUs) requires the development of family-centered services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to assess parent perceptions of factors that help or hinder providing human milk to very preterm infants (VPI) in the NICU according to sociodemographic, reproductive, and obstetric characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This cross-sectional quantitative study included 120 mothers and 91 fathers of VPI hospitalized in a level 3 NICU located in the Northern Health Region of Portugal (July 2013-June 2014). Interviewers administered structured questionnaires regarding parent characteristics and the provision and perception of factors that help or hinder human milk supply in the NICU, 15 to 22 days after birth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The main facilitators of human milk supply were its contribution to infant growth and well-being (51.4%) and parents\u2019 knowledge of breastfeeding benefits (27.6%). The main barriers were worries related to inadequate milk supply (35.7%), difficulties with expressing breast milk (24.8%), and physical separation from infants (24.3%). Fathers referred less frequently to the contribution of human milk to infant growth and well-being (odds ratio [OR] = 0.57; 95% confidence interval [CI], 0.32-1.00) but more frequently to knowledge of breastfeeding benefits as facilitators (OR = 2.31; 95% CI, 1.23-4.32). Participants with &gt; 12 years of education (OR = 1.91; 95% CI, 1.05-3.47) and those with an extremely low birth weight infant (OR = 1.90; 95% CI, 1.02-3.54) highlighted worries related to inadequate milk supply. Fathers (OR = 2.16; 95% CI, 1.11-4.19) and participants with \u2264 12 years of education (OR = 0.25; 95% CI, 0.11-0.57) more frequently reported difficulties with expressing as the main barrier.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The parent\u2019s gender and education and the infant\u2019s birth weight are crucial considerations for establishing optimal practices for supporting breastfeeding.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890334416664071","type":"journal-article","created":{"date-parts":[[2016,8,25]],"date-time":"2016-08-25T22:38:36Z","timestamp":1472164716000},"page":"695-703","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":44,"title":["Factors Influencing Parent Reports of Facilitators and Barriers to Human Milk Supply in Neonatal Intensive Care Units"],"prefix":"10.1177","volume":"32","author":[{"given":"Elisabete","family":"Alves","sequence":"first","affiliation":[{"name":"ISPUP-EPIUnit, Universidade do Porto, Rua das Taipas, no. 135, 4050-600 Porto, Portugal"}]},{"given":"Raquel","family":"Magano","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Universidade do Porto, Rua Doutor Pl\u00e1cido da Costa, 4200-450 Porto, Portugal"}]},{"given":"Mariana","family":"Amorim","sequence":"additional","affiliation":[{"name":"ISPUP-EPIUnit, Universidade do Porto, Rua das Taipas, no. 135, 4050-600 Porto, Portugal"},{"name":"Global Public Health Doctoral Programme, Institute of Public Health of University of Porto, Porto, Portugal"}]},{"given":"Concei\u00e7\u00e3o","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Center for Psychology at University of Porto, Faculty of Psychology and Educational Sciences of the University of Porto, Porto, Portugal"}]},{"given":"Susana","family":"Silva","sequence":"additional","affiliation":[{"name":"ISPUP-EPIUnit, Universidade do Porto, Rua das Taipas, no. 135, 4050-600 Porto, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2016,9,26]]},"reference":[{"key":"bibr1-0890334416664071","volume-title":"Global Strategy for Infant and Young Child Feeding","author":"World Health 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