Evidence map›Paper›PMID 28685958›Full record

ArticleMaternal & child nutrition2018

Availability of breastfeeding peer support in the United Kingdom: A cross-sectional study.

Aimee Grant, Kirsten McEwan, Sally Tedstone, Giles Greene, Lauren Copeland, Billie Hunter, Julia Sanders, Rhiannon Phillips, Amy Brown, Mike Robling and 1 more

Abstract read
In one paragraph

Article in Maternal & child nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Stakeholder Perspectives on Research, Policy and Practice Priorities to Increase Human Milk Feeding Rates in the United Kingdom.Journal of human lactation : official journal of International Lactation Consultant Association · 2024
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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

11 authors.

Aimee GrantCentre for Trials Research, Cardiff University, Cardiff, UK.ORCID 0000-0001-7205-5869
Kirsten McEwanUniversity of Derby, Derby, UK.
Sally TedstoneRoyal United Hospitals Bath NHS Foundation Trust, Bath, UK.
Giles GreeneDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Lauren CopelandDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Billie HunterSchool of Healthcare Sciences, Cardiff University, Cardiff, UK.
Julia SandersSchool of Healthcare Sciences, Cardiff University, Cardiff, UK.
Rhiannon PhillipsDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Amy BrownCollege of Human and Health Sciences, Swansea University, Swansea, UK.ORCID 0000-0002-0438-0157
Mike RoblingCentre for Trials Research, Cardiff University, Cardiff, UK.
Shantini ParanjothyDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.

Funding

Department of Health 13/18/05Medical Research Council MR/K023233/1
6 · The paper itself

Abstract

Peer support is recommended by the World Health Organization for the initiation and continuation of breastfeeding, and this recommendation is included in United Kingdom (U.K.) guidance. There is a lack of information about how, when, and where breastfeeding peer support was provided in the U.K. We aimed to generate an overview of how peer support is delivered in the U.K. and to gain an understanding of challenges for implementation. We surveyed all U.K. infant feeding coordinators (n = 696) who were part of U.K.-based National Infant Feeding Networks, covering 177 National Health Service (NHS) organisations. We received 136 responses (individual response rate 19.5%), covering 102 U.K. NHS organisations (organisational response rate 58%). We also searched NHS organisation websites to obtain data on the presence of breastfeeding peer support. Breastfeeding peer support was available in 56% of areas. However, coverage within areas was variable. The provision of training and ongoing supervision, and peer-supporter roles, varied significantly between services. Around one third of respondents felt that breastfeeding peer-support services were not well integrated with NHS health services. Financial issues were commonly reported to have a negative impact on service provision. One quarter of respondents stated that breastfeeding peer support was not accessed by mothers from poorer social backgrounds. Overall, there was marked variation in the provision of peer-support services for breastfeeding in the U.K. A more robust evidence base is urgently needed to inform guidance on the structure and provision of breastfeeding peer-support services.

Indexed as

Breast FeedingHealth Services AccessibilityPatient Education as TopicPeer InfluencePsychosocial Support SystemsSelf-Help GroupsAdultAllied Health PersonnelCross-Sectional StudiesFemaleFinancial SupportHealth Care SurveysHumansInternetNeeds AssessmentPractice Guidelines as Topicbreastfeedingbreastfeeding supportbreastfeeding traininghealth professionalinfant feedingsurvey methods

Identifiers

PMID28685958
PMCPMC6865891

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.