Evidence map›Paper›PMID 25953728›Full record

ArticleBMJ open2015

Feeding infants directly at the breast during the postpartum hospital stay is associated with increased breastfeeding at 6 months postpartum: a prospective cohort study.

Della A Forster, Helene M Johns, Helen L McLachlan, Anita M Moorhead, Kerri M McEgan, Lisa H Amir

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–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

26 citing papers in PubMed.

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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

6 authors.

Della A ForsterJudith Lumley Centre (formerly Mother and Child Health Research), La Trobe University, Melbourne, Victoria, Australia Royal Women's Hospital, Melbourne, Victoria, Australia.
Helene M JohnsJudith Lumley Centre (formerly Mother and Child Health Research), La Trobe University, Melbourne, Victoria, Australia Royal Women's Hospital, Melbourne, Victoria, Australia.
Helen L McLachlanJudith Lumley Centre (formerly Mother and Child Health Research), La Trobe University, Melbourne, Victoria, Australia School of Nursing and Midwifery, La Trobe University, Bundoora, Victoria, Australia.
Anita M MoorheadJudith Lumley Centre (formerly Mother and Child Health Research), La Trobe University, Melbourne, Victoria, Australia Royal Women's Hospital, Melbourne, Victoria, Australia.
Kerri M McEganMercy Hospital for Women, Heidelberg, Victoria, Australia.
Lisa H AmirJudith Lumley Centre (formerly Mother and Child Health Research), La Trobe University, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore whether feeding only directly from the breast in the first 24-48 h of life increases the proportion of infants receiving any breast milk at 6 months.

designA prospective cohort study.

settingThree maternity hospitals in Melbourne, Australia.

participants1003 postpartum English-speaking women with a healthy singleton term infant, who intended to breast feed, were recruited between 2009 and 2011. Women were excluded if they or their infant were seriously ill. 92% (n=924) were followed up at 6 months postpartum. PRIMARY AND SECONDARY OUTCOME MEASURES: Main exposure variable - type of infant feeding in hospital up to time of study recruitment (24-48 h postpartum), categorised as 'fed directly at the breast only' or 'received at least some expressed breast milk (EBM) or infant formula'. Primary outcome - proportion of infants receiving any breast milk feeding at 6 months postpartum. Secondary outcomes - proportion of infants receiving only breast milk feeding at 6 months; breast milk feeding duration; and maternal characteristics associated with giving any breast milk at 6 months.

resultsInfants who had fed only at the breast prior to recruitment were more likely to be continuing to have any breast milk at 6 months than those who had received any EBM and/or infant formula (76% vs 59%; adjusted OR 1.76, 95% CI 1.24 to 2.48 (adjusted for parity, type of birth, breastfeeding intention, breastfeeding problems at recruitment, public/private status, epidural for labour or birth, maternal body mass index and education)).

conclusionsHealthy term infants that fed only directly at the breast 24-48 h after birth were more likely to be continuing to breast feed at 6 months than those who received any EBM and/or formula in the early postpartum period. Support and encouragement to initiate breastfeeding directly at the breast is important.

Indexed as

Breast FeedingDietHospitalsMilk, HumanAdultAustraliaFemaleHumansInfantInfant, NewbornLength of StayMiddle AgedParityPostpartum PeriodProspective StudiesYoung AdultNUTRITION & DIETETICSPERINATOLOGYPUBLIC HEALTH

Identifiers

PMID25953728
PMCPMC4431142

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.