Evidence map›Paper›PMID 26871448›Full record

Trial reportPloS one2016

A Randomized Controlled Trial of Innovative Postpartum Care Model for Mother-Baby Dyads.

Corinne Laliberté, Sandra Dunn, Catherine Pound, Nadia Sourial, Abdool S Yasseen, David Millar, Ruth Rennicks White, Mark Walker, Thierry Lacaze-Masmonteil

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

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02043119 (BEST ABCs), which is not on this map. Cited by 13 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 7 pooled it
2.1field-weighted citation impact, top 13% 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.

NCT02043119 nacompletednot on this map

BEST ABCs: Benefits and Effectiveness of Support Offered Through A Breastfeeding Clinic Study

TypeinterventionalSponsorOttawa Hospital Research InstituteRan2014 to 2015Enrolled472ConditionsExclusive Breastfeeding Rates, Neonatal JaundiceArmsBreastfeeding Clinic
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 7 syntheses or guidelines pooled it, 33 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
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  5. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
    Pooled it
  6. Schedules for home visits in the early postpartum period.The Cochrane database of systematic reviews · 2021
    Pooled it
  7. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017
    Pooled it
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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

9 authors at 5 institutions in 1 country.

Corinne LalibertéChildren's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
Sandra DunnChildren's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
Catherine PoundChildren's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
Nadia SourialChildren's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
Abdool S YasseenChildren's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
David MillarDepartment of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Ruth Rennicks WhiteObstetrics and Maternal Newborn Investigations, the Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Mark WalkerObstetrics and Maternal Newborn Investigations, the Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Thierry Lacaze-MasmonteilChildren's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
Children's Hospital of Eastern Ontario · CAUniversity of Ottawa · CAOntario Stroke Network · CAOttawa Hospital · CAOttawa Hospital Research Institute

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy, safety, and maternal satisfaction of a newly established integrative postpartum community-based clinic providing comprehensive support for mothers during the first month after discharge from the hospital. Our primary interests were breastfeeding rates, readmission and patient satisfaction.

methodsA randomized controlled trial was conducted in Ottawa, Canada, where 472 mothers were randomized via a 1:2 ratio to either receive standard of care (n = 157) or to attend the postpartum breastfeeding clinic (n = 315). Outcome data were captured through questionnaires completed by the participants at 2, 4, 12 and 24 weeks postpartum. Unadjusted and adjusted logistic regression models were conducted to determine the effect of the intervention on exclusive breastfeeding at 12 weeks (primary outcome). Secondary outcomes included breastfeeding rate at 2, 4 and 24 weeks, breastfeeding self-efficacy scale, readmission rate, and satisfaction score.

resultsMore mothers in the intervention group (n = 195, 66.1%) were exclusively breastfeeding at 12 weeks compared to mothers in the control group (n = 81, 60.5%), however no statistically significant difference was observed (OR = 1.28; 95% CI:0.84-1.95)). The rate of emergency room visits at 2 weeks for the intervention group was 11.4% compared to the standard of care group (15.2%) (OR = 0.69; 95% CI: 0.39-1.23). The intervention group was significantly more satisfied with the overall care they received for breastfeeding compared to the control group (OR = 1.96; 95% CI: 3.50-6.88)).

conclusionThis new model of care did not significantly increase exclusive breastfeeding at 12 weeks. However, there were clinically meaningful improvements in the rate of postnatal problems and satisfaction that support this new service delivery model for postpartum care. A community-based multidisciplinary postpartum clinic is feasible to implement and can provide appropriate and highly satisfactory care to mother-baby dyads. This model of care may be more beneficial in a population that is not already predisposed to breastfeed.

trial registrationClinicalTrials.gov NCT02043119.

Indexed as

AdolescentAdultBreast FeedingCanadaCommunity Health ServicesFemaleHumansInfantInfant, NewbornLogistic ModelsMaleMothersPatient ReadmissionPatient SatisfactionPostnatal CarePostpartum Period

Identifiers

PMID26871448
PMCPMC4752489
OpenAlexW2255936019

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.