Trial reportBMJ (Clinical research ed.)2009
Antenatal peer support workers and initiation of breast feeding: cluster randomised controlled trial.
Trial report in BMJ (Clinical research ed.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05865873 (Improving Maternal Health Service Utilization Among Women of Reproductive Age in Sidama Regional State, Ethiopia), which is not on this map. Cited by 33 papers, 15 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.
Improving Maternal Health Service Utilization Among Women of Reproductive Age in Sidama Regional State, Ethiopia
Who cites it
33 citing papers in PubMed, 15 syntheses or guidelines pooled it.
- Pooled it
- Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022Pooled 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
- Interventions for supporting the initiation and continuation of breastfeeding among women who are overweight or obese.The Cochrane database of systematic reviews · 2019Pooled it
- A realist review of one-to-one breastfeeding peer support experiments conducted in developed country settings.Maternal & child nutrition · 2018Pooled 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
- Interventions for promoting the initiation of breastfeeding.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 antenatal peer support on breastfeeding initiation: a systematic review.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2010Pooled it
- Breastfeeding peer counseling: from efficacy through scale-up.Journal of human lactation : official journal of International Lactation Consultant Association · 2010Pooled it
- Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases.The Cochrane database of systematic reviews · 2010Pooled it
- Peer support intervention (ABA-feed) to improve breastfeeding: UK based, multicentre, parallel group, randomised controlled trial.BMJ (Clinical research ed.) · 2026Trial
- 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
- The impact of one-to-one peer support on mothers' personal breastfeeding goals and emotional well-being: a scoping review.Public health nutrition · 2026Article
- Harnessing routinely collected data for the evaluation of early years interventions: insights from a scoping review of evaluation studies.International journal of population data science · 2026Article
- Community-Based Health Education Led by Women's Groups Significantly Improved Maternal Health Service Utilization in Southern Ethiopia: A Cluster Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the effectiveness of an antenatal service using community based breastfeeding peer support workers on initiation of breast feeding.
designCluster randomised controlled trial.
settingCommunity antenatal clinics in one primary care trust in a multiethnic, deprived population.
participants66 antenatal clinics with 2511 pregnant women: 33 clinics including 1140 women were randomised to receive the peer support worker service and 33 clinics including 1371 women were randomised to receive standard care.
interventionAn antenatal peer support worker service planned to comprise a minimum of two contacts with women to provide advice, information, and support from approximately 24 weeks' gestation within the antenatal clinic or at home. The trained peer support workers were of similar ethnic and sociodemographic backgrounds to their clinic population.
main outcome measureInitiation of breast feeding obtained from computerised maternity records of the hospitals where women from the primary care trust delivered.
resultsThe sample was multiethnic, with only 9.4% of women being white British, and 70% were in the lowest 10th for deprivation. Most of the contacts with peer support workers took place in the antenatal clinics. Data on initiation of breast feeding were obtained for 2398 of 2511 (95.5%) women (1083/1140 intervention and 1315/1371 controls). The groups did not differ for initiation of breast feeding: 69.0% (747/1083) in the intervention group and 68.1% (896/1315) in the control groups; cluster adjusted odds ratio 1.11 (95% confidence interval 0.87 to 1.43). Ethnicity, parity, and mode of delivery independently predicted initiation of breast feeding, but randomisation to the peer support worker service did not.
conclusionA universal service for initiation of breast feeding using peer support workers provided within antenatal clinics serving a multiethnic, deprived population was ineffective in increasing initiation rates.
trial registrationCurrent Controlled Trials ISRCTN16126175.
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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.