Evidence map›Paper›PMID 29158771›Full record

ArticleInternational breastfeeding journal2017

Implementation and evaluation of community-based drop-in centres for breastfeeding support in Victoria, Australia.

Rhian L Cramer, Helen L McLachlan, Touran Shafiei, Lisa H Amir, Meabh Cullinane, Rhonda Small, Della A Forster

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International breastfeeding journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Article
  3. Article
  4. 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

7 authors.

Rhian L CramerJudith Lumley Centre (formerly Mother and Child Health Research), La Trobe University, 215 Franklin St, Melbourne, VIC 3000 Australia.
Helen L McLachlanJudith Lumley Centre (formerly Mother and Child Health Research), La Trobe University, 215 Franklin St, Melbourne, VIC 3000 Australia.
Touran ShafieiJudith Lumley Centre (formerly Mother and Child Health Research), La Trobe University, 215 Franklin St, Melbourne, VIC 3000 Australia.
Lisa H AmirJudith Lumley Centre (formerly Mother and Child Health Research), La Trobe University, 215 Franklin St, Melbourne, VIC 3000 Australia.
Meabh CullinaneJudith Lumley Centre (formerly Mother and Child Health Research), La Trobe University, 215 Franklin St, Melbourne, VIC 3000 Australia.
Rhonda SmallJudith Lumley Centre (formerly Mother and Child Health Research), La Trobe University, 215 Franklin St, Melbourne, VIC 3000 Australia.
Della A ForsterJudith Lumley Centre (formerly Mother and Child Health Research), La Trobe University, 215 Franklin St, Melbourne, VIC 3000 Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile Australia has high breastfeeding initiation, there is a sharp decline in the first weeks postpartum and this continues throughout the first year. Supporting breastfeeding In Local Communities (SILC) was a three-arm cluster randomised controlled trial to determine whether early home-based breastfeeding support by a maternal and child health nurse (SILC-MCHN), with or without access to a community-based breastfeeding drop-in centre, increased the proportion of infants receiving

methodsEvaluation of the three LGAs with drop-in centres was multifaceted and included observational visits and field notes; data collected from attendance log books from each drop-in centre; a written survey and focus groups with maternal and child health (MCH) nurses who ran the drop-in centres; and semi-structured interviews with MCH coordinators of the participating LGAs.

resultsThe three LGAs developed and ran different models of breastfeeding drop-in centres. They reported challenges in finding convenient, accessible locations. Overall, attendance was lower than expected, with an average of only one attendee per session. Two global themes were identified regarding staff views:

conclusionProviding community-based breastfeeding support was satisfying for the drop-in centre staff but proved difficult to implement, reflected by the lower than anticipated attendances at all of the drop-in centres. Interventions to increase breastfeeding in complex community settings require sufficient time to build partnerships with the existing services and the target population; to understand when and how to offer interventions for optimum benefit.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12611000898954.

Indexed as

BreastfeedingBreastfeeding promotionBreastfeeding supportCommunity health services, primary health care, preventative health careDrop-in centreOutpatient service

Identifiers

PMID29158771
PMCPMC5683552

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.