Evidence mapPaperPMID 23209111Full record

Trial reportPediatrics2013

Breastfeeding education and support trial for overweight and obese women: a randomized trial.

Donna J Chapman, Katherine Morel, Angela Bermúdez-Millán, Sara Young, Grace Damio, Rafael Pérez-Escamilla

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02756169 (Effect of an Immediate-postpartum Support by IBCLC to Women With Obesity, on Breastfeeding Performance), which is not on this map. Cited by 50 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 18 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02756169 nacompletednot on this mapstarted 2016, after this paper: background citation

Effect of an Immediate-postpartum Support by IBCLC to Women With Obesity, on Breastfeeding Performance: A Randomized Trial.

TypeinterventionalSponsorUniversidad Iberoamericana A.C., MexicoRan2016 to 2018Enrolled261ConditionsBreastfeedingArmsIntervention
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 18 syntheses or guidelines pooled it, 103 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. The association between psychological factors and breastfeeding behaviour in women with a body mass index (BMI) ≥30 kg mObesity reviews : an official journal of the International Association for the Study of Obesity · 2018
    Pooled it
  12. Pooled it
  13. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017
    Pooled it
  14. Antenatal breastfeeding education for increasing breastfeeding duration.The Cochrane database of systematic reviews · 2016
    Pooled it
  15. Interventions for promoting the initiation of breastfeeding.The Cochrane database of systematic reviews · 2016
    Pooled it
  16. Pooled it
  17. Pooled it
  18. Pooled it
  19. Trial
  20. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Donna J ChapmanDepartment of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, Connecticut 06510, USA. donna.chapman@yale.edu
Katherine Morel
Angela Bermúdez-Millán
Sara Young
Grace Damio
Rafael Pérez-Escamilla
Hartford Financial Services (United States)UConn Health · US

Funding

RESEARCH EDUCATION &TRAINING COREP20MD001765 · UNIVERSITY OF CONNECTICUT STORRS · 2005 to 2005
$1.6M
NIMHD NIH HHS P20 MD001765
6 · The paper itself

Abstract

objectiveTo evaluate a specialized breastfeeding peer counseling (SBFPC) intervention promoting exclusive breastfeeding (EBF) among overweight/obese, low-income women.

methodsWe recruited 206 pregnant, overweight/obese, low-income women and randomly assigned them to receive SBFPC or standard care (controls) at a Baby-Friendly hospital. SBFPC included 3 prenatal visits, daily in-hospital support, and up to 11 postpartum home visits promoting EBF and addressing potential obesity-related breastfeeding barriers. Standard care involved routine access to breastfeeding support from hospital personnel, including staff peer counselors. Data collection included an in-hospital interview, medical record review, and monthly telephone calls through 6 months postpartum to assess infant feeding practices, demographics, and health outcomes. Bivariate and logistic regression analyses were conducted.

resultsThe intervention had no impact on EBF or breastfeeding continuation at 1, 3, or 6 months postpartum. In adjusted posthoc analyses, at 2 weeks postpartum the intervention group had significantly greater odds of continuing any breastfeeding (adjusted odds ratio [aOR]: 3.76 [95% confidence interval (CI): 1.07-13.22]), and giving at least 50% of feedings as breast milk (aOR: 4.47 [95% CI: 1.38-14.5]), compared with controls. Infants in the intervention group had significantly lower odds of hospitalization during the first 6 months after birth (aOR: 0.24 [95% CI: 0.07-0.86]).

conclusionsIn a Baby-Friendly hospital setting, SBFPC targeting overweight/obese women did not impact EBF practices but was associated with increased rates of any breastfeeding and breastfeeding intensity at 2 weeks postpartum and decreased rates of infant hospitalization in the first 6 months after birth.

Indexed as

AdultBreast FeedingFemaleFollow-Up StudiesHumansInfant, NewbornMaleObesityOverweightPatient Education as TopicPostnatal CarePregnancyPrenatal CareYoung Adult

Identifiers

PMID23209111
PMCPMC3529944
OpenAlexW2107009863

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.