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. 2026 Mar 31;15:e84776. doi: 10.2196/84776

Table 2.

Potential predictors (maternal and infant) of human milk intakes.

Factors that potentially predict human milk intakes Explanation of potential impact or hypothesis References
Maternal factors

Breastfeeding self-efficacy Mothers who have greater self-efficacy may have infants with higher intake.
  • Khresheh and Ahmad [68]


Breast or chest trauma Mothers who have experienced breast or chest trauma may have infants with lower intake.
  • Kraut et al [69]

  • Haifeng et al [70]

  • Stopenski et al [71]

  • Leal et al [72]

  • Holmgren et al [73]


Cannabis Mothers who use cannabis may have infants with lower intake.
  • Castro-Navarro et al [46]


D-MERa Mothers who experience D-MER (sudden, intense negative emotions that occur immediately before and during milk let-down) may have infants with lower intake.
  • Ureño et al [74]


Early return of menses Mothers who have had return of menses may have infants with lower intake.
  • Spencer et al [49]


Education Mothers who are more educated may have infants with higher intake.
  • Bandara et al [39]

  • Haszard et al [31]


Employment (current) Mothers who are in current employment may have infants with lower intake.
  • Haszard et al [31]


Following specific diet Mothers who are consuming specific dietary patterns (eg, low fat, dairy-free, and vegetarian) may have infants with differing intake.
  • Spencer et al [49]


Galactagogues or antigalactagogues Mothers who are consuming galactagogues (a substance that is thought to increase milk volume) may have infants with higher intake, and mothers who are consuming antigalactagogues may have infants with lower intake.
  • Brodribb et al [75]

  • Johnson et al [76]


Hormonal birth control Mothers who are taking hormonal birth control may have infants with lower intake.
  • Berens et al [77]


Maternal BMI Mothers with higher BMI may have infants with lower intake.
  • Hilson et al [40]

  • Haszard et al [31]


Maternal fat mass Mothers who have higher fat mass may have infants with lower intake.
  • Diana et al [78]


Parity Mothers who have previously given birth may have infants with lower intake.
  • Whitehead et al [41]


Previous breastfeeding experience Mothers with previous breastfeeding success may have infants with higher intake, while those who did not have success previously may have infants with lower intake.
  • Huang et al [79]


Maternal morbidities Mothers who have medical conditions may have infants with lower intake.
  • Spencer et al [49]


Maternal sleep Hypothesis that maternal sleep may impact infant milk intake.
  • N/Ab


Maternal use of medications Mothers on certain medications may have infants with differing intake.
  • Farah et al [48]


Mental health Mothers who experience challenges with mental health may have infants with lower intake.
  • Spencer et al [49]


Pain while breastfeeding Mothers who experience pain while breastfeeding may have infants with lower intake.
  • McGuire [80]


Smoking or nicotine Mothers who use nicotine may have infants with lower intake.
  • Napierala et al [47]


Stress Mothers with higher levels of stress may have infants with lower intake.
  • Nagel et al [50]

Infant factors

Age It is known that infant intake varies over the course of lactation.
  • Bandara et al [39]

  • da Costa et al [23]

  • Whitehead et al [41]

  • Brown et al [42]

  • Haszard et al [31]


Body weight Infants with smaller body weight may have lower intake.
  • Bandara et al [39]

  • Daniels et al [22]

  • Agne-Djigo et al [43]

  • Haisma 2003 [34]

  • Haszard et al [31]


Demand vs schedule feeding Infants fed on demand rather than by schedule may have higher intake.
  • Dewey et al [44]

  • Haszard et al [31]


Growth trajectory Infants with greater growth velocity may have higher intake.
  • Olga et al [36]


Household temperature and humidity Higher household temperature and humidity may be associated with higher intake.
  • Baby et al [81]


Number of breast feeds (average per day) Infants feeding more often may have higher intake.
  • Brown et al [42]

  • Haszard et al [31]


Sex Male infants may have higher intake than female infants.
  • da Costa et al. 2010 [23]


Spilling (average quantity) Hypothesis that intake may differ in infants who spill. 
  • N/A


Term, preterm, or early term Infants born early may have lower intake.
  • Lapillonne et al [82]

  • Altuntas et al [83]

  • Boies and Vaucher [84]

aD-MER: dysphoric milk ejection reflex.

bN/A: not applicable.