Trial reportBMJ (Clinical research ed.)2007
Antenatal education and postnatal support strategies for improving rates of exclusive breast feeding: randomised controlled trial.
Trial report in BMJ (Clinical research ed.), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 51 papers, 14 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.
A Randomised Controlled Trial to Compare Antenatal Preparation and Postnatal Counseling Strategies for Improving Breastfeeding Rates
Effect of Prenatal Counseling on Breastfeeding Rates in Twins
Who cites it
51 citing papers in PubMed, 14 syntheses or guidelines pooled it.
- Pooled it
- Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022Pooled it
- Effectiveness of Internet-Based Electronic Technology Interventions on Breastfeeding Outcomes: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Pooled it
- Counselling interventions to enable women to initiate and continue breastfeeding: a systematic review and meta-analysis.International breastfeeding journal · 2019Pooled it
- Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017Pooled it
- Antenatal breastfeeding education for increasing breastfeeding duration.The Cochrane database of systematic reviews · 2016Pooled it
- Pooled it
- Breastfeeding promotion interventions and breastfeeding practices: a systematic review.BMC public health · 2013Pooled it
- Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2012Pooled it
- Antenatal breastfeeding education for increasing breastfeeding duration.The Cochrane database of systematic reviews · 2011Pooled it
- Effect of breastfeeding promotion interventions on breastfeeding rates, with special focus on developing countries.BMC public health · 2011Pooled it
- Outcome Measures in Interventions That Enhance Breastfeeding Initiation, Duration, and Exclusivity: A Systematic Review.MCN. The American journal of maternal child nursingPooled it
- Interventions that Enhance Breastfeeding Initiation, Duration, and Exclusivity: A Systematic Review.MCN. The American journal of maternal child nursingPooled it
- Evaluation of a complex intervention: the Latch On randomized controlled trial of multicomponent breastfeeding support for women with a raised body mass index.Journal of public health (Oxford, England) · 2025Trial
- Socio-cultural factors for breastfeeding cessation and their relationship with child diarrhoea in the rural high-altitude Peruvian Andes - a qualitative study.International journal for equity in health · 2021Trial
- Individualized intervention to improve rates of exclusive breastfeeding: A randomised controlled trial.Medicine · 2019Trial
- BReastfeeding Attitude and Volume Optimization (BRAVO) trial: study protocol for a randomized controlled trial.Trials · 2016Trial
- Prevalence, duration and factors associated with breastfeeding in French Guiana in 2024.International breastfeeding journal · 2026Article
- An integrative review of the impact of International Board Certified Lactation Consultants in outpatient postnatal settings in the United States.Journal of perinatology : official journal of the California Perinatal Association · 2026Review
Corrections and comments
- Commented on by
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate whether antenatal breast feeding education alone or postnatal lactation support alone improves rates of exclusive breast feeding compared with routine hospital care.
designRandomised controlled trial.
settingA tertiary hospital in Singapore.
participants450 women with uncomplicated pregnancies.
main outcome measuresPrimary outcomes were rates of exclusive breast feeding at discharge from hospital and two weeks, six weeks, three months, and six months after delivery. Secondary outcomes were rates of any breast feeding.
resultsCompared with women who received routine care, women in the postnatal support group were more likely to breastfeed exclusively at two weeks (relative risk 1.82, 95% confidence interval 1.14 to 2.90), six weeks (1.85, 1.11 to 3.09), three months (1.87, 1.03 to 3.41), and six months (2.12, 1.03 to 4.37) postnatally. Women receiving antenatal education were more likely to breast feed exclusively at six weeks (1.73, 1.04 to 2.90), three months (1.92, 1.07 to 3.48), and six months (2.16, 1.05 to 4.43) postnatally. The numbers needed to treat to achieve one woman exclusively breast feeding at six months were 11 (6 to 80) for postnatal support and 10 (6 to 60) for antenatal education. Women who received postnatal support were more likely to exclusively or predominantly breast feed two weeks after delivery compared with women who received antenatal education (1.53, 1.01 to 2.31). The rate of any breastfeeding six weeks after delivery was also higher in the postnatal support group compared with women who received routine care (1.16, 1.02 to 1.31).
conclusionsAntenatal breast feeding education and postnatal lactation support, as single interventions based in hospital both significantly improve rates of exclusive breast feeding up to six months after delivery. Postnatal support was marginally more effective than antenatal education.
trial registrationClinical Trials NCT00270920 [ClinicalTrials.gov].
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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.