Evidence map›Paper›PMID 26668300›Full record

SynthesisPediatrics2016

Clinical Interventions to Promote Breastfeeding by Latinas: A Meta-analysis.

Kathryn Wouk, Sandraluz Lara-Cinisomo, Alison M Stuebe, Charles Poole, Jessica L Petrick, Kathryn M McKenney

Open access · greenAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 16% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
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  5. Article
  6. Article
  7. Review
  8. Review
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  12. Article
  13. Associations Between Postpartum Depression, Breastfeeding, and Oxytocin Levels in Latina Mothers.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2017
    Article
  14. 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

6 authors at 3 institutions in 1 country.

Kathryn WoukCarolina Global Breastfeeding Institute, Department of Maternal and Child Health, and khouk@live.unc.edu.
Sandraluz Lara-CinisomoDepartment of Psychiatry, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois Urbana-Champaign, Champaign, Illinois;
Alison M StuebeCarolina Global Breastfeeding Institute, Department of Maternal and Child Health, and Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina;
Charles PooleDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina;
Jessica L PetrickDivision of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, Maryland.
Kathryn M McKenneySchool of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
University of North Carolina at Chapel Hill · USNational Cancer Institute · USUniversity of Illinois Urbana-Champaign · US

Funding

UNC Clinical and Translational Science AwardUL1TR000083 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2012 to 2013
$11.6M
Training Program in Reproductive, Perinatal, and Pediatric EpidemiologyT32HD052468 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Julie L Daniels · 2008 to 2026
$3.8M
Mood, mother and infant: The psychobiology of impaired dyadic developmentR01HD073220 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI STUEBE, ALISON M · 2013 to 2017
$2.9M
Postdoctoral Training in Reproductive Mood DisordersT32MH093315 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SUSAN Scott GIRDLER, David R. Rubinow · 2012 to 2026
$2.8M
UNC Clinical Translation Science Award-K12 Scholars Program (KL2)KL2TR000084 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2012 to 2013
$2.3M
UNC Clinical Translation Science Award-T32 Program (TL1)TL1TR000085 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2012 to 2013
$171k
Intramural NIH HHSNCATS NIH HHS KL2 TR000084NCATS NIH HHS KL2TR000084NCATS NIH HHS TL1 TR000085NCATS NIH HHS TL1TR000085NCATS NIH HHS UL1 TR000083NCATS NIH HHS UL1TR000083NICHD NIH HHS R01 HD073220NICHD NIH HHS T32 HD052468NIMH NIH HHS MH093315NIMH NIH HHS T32 MH093315
6 · The paper itself

Abstract

contextBreastfeeding duration and exclusivity among Latinas fall below recommended levels, indicating a need for targeted interventions. The effectiveness of clinical breastfeeding interventions for Latinas remains unclear.

objectiveTo systematically review the documented effectiveness of clinical breastfeeding interventions on any and exclusive breastfeeding among Latinas. DATA SOURCES: English-language publications in Medline, CINAHL, and Embase were searched through May 28, 2015. STUDY SELECTION: Fourteen prospective, controlled studies describing 17 interventions met inclusion criteria. DATA EXTRACTION: Extracted study characteristics include study design, population characteristics, intervention components, timing and intensity of delivery, provider type, control procedures, and outcome measures.

resultsRandom-effects meta-analyses estimated risk differences (RDs) between breastfeeding mothers in intervention and control arms of each study and 95% prediction intervals (PIs) within which 95% of intervals cover the true value estimated by a future study. Interventions increased any breastfeeding at 1 to 3 and 4 to 6 months (RD 0.04 [95% PI -0.15 to 0.23] and 0.08 [-0.08 to 0.25], respectively) and exclusive breastfeeding at 1 to 3 and 4 to 6 months (0.04 [-0.09 to 0.18] and 0.01 [-0.01 to 0.02]). Funnel plot asymmetry suggested publication bias for initiation and 1- to 3-month any breastfeeding. Estimates were slightly larger among interventions with prenatal and postpartum components, 3 to 6 patient contacts, and delivery by an International Board Certified Lactation Consultant or lay provider. LIMITATIONS: The published evidence for Latinas is limited, and studies have varying methodologic rigor.

conclusionsBreastfeeding interventions targeting Latinas increased any and exclusive breastfeeding compared with usual care.

Indexed as

Breast FeedingHealth PromotionHispanic or LatinoHumans

Identifiers

PMID26668300
PMCPMC4702022
OpenAlexW2385343446

What OpenQuestion holds

Textmetadata
LicenceTDM
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.