SynthesisAnnals of family medicine
The effectiveness of primary care-based interventions to promote breastfeeding: systematic evidence review and meta-analysis for the US Preventive Services Task Force.
Synthesis in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 54 papers, 9 of them syntheses that pooled 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.
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.
Telephone Support Intervention to Improve Breastfeeding Rates in Low-Income Women
The Impact of a Breastfeeding Support Intervention on Breastfeeding Duration in Jaundiced Infants Admitted to a Tertiary Care Centre: a Randomized Controlled Trial.
The Effect of Video Education on Skin-to-Skin at the Time of Delivery
Who cites it
54 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- Interventions That Support Breastfeeding for Women With Gestational Diabetes: A Systematic Review and Meta-Analysis.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2026Pooled it
- Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022Pooled it
- Factors that influence women's engagement with breastfeeding support: A qualitative evidence synthesis.Maternal & child nutrition · 2022Pooled it
- Cost-effectiveness evidence for strategies to promote or support breastfeeding: a systematic search and narrative literature review.BMC pregnancy and childbirth · 2020Pooled it
- Community-based maternal and newborn educational care packages for improving neonatal health and survival in low- and middle-income countries.The Cochrane database of systematic reviews · 2019Pooled it
- Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017Pooled it
- Pooled it
- Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2012Pooled it
- Interventions to promote breast-feeding: applying the evidence in clinical practice.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2004Guideline
- A randomized trial of mobile health support for heart failure patients and their informal caregivers: impacts on caregiver-reported outcomes.Medical care · 2015Trial
- Lactation support and breastfeeding duration in jaundiced infants: a randomized controlled trial.PloS one · 2015Trial
- Trial
- Breastfeeding initiation in the context of a home intervention to promote better birth outcomes.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2013Trial
- A process-oriented breastfeeding training program for healthcare professionals to promote breastfeeding: an intervention study.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2012Trial
- Nutritional status of iodine in pregnant women in Catalonia (Spain): study on hygiene-dietetic habits and iodine in urine.BMC pregnancy and childbirth · 2011Trial
- Antenatal peer support workers and initiation of breast feeding: cluster randomised controlled trial.BMJ (Clinical research ed.) · 2009Trial
- The effect of a programme of organised and supervised peer support on the initiation and duration of breastfeeding: a randomised trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Trial
- Mother's reactions to a skills-based breastfeeding promotion intervention.Maternal & child nutrition · 2006Trial
- Population-oriented health promotion and disease prevention interventions in primary healthcare: a scoping review of reviews.BMC primary care · 2026Article
- Effect of Mobile-Based Counselling on Breastfeeding in Spain: A Randomized Controlled Trial Protocol (COMLACT Study).Healthcare (Basel, Switzerland) · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
purposeWe wanted to systematically review whether primary care-based interventions improve initiation and duration of breastfeeding.
methodsStudies were found by searching MEDLINE (1966-2001), Health-STAR, the Cochrane Database of Systematic Reviews, the National Health Service Centre for Reviews and Dissemination Databases, and bibliographies of identified trials and review articles. Studies were included if they originated in the primary care setting and were conducted in a developed country, written in English, and contained a concurrent control group.
resultsThirty randomized and nonrandomized controlled trials and 5 systematic reviews of breastfeeding counseling were included. Educational programs had the greatest effect of any single intervention on both initiation (difference 0.23; 95% confidence interval [CI], 0.12-0.34) and short-term duration (difference 0.39; 95% CI, 0.27-0.50). Support programs conducted by telephone, in person, or both increased short-term (difference 0.11; 95% CI, 0.03-0.19) and long-term duration (difference 0.08; 95% CI, 0.02-0.16). In contrast, written materials such as pamphlets did not significantly increase breastfeeding. Data were insufficient to determine whether the combination of education with support was more effective than education alone.
conclusionsEducational programs were the most effective single intervention. One woman would breast-feed for up to 3 months for every 3 to 5 women attending breastfeeding educational programs. Future research and policy should focus on translating these findings into more widespread practice in diverse primary care settings.
Indexed as
Identifiers
What OpenQuestion holds
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 OpenQuestion graph.