Evidence map›Paper›PMID 29660858›Full record

Trial reportMaternal & child nutrition2018

Peer counselling improves breastfeeding practices: A cluster randomized controlled trial in urban Bangladesh.

Gulshan Ara, Mansura Khanam, Nowshin Papri, Baitun Nahar, Md Ahshanul Haque, Iqbal Kabir, Michael J Dibley

Open access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report 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, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 7 pooled it
3.2field-weighted citation impact, top 8% 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

26 citing papers in PubMed, 7 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  3. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
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  20. Academy of Breastfeeding Medicine Clinical Protocol #2: Guidelines for Birth Hospitalization Discharge of Breastfeeding Dyads, Revised 2022.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2022
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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

7 authors at 3 institutions in 2 countries.

Gulshan AraICDDR, B, Dhaka, Bangladesh.ORCID 0000-0002-3745-5952
Mansura KhanamICDDR, B, Dhaka, Bangladesh.
Nowshin PapriICDDR, B, Dhaka, Bangladesh.
Baitun NaharICDDR, B, Dhaka, Bangladesh.
Md Ahshanul HaqueICDDR, B, Dhaka, Bangladesh.
Iqbal KabirBangladesh Breastfeeding Foundation (BBF), Dhaka, Bangladesh.
Michael J DibleySydney School of Public Health, Edward Ford Building (A27), University of Sydney, Sydney, New South Wales, Australia.
International Centre for Diarrhoeal Disease Research · BDBiomedical Research Foundation · BDThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to evaluate the impact of peer counselling on early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) rates for mother-infant pairs living in urban slums, Dhaka, Bangladesh. This randomized controlled trial enrolled 350 mother-infant pairs from selected slums between September 2014 and July 2016. The women assigned to intervention group received peer counselling from locally recruited, trained community female volunteers starting in third trimester of pregnancy until 6 months after delivery; control group received no intervention. EIBF, any liquids given after birth, and EBF were compared between groups. Follow-up was scheduled at enrolment, following childbirth, and every 2 months up to 6 months after delivery. Multiple logistic regressions were used to assess the effect peer counselling and other associated factors on EIBF and EBF practices. EIBF rate was higher in the intervention group than in the control group (89.1% vs. 77.4%, p = .005). More mothers in intervention group were exclusively breastfeeding at 5 months than mothers in the control group (73% vs. 27%, p < .005). Control mothers were twice as likely to not practice EIBF compared with intervention mothers (adjusted odds risk [aOR]: 2.53, CI [1.29, 4.97], p = .007). Overall, caesarean section was associated with an 8.9-fold higher risk of not achieving EIBF (aOR: 8.90, CI [4.05, 19.55], p < .001). Intervention mothers were 5.10-fold more likely to practice EBF compared with control mothers (aOR: 5.10, CI [2.89, 9.01], p < .001) at 5 months. This study demonstrates peer counselling can positively influence both EIBF and EBF among mothers living in urban area.

Indexed as

Breast FeedingCounselingPeer GroupAdolescentAdultBangladeshCluster AnalysisFemaleHealth EducationHealth Knowledge, Attitudes, PracticeHumansMiddle AgedMothersPoverty AreasPregnancyPregnancy Trimester, Thirdearly initiation of breastfeedingexclusive breastfeedinginterventionpeer counsellingrandomized controlled trial

Identifiers

PMID29660858
PMCPMC6055706
OpenAlexW2799802550

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.