Evidence mapPaperPMID 25723973Full record

Trial reportNutrients2015

Reducing postpartum weight retention and improving breastfeeding outcomes in overweight women: a pilot randomised controlled trial.

Julia Martin, Lesley MacDonald-Wicks, Alexis Hure, Roger Smith, Clare E Collins

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
2.8field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017
    Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. ABM Clinical Protocol #19: Breastfeeding Promotion in the Prenatal Setting, Revision 2015.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2015
    Article
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

5 authors at 2 institutions in 1 country.

Julia MartinSchool of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Callaghan, Newcastle 2308, New South Wales, Australia. Julia.Martin@hnehealth.gov.au.
Lesley MacDonald-WicksSchool of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Callaghan, Newcastle 2308, New South Wales, Australia. Lesley.Wicks@newcastle.edu.au.
Alexis HureSchool of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, Newcastle 2308, New South Wales, Australia. Alexis.Hure@newcastle.edu.au.
Roger SmithMothers and Babies Research Centre, Hunter Medical Research Institute, John Hunter Hospital, Level 3, Endocrinology, Locked Bag 1, Hunter Region Mail Centre, Newcastle 2310, New South Wales, Australia. Roger.Smith@newcastle.edu.au.
Clare E CollinsSchool of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Callaghan, Newcastle 2308, New South Wales, Australia. Clare.Collins@newcastle.edu.au.
University of Newcastle Australia · AUJohn Hunter Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Overweight and obesity is prevalent among women of reproductive age (42% BMI > 25 kg/m2) and parity is associated with risk of weight gain. Weight gain greater than that recommended by the Institute of Medicine (IOM )is also associated with lower rates of breastfeeding initiation and duration in women. The aim of this pilot randomised controlled trial is to examine the feasibility of recruiting and maintaining a cohort of pregnant women with the view of reducing postpartum weight retention and improving breastfeeding outcomes. Women (BMI of 25-35 kg/m2 (n = 36)) were recruited from the John Hunter Hospital antenatal clinic in New South Wales, Australia. Participants were stratified by BMI and randomised to one of three groups with follow-up to six months postpartum. Women received a dietary intervention with or without breastfeeding support from a lactation consultant, or were assigned to a wait-list control group where the dietary intervention was issued at three months postpartum. Feasibility and acceptability was assessed by participation rates and questionnaire. Analysis of variance and covariance was conducted to determine any differences between groups. Sixty-nine per cent of the participants were still enrolled at six months postpartum. This pilot demonstrated some difficulties in recruiting women from antenatal clinics and retaining them in the trial. Although underpowered; the results on weight; biomarkers and breastfeeding outcomes indicated improved metabolic health.

Indexed as

Breast FeedingDietFeeding BehaviorPostpartum PeriodWeight GainWeight LossAdultAnalysis of VarianceBody Mass IndexCohort StudiesFemaleHumansInfantMaleObesityPilot Projects

Identifiers

PMID25723973
PMCPMC4377862
OpenAlexW1992362510

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.