Evidence map›Paper›PMID 14703543›Full record

Trial reportBMJ (Clinical research ed.)2004

Randomised controlled trial of support from volunteer counsellors for mothers considering breast feeding.

Jonathan Graffy, Jane Taylor, Anthony Williams, Sandra Eldridge

Abstract readClinical TrialMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ (Clinical research ed.), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 15 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

48 citing papers in PubMed, 15 syntheses or guidelines pooled it.

  1. Pooled it
  2. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
    Pooled it
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  5. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017
    Pooled it
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  7. Antenatal breastfeeding education for increasing breastfeeding duration.The Cochrane database of systematic reviews · 2016
    Pooled it
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  10. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2012
    Pooled it
  11. Antenatal breastfeeding education for increasing breastfeeding duration.The Cochrane database of systematic reviews · 2011
    Pooled it
  12. Pooled it
  13. Effect of antenatal peer support on breastfeeding initiation: a systematic review.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2010
    Pooled it
  14. Breastfeeding peer counseling: from efficacy through scale-up.Journal of human lactation : official journal of International Lactation Consultant Association · 2010
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Jonathan GraffyDepartment of General Practice and Primary Care, Barts and the London, Queen Mary, University of London, London E1 4NS. jonathan.graffy@phpc.cam.ac.uk
Jane Taylor
Anthony Williams
Sandra Eldridge

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate whether offering volunteer support from counsellors in breast feeding would result in more women breast feeding.

designRandomised controlled trial.

setting32 general practices in London and south Essex.

participants720 women considering breast feeding.

main outcome measuresPrimary outcome was prevalence of any breast feeding at six weeks. Secondary outcomes were the proportion of women giving any breast feeds, or bottle feeds at four months, duration of any breast feeding, time to introduction of bottle feeds, and satisfaction with breast feeding.

resultsOffering support in breast feeding did not significantly increase the prevalence of any breast feeding to six weeks (65% (218/336) in the intervention group and 63% (213/336) in the control group; relative risk 1.02, 95% confidence interval 0.84 to 1.24). Survival analysis up to four months confirmed that neither duration of breast feeding nor time to introduction of formula feeds differed significantly between control and intervention groups. Not all women in the intervention group contacted counsellors postnatally, but 73% (123/179) of those who did rated them as very helpful. More women in the intervention group than in the control group said that their most helpful advice came from counsellors rather than from other sources.

conclusionsWomen valued the support of a counsellor in breast feeding, but the intervention did not significantly increase breastfeeding rates, perhaps because some women did not ask for help.

Indexed as

CounselingAdolescentAdultBreast FeedingFamily PracticeHumansMaternal AgePostnatal CarePrognosisSocial SupportSurvival Analysis

Identifiers

PMID14703543
PMCPMC313903

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.