Evidence map›Paper›PMID 26113871›Full record

ArticleInternational breastfeeding journal2015

Maternal intravenous fluids and postpartum breast changes: a pilot observational study.

Sonya Kujawa-Myles, Joy Noel-Weiss, Sandra Dunn, Wendy E Peterson, Kermaline Jean Cotterman

Open access · goldAbstract read
In one paragraph

Article in International breastfeeding journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Authentic Consumer-Clinician Co-Design of a Labour and Childbirth Intervention to Optimise Maternal Hydration in Labour: Reaching Consensus to Enhance Rigour.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  4. Effect of enhanced recovery after surgery for elective cesarean deliveries on neonatal outcomes.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  5. Article
  6. Article
  7. ABM Clinical Protocol #20: Engorgement, Revised 2016.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2016
    Observational
  8. 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 1 institution in 1 country.

Sonya Kujawa-MylesSchool of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario Canada.
Joy Noel-WeissSchool of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario Canada.
Sandra DunnBetter Outcomes Registry & Network (BORN Ontario), Ottawa, Ontario Canada ; Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario Canada.
Wendy E PetersonSchool of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario Canada.
Kermaline Jean CottermanSchool of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario Canada.
University of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe current breastfeeding initiation rate in Canada is approximately 87%. By one month, about 21% of women have stopped breastfeeding. Engorgement and edema in breast tissue can lead to breastfeeding challenges which may contribute to early weaning. The aims of this pilot research study were to explore the relationship between intrapartum intravenous fluids given to mothers and postpartum breast swelling in the first 10 days postpartum and to determine if a larger study was warranted and feasible.

methodsA prospective, longitudinal, observational cohort pilot study with repeated measures and a within-subjects design was completed. Participants were first time mothers who have a single, healthy newborn and had a spontaneous vaginal birth. Daily data collection from admission into the study until postpartum day 10 took place. Descriptive statistics are reported and linear regression analysis was used to model the relationship between IV therapy and postpartum breast edema.

resultsWomen who received intravenous fluids during labour had higher levels of breast edema postpartum and rated their breasts as firmer and more tender than women who did not receive intravenous fluids. Participants who had intravenous fluids described patterns of fullness that appeared to be related to edema as opposed to fullness associated with engorgement and lactogenesis II.

conclusionsThe findings demonstrate that mothers in this pilot study who received intravenous fluids in labour and postpartum had higher levels of breast edema. These results suggest a larger study is warranted to more fully examine the effects of intravenous fluids on postpartum breast swelling.

Indexed as

BreastfeedingEdemaEngorgementIntravenous fluidsLactogenesis II

Identifiers

PMID26113871
PMCPMC4480510
OpenAlexW1784577536

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.