Trial reportArchives of disease in childhood2006
Randomised trial of infant sleep location on the postnatal ward.
Trial report in Archives of disease in childhood, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 88 citations in OpenAlex.
- Pooled it
- Interventions for promoting the initiation of breastfeeding.The Cochrane database of systematic reviews · 2016Pooled it
- Rooming-in for new mother and infant versus separate care for increasing the duration of breastfeeding.The Cochrane database of systematic reviews · 2016Pooled it
- The Impact of Breastfeeding and Safe Sleep Mobile Health Messaging on Breastfeeding and Bedsharing.Academic pediatrics · 2022Trial
- Postnatal unit bassinet types when rooming-in after cesarean birth: implications for breastfeeding and infant safety.Journal of human lactation : official journal of International Lactation Consultant Association · 2012Trial
- Exploring the Relationship between Co-Sleeping, Maternal Mental Health and Expression of Complaints during Infancy, and Breastfeeding.Healthcare (Basel, Switzerland) · 2024Article
- The impact of swaddling upon breastfeeding: A critical review.American journal of human biology : the official journal of the Human Biology Council · 2023Review
- Feeding Strategies in Newborns and Infants During the COVID-19 Pandemic-Polish Cross-Sectional Study.International journal of public health · 2023Article
- A review of the disruption of breastfeeding supports in response to the COVID-19 pandemic in five Western countries and applications for clinical practice.International breastfeeding journal · 2022Review
- Bed sharing versus no bed sharing for healthy term neonates.The Cochrane database of systematic reviews · 2021Review
- Mistakes from the HIV pandemic should inform the COVID-19 response for maternal and newborn care.International breastfeeding journal · 2020Article
- Longitudinal links between maternal factors and infant cognition: Moderation by infant sleep.Infancy : the official journal of the International Society on Infant Studies · 2020Article
- Healthy Birth Practice #6: Keep Mother and Newborn Together-It's Best for Mother, Newborn, and Breastfeeding.The Journal of perinatal education · 2019Article
- Phototherapy for Neonatal Unconjugated Hyperbilirubinemia: Examining Outcomes by Level of Care.Hospital pediatrics · 2019Observational
- Article
- Rooming-In: Creating a Better Experience.The Journal of perinatal education · 2017Article
- The relationship between planned and reported home infant sleep locations among mothers of late preterm and term infants.Maternal and child health journal · 2015Article
- Using benchmarking techniques and the 2011 maternity practices infant nutrition and care (mPINC) survey to improve performance among peer groups across the United States.Journal of human lactation : official journal of International Lactation Consultant Association · 2014Article
- Healthy Birth Practice #6: Keep Mother and Baby Together- It's Best for Mother, Baby, and Breastfeeding.The Journal of perinatal education · 2014Article
- Night waking among breastfeeding mothers and infants: Conflict, congruence or both?Evolution, medicine, and public health · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine whether postnatal mother-infant sleep proximity affects breastfeeding initiation and infant safety.
designRandomised non-blinded trial analysed by intention to treat.
settingPostnatal wards of the Royal Victoria Hospital (RVI), Newcastle upon Tyne, UK.
participants64 newly delivered mother-infant dyads with a prenatal intention to breastfeed (vaginal deliveries, no intramuscular or intravenous opiate analgesics taken in the preceding 24 h).
interventionInfants were randomly allocated to one of three sleep conditions: baby in mother's bed with cot-side; baby in side-car crib attached to mother's bed; and baby in stand-alone cot adjacent to mother's bed.
main outcome measuresBreastfeeding frequency and infant safety observed via night-time video recordings.
resultsDuring standardised 4-h observation periods, bed and side-car crib infants breastfed more frequently than stand-alone cot infants (mean difference (95% confidence interval (CI)): bed v stand-alone cot = 2.56 (0.72 to 4.41); side-car crib v stand-alone cot = 2.52 (0.87 to 4.17); bed v side-car crib = 0.04 (-2.10 to 2.18)). No infant experienced adverse events; however, bed infants were more frequently considered to be in potentially adverse situations (mean difference (95% CI): bed v stand-alone cot = 0.13 (0.03 to 0.23); side-car crib v stand-alone cot = 0.04 (-0.03 to 0.12); bed v side-car crib = 0.09 (-0.03-0.21)). No differences were observed in duration of maternal or infant sleep, frequency or duration of assistance provided by staff, or maternal rating of postnatal satisfaction.
conclusionSuckling frequency in the early postpartum period is a well-known predictor of successful breastfeeding initiation. Newborn babies sleeping in close proximity to their mothers (bedding-in) facilitates frequent feeding in comparison with rooming-in. None of the three sleep conditions was associated with adverse events, although infrequent, potential risks may have occurred in the bed group. Side-car cribs are effective in enhancing breastfeeding initiation and preserving infant safety in the postnatal ward.
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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.