Evidence map›Paper›PMID 27150027›Full record

ArticleBMC pregnancy and childbirth2016

Inadequate prenatal care use and breastfeeding practices in Canada: a national survey of women.

Christy Costanian, Alison K Macpherson, Hala Tamim

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.8field-weighted citation impact, top 7% 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, 39 citations in OpenAlex.

  1. Trial
  2. Determinants of neonatal morbidity in Rajshahi Division of Bangladesh.Public health in practice (Oxford, England) · 2026
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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

3 authors at 1 institution in 1 country.

Christy CostanianSchool of Kinesiology & Health Science, Bethune College, York University, 4700 Keele Street, M3J 1P3, Toronto, ON, Canada. christycostanian@gmail.com.
Alison K MacphersonSchool of Kinesiology & Health Science, Bethune College, York University, 4700 Keele Street, M3J 1P3, Toronto, ON, Canada.
Hala TamimSchool of Kinesiology & Health Science, Bethune College, York University, 4700 Keele Street, M3J 1P3, Toronto, ON, Canada.
York University · CA

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundPrevious studies have demonstrated that prenatal care (PNC) has an effect on women's breastfeeding practices. This study aims to examine the influence of adequacy of PNC initiation and services use on breastfeeding practices in Canada.

methodsData for this secondary analysis was drawn from the Maternity Experiences Survey (MES), a cross sectional, nationally representative study that investigated the peri-and post-natal experiences of mothers, aged 15 and above, with singleton live births between 2005 and 2006 in the Canadian provinces and territories. Adequacy of PNC initiation and services use were measured by the Adequacy of Prenatal Care Utilization Index. The main outcomes were mother's intent to breastfeed, initiate breastfeeding, exclusively breastfeed, and terminate breastfeeding at 6 months. Multivariate logistic regression analysis assessed the adequacy of PNC initiation and service use on breastfeeding practices, while adjusting for socioeconomic, demographic, maternal, pregnancy and delivery related variables. Bootstrapping was performed to account for the complex sampling design.

resultsAround 75.0% of women intended to only breastfeed their child, with 90.0% initiating breastfeeding, while 6 month termination and exclusive breastfeeding rates were at 52.0% and 14.3%, respectively. Regression analysis showed no association between adequate PNC initiation or services use, and any breastfeeding practice. Mothers with either a family doctor or a midwife as PNC provider were significantly more likely to have better breastfeeding practices compared to an obstetrician.

conclusionsIn Canada, provider type impacts a mother's breastfeeding decision and behavior rather than quantity and timing of PNC.

Indexed as

AdultBreast FeedingCanadaCross-Sectional StudiesFemaleHealth SurveysHumansMothersPatient Acceptance of Health CarePregnancyPrenatal CareRegression AnalysisYoung AdultBreastfeeding practicesCanadaPrenatal Care UseWomen’s experiences

Identifiers

PMID27150027
PMCPMC4858884
OpenAlexW2346138750

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.