Evidence map›Paper›PMID 25786348›Full record

Trial reportMaternal & child nutrition2016

Relationship of newborn weight loss to milk supply concern and anxiety: the impact on breastfeeding duration.

Valerie J Flaherman, Jessica S Beiler, Michael D Cabana, Ian M Paul

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Maternal & child nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 5 pooled it
2.0field-weighted citation impact, top 14% 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.

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

19 citing papers in PubMed, 5 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Review
  9. Article
  10. Breastfeeding challenges and support in a high initiation population.Israel journal of health policy research · 2022
    Article
  11. Exclusive Breastfeeding Duration and Perceptions of Infant Sleep: The Mediating Role of Postpartum Anxiety.International journal of environmental research and public health · 2022
    Article
  12. Article
  13. Article
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  15. Article
  16. Article
  17. Review
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  19. Excessive weight loss in exclusively breastfed full-term newborns in a Baby-Friendly Hospital.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2016
    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

4 authors at 2 institutions in 1 country.

Valerie J FlahermanDepartment of Pediatrics, School of Medicine, University of California, San Francisco, California, USA.
Jessica S BeilerDepartment of Pediatrics, Penn State College of Medicine, Hershey, Pennsylvania, USA.
Michael D CabanaDepartment of Pediatrics, School of Medicine, University of California, San Francisco, California, USA.
Ian M PaulDepartment of Pediatrics, Penn State College of Medicine, Hershey, Pennsylvania, USA.
Pennsylvania State University · USUniversity of California, San Francisco · US

Funding

Improving breastfeeding outcomes by interventions targeted toward at-risk infantsK23HD059818 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FLAHERMAN, VALERIE JANE · 2009 to 2013
$591k
NICHD NIH HHS K23 HD059818
6 · The paper itself

Abstract

Milk supply concern is the most common reason for breastfeeding discontinuation and maternal anxiety is also associated with reduced breastfeeding duration. Newborn excess weight loss (EWL) could trigger milk supply concern and anxiety and might be amenable to modification. Our objective was to determine the relationship between EWL and the development of milk supply concern and anxiety and the effect of such development on breastfeeding duration. We conducted a cohort analysis using data previously obtained from a randomised controlled trial comparing two post-hospital discharge follow-up strategies. For 1107 well, singleton infants born at ≥34 weeks, we extracted data on all inpatient infant weights. EWL was defined as the loss of ≥10% of birthweight. We surveyed mothers to obtain data on state anxiety and milk supply concern at birth and at 2 weeks. Our final outcome was breastfeeding at 6 months. Seventy (6.3%) infants developed EWL during the birth hospitalisation. At 2 weeks, milk supply concern and positive anxiety screen were more common (42% and 18%, respectively) among mothers whose infants had had EWL than among mothers whose infants had not had EWL (20% and 6%, respectively) (P < 0.001 for each comparison). Mothers with milk supply concern at 2 weeks were much less likely to be breastfeeding at 6 months, with odds ratio of 0.47 (0.30, 0.74) in multivariate analysis. EWL may increase milk supply concern and anxiety and these may reduce breastfeeding duration. Ameliorating EWL might alleviate milk supply concern and anxiety and improve breastfeeding duration.

Indexed as

Breast FeedingMilk, HumanWeight LossAdultAnxietyCohort StudiesEthnicityFemaleFollow-Up StudiesHospitalizationHumansInfantInfant FormulaInfant, NewbornLogistic ModelsMothersbreastfeedingepidemiologyjaundicelactationpublic health

Identifiers

PMID25786348
PMCPMC6860094
OpenAlexW2134227115

What OpenQuestion holds

Textmetadata
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.