Evidence map›Paper›PMID 19854119›Full record

Trial reportAcademic pediatrics

A randomized controlled community-based trial to improve breastfeeding rates among urban low-income mothers.

Linda C Pugh, Janet R Serwint, Kevin D Frick, Joy P Nanda, Phyllis W Sharps, Diane L Spatz, Renee A Milligan

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 13 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

35 citing papers in PubMed, 13 syntheses or guidelines pooled it.

  1. Pooled it
  2. Breastfeeding interventions for preventing postpartum depression.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Pooled it
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  5. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
    Pooled it
  6. Pooled it
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  8. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017
    Pooled it
  9. Interventions for promoting the initiation of breastfeeding.The Cochrane database of systematic reviews · 2016
    Pooled it
  10. Pooled it
  11. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2012
    Pooled it
  12. Pooled it
  13. Enhancing breastfeeding rates among African American women: a systematic review of current psychosocial interventions.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine
    Pooled it
  14. Trial
  15. Trial
  16. Trial
  17. Article
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Linda C PughYork College of Pennsylvania, 17403, USA. lpugh@ycp.edu
Janet R Serwint
Kevin D Frick
Joy P Nanda
Phyllis W Sharps
Diane L Spatz
Renee A Milligan

Funding

Support for Low Income Breastfeeding: Cost and OutcomesR01NR007675 · NINR · JOHNS HOPKINS UNIVERSITY · PI PUGH, LINDA C · 2003 to 2006
$1.8M
NINR NIH HHS 1R01NR007675NINR NIH HHS R01 NR007675
6 · The paper itself

Abstract

objectiveThe purpose of this study was to assess whether providing a breastfeeding support team results in higher breastfeeding rates at 6, 12, and 24 weeks postpartum among urban low-income mothers.

methods

designA randomized controlled trial with mother-infant dyads recruited from 2 urban hospitals.

participantsBreastfeeding mothers of full-term infants who were eligible for Special Supplemental Nutrition Program for Women, Infants, and Children (n=328) were randomized to intervention (n=168) or usual-care group (n=160).

interventionThe 24-week intervention included hospital visits by a breastfeeding support team, home visits, telephone support, and 24-hour pager access. The usual-care group received standard care. OUTCOME MEASURE: Breastfeeding status was assessed by self-report at 6, 12, and 24 weeks postpartum.

resultsThere were no differences in the sociodemographic characteristics between the groups: 87% were African American, 80% single, and 51% primiparous. Compared with the usual-care group, more women reported breastfeeding in the intervention at 6 weeks postpartum, 66.7% vs 56.9% (odds ratio, 1.71; 95% confidence interval, 1.07-2.76). The difference in rates at 12 weeks postpartum, 49.4% vs 40.6%, and 24 weeks postpartum, 29.2% vs 28.1%, were not statistically significant.

conclusionsThe intervention group was more likely to be breastfeeding at 6 weeks postpartum compared with the usual-care group, a time that coincided with the most intensive part of the intervention.

Indexed as

Social SupportAdolescentAdultBaltimoreBreast FeedingFemaleHealth PromotionHumansInfantInfant, NewbornLogistic ModelsMaternal BehaviorMaternal Health ServicesMothersPovertyTelephone

Identifiers

PMID19854119
PMCPMC2818063

What OpenQuestion holds

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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.