Evidence map›Paper›PMID 11739226›Full record

ArticleBMJ (Clinical research ed.)2001

Effect on rates of breast feeding of training for the baby friendly hospital initiative.

A Cattaneo, R Buzzetti

Abstract read
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In one paragraph

Article in BMJ (Clinical research ed.), 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

45 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Interventions for promoting the initiation of breastfeeding.The Cochrane database of systematic reviews · 2016
    Pooled it
  4. Pooled it
  5. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2012
    Pooled it
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  11. Breastfeeding trends, influences, and perceptions among Italian women: a qualitative study.International journal of qualitative studies on health and well-being · 2020
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  16. Observational
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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

2 authors.

A CattaneoUnit for Health Services Research and International Cooperation, Istituto per l'Infanzia, Via dell'Lstria 65/1 34137 Trieste, Italy. cattaneo@burlo.trieste.it
R Buzzetti

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

problemBreastfeeding rates and related hospital practices need improvement in Italy and elsewhere. Training of staff is necessary, but its effectiveness needs assessment. CONTEXT: Eight hospitals in different regions of Italy.

designControlled, non-randomised study. Data collected in three phases. Training after the first phase in group 1 hospitals and after the second phase in group 2. STRATEGIES FOR CHANGE: Training of trainers and subsequent training of health workers with a slightly adapted version of the 18 hour Unicef course on breastfeeding management and promotion. KEY MEASURES FOR IMPROVEMENT: Hospital practices, knowledge of 571 health workers, and breastfeeding rates at discharge, three, and six months in 2669 mother and baby pairs. EFFECTS OF CHANGE: After training hospitals improved their compliance with the "ten steps to successful breast feeding," from an average of 2.4 steps at phase one to 7.7 at phase three. Knowledge scores of health professionals increased from 0.41 to 0.72 in group 1 (training after phase one) and from 0.53 to 0.75 in group 2 (after phase two). The rate of exclusive breast feeding at discharge increased significantly after training: 41% to 77% in group 1 and 23% to 73% in group 2, as did the rates of full (exclusive plus predominant) breast feeding at three months (37% to 50% in group 1 v 40% to 59% in group 2) and any breast feeding at six months (43% to 62% in group 1 v 41% to 64% in group 2). LESSONS LEARNT: Training for at least three days with a course including practical sessions and counselling skills is effective in changing hospital practices, knowledge of health workers, and breastfeeding rates.

Indexed as

Breast FeedingAdolescentAdultEducation, Medical, ContinuingEducation, Nursing, ContinuingFemaleHumansInfant, NewbornMidwiferyNursing Staff, HospitalObstetricsPersonnel, Hospital

Identifiers

PMID11739226
PMCPMC1121812

What OpenQuestion holds

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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 OpenQuestion graph.