Evidence map›Paper›PMID 24262719›Full record

Trial reportAmerican journal of obstetrics and gynecology2014

An intervention to extend breastfeeding among black and Latina mothers after delivery.

Elizabeth A Howell, Susan Bodnar-Deren, Amy Balbierz, Michael Parides, Nina Bickell

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of obstetrics and gynecology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01312883 (Center for Achieving and Sustaining Improved Health in Harlem), which is not on this map. Cited by 31 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 11 pooled it
2.6field-weighted citation impact, top 10% of its field
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.

NCT01312883 nacompletednot on this map

Center for Achieving and Sustaining Improved Health in Harlem: Patient Education to Reduce Postpartum Depressive Symptoms Among Minority Women

TypeinterventionalSponsorIcahn School of Medicine at Mount SinaiRan2007 to 2010Enrolled540ConditionsPostpartum DepressionArmsBehavioral education intervention
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 11 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Breastfeeding interventions for preventing postpartum depression.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Pooled it
  4. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017
    Pooled it
  8. Antenatal breastfeeding education for increasing breastfeeding duration.The Cochrane database of systematic reviews · 2016
    Pooled it
  9. Pooled it
  10. Pooled it
  11. Racial and ethnic disparities in breastfeeding.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2015
    Pooled it
  12. Trial
  13. Trial
  14. Las Dos Cosas Versus Exclusive Breastfeeding: A Culturally and Linguistically Exploratory Intervention Study in Hispanic Mothers Living in Kentucky.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Trial
  15. Article
  16. Clinicians Speak: We Need to Redesign Postpartum Care.The Journal of perinatal education · 2024
    Article
  17. Article
  18. Article
  19. Breastfeeding Practices in Patients with Heart Disease Stratified by Area Deprivation Index.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2024
    Article
  20. Factors associated with the absence of postpartum consultations in a high-risk population.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2024
    Article
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

5 authors at 2 institutions in 1 country.

Elizabeth A HowellDepartment of Health Evidence and Policy, Icahn School of Medicine at Mount Sinai, New York, NY; Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY; Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: elizabeth.howell@mountsinai.org.
Susan Bodnar-DerenDepartment of Sociology, Virginia Commonwealth University, Richmond, VA.
Amy BalbierzDepartment of Health Evidence and Policy, Icahn School of Medicine at Mount Sinai, New York, NY.
Michael ParidesDepartment of Health Evidence and Policy, Icahn School of Medicine at Mount Sinai, New York, NY.
Nina BickellDepartment of Health Evidence and Policy, Icahn School of Medicine at Mount Sinai, New York, NY; Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
Icahn School of Medicine at Mount Sinai · USVirginia Commonwealth University · US

Funding

RESEARCH COREP60MD000270 · NIMHD · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI HOROWITZ, CAROL R · 2002 to 2011
$15.1M
Preparation and Patient Education to Reduce Postpartum Depressive SymptomsR01MH077683 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HOWELL, ELIZABETH A · 2009 to 2010
$1.7M
NIMHD NIH HHS 5P60MD000270-10NIMHD NIH HHS P60 MD000270NIMH NIH HHS 5R01MH77683-2NIMH NIH HHS R01 MH077683
6 · The paper itself

Abstract

objectiveThe purpose of this study was to compare breastfeeding duration in mothers after delivery who were assigned randomly to a behavioral educational intervention vs enhanced usual care. STUDY

designWe conducted a randomized trial. Self-identified black and Latina mothers early after delivery were assigned randomly to receive a behavioral educational intervention or enhanced usual care. The 2-step intervention aimed to prepare and educate mothers about postpartum symptoms and experiences (including tips on breastfeeding and breast/nipple pain) and to bolster social support and self-management skills. Enhanced usual care participants received a list of community resources and received a 2-week control call. Intention-to-treat analyses examined breastfeeding duration (measured in weeks) for up to 6 months of observation. This study was registered with clinicaltrial.gov (NCT01312883).

resultsFive hundred forty mothers were assigned randomly to the intervention (n = 270) vs control subjects (n = 270). Mean age was 28 years (range, 18-46 years); 62% of the women were Latina, and 38% were black. Baseline sociodemographic, clinical, psychosocial, and breastfeeding characteristics were similar among intervention vs control subjects. Mothers in the intervention arm breastfed for a longer duration than did the control subjects (median, 12.0 vs 6.5 weeks, respectively; P = .02) Mothers in the intervention arm were less likely to quit breastfeeding over the first 6 months after delivery (hazard ratio, 0.79; 95% confidence interval, 0.65-0.97).

conclusionA behavioral educational intervention increased breastfeeding duration among low-income, self-identified black and Latina mothers during the 6-month postpartum period.

Indexed as

Health PromotionMothersPostpartum PeriodSocial SupportAdolescentAdultBlack or African AmericanBreast FeedingFemaleHispanic or LatinoHumansMiddle AgedSelf Carebreastfeedinginterventionminoritypostpartumrandomized trial

Identifiers

PMID24262719
PMCPMC3938878
OpenAlexW1976524772

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

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.