Evidence map›Paper›PMID 27579102›Full record

ArticleObstetric medicine2011

Is breastfeeding safe with azathioprine?

Mandeep Singh, Jan Qualie, Andrew Currie, Edmund S Howarth, Manjiri M Khare

Open access · greenAbstract read
In one paragraph

Article in Obstetric medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact, top 86% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Safety of Drugs in Breastfeeding Women With CKD.Kidney international reports · 2025
    Article
  2. 2019 Expert opinion on biological treatment use in inflammatory bowel disease management.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2019
    Article
  3. Pemphigus and Pregnancy.Indian dermatology online journal
    Review
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.

Mandeep SinghWomen's and Perinatal Services, Leicester Royal Infirmary, University Hospital Leicester, Leicester , UK.
Jan QualieWomen's and Perinatal Services, Leicester Royal Infirmary, University Hospital Leicester, Leicester , UK.
Andrew CurrieWomen's and Perinatal Services, Leicester Royal Infirmary, University Hospital Leicester, Leicester , UK.
Edmund S HowarthWomen's and Perinatal Services, Leicester Royal Infirmary, University Hospital Leicester, Leicester , UK.
Manjiri M KhareWomen's and Perinatal Services, Leicester Royal Infirmary, University Hospital Leicester, Leicester , UK.
Leicester Royal Infirmary · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAzathioprine is commonly used as an immunosuppressant during pregnancy in the management of various conditions such as connective tissue disorders, inflammatory bowel disease and pregnant women with organ transplant. Continuation of azathioprine through pregnancy and postpartum is vital for maternal reasons. However, there is limited evidence regarding safety of use of azathioprine with breastfeeding. METHODS AND

resultsWe report an observational case series of 10 mother-baby pairs managed at a tertiary teaching hospital. Mothers on azathioprine who were keen to breastfeed were counselled antenatally regarding limited short-term and long-term safety data for the babies. Mothers participating in this study completed a questionnaire at every visit. At follow-up visits, babies were examined by a neonatologist for clinical signs of infection and checked for adverse effects on haematological profile.

conclusionThere was no clinically significant adverse effect on haematological profile or immunosuppression in these babies. Our case series supports safety of azathioprine in the short term. However, large numbers are needed to determine long-term safety of azathioprine and breastfeeding.

Indexed as

azathioprinebreastfeedingmaternal–fetal medicine

Identifiers

PMID27579102
PMCPMC4989605
OpenAlexW2012984797

What OpenQuestion holds

Textmetadata
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.