Evidence map›Paper›PMID 30132228›Full record

ArticleIrish journal of medical science2019

Antenatal breastfeeding self-efficacy and breastfeeding outcomes among mothers participating in a feasibility breastfeeding-support intervention.

Elizabeth J O'Sullivan, Goiuri Alberdi, Helena Scully, Niamh Kelly, Regina Kincaid, Rosie Murtagh, Stephanie Murray, Denise McGuinness, Ashamole Clive, Mary Brosnan and 3 more

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Article in Irish journal of medical science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

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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

13 authors.

Elizabeth J O'SullivanUCD Perinatal Research Centre, School of Medicine, University College Dublin, The National Maternity Hospital, Dublin 2, Ireland.
Goiuri AlberdiUCD Perinatal Research Centre, School of Medicine, University College Dublin, The National Maternity Hospital, Dublin 2, Ireland.
Helena ScullyUCD Perinatal Research Centre, School of Medicine, University College Dublin, The National Maternity Hospital, Dublin 2, Ireland.
Niamh KellyUCD Perinatal Research Centre, School of Medicine, University College Dublin, The National Maternity Hospital, Dublin 2, Ireland.
Regina KincaidThe National Maternity Hospital, Dublin 2, Ireland.
Rosie MurtaghThe National Maternity Hospital, Dublin 2, Ireland.
Stephanie MurrayWexford General Hospital, Wexford, Ireland.
Denise McGuinnessThe National Maternity Hospital, Dublin 2, Ireland.
Ashamole CliveThe National Maternity Hospital, Dublin 2, Ireland.
Mary BrosnanThe National Maternity Hospital, Dublin 2, Ireland.
Lucille SheehyThe National Maternity Hospital, Dublin 2, Ireland.
Elizabeth DunnWexford General Hospital, Wexford, Ireland.
Fionnuala M McAuliffeUCD Perinatal Research Centre, School of Medicine, University College Dublin, The National Maternity Hospital, Dublin 2, Ireland. fionnuala.mcauliffe@ucd.ie.ORCID http://orcid.org/0000-0002-3477-6494

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreastfeeding rates in Ireland are among the lowest worldwide. A feasibility study of a breastfeeding-support intervention explored maternal characteristics associated with antenatal breastfeeding self-efficacy and with infant-feeding mode at 6 weeks postpartum among women giving birth in Ireland.

methodsWe conducted a prospective study across two sites, urban and rural: The National Maternity Hospital (NMH), Dublin and Wexford General Hospital (WGH), Wexford. Nulliparous, pregnant women were recruited at approximately 32 weeks gestation from the hospitals' antenatal out-patient departments. Participants attended an antenatal class with a support partner, received a one-to-one session with a lactation consultant after delivery and had access to a breastfeeding-support clinic and telephone advice postpartum. Our aim was to understand maternal variables associated with breastfeeding self-efficacy and infant-feeding mode. We explored associations between continuous and categorical variables and any breastfeeding and exclusive breastfeeding using t tests and Chi-squared analyses.

resultsOne hundred mothers provided baseline data; 64 provided follow-up data. Lower maternal age and non-Irish nationality were associated with higher antenatal breastfeeding self-efficacy. At the rural unit, mothers with tertiary education were more likely to be exclusively breastfeeding than those with secondary education. Though not statistically significant, more normal-weight mothers from the urban unit were exclusively breastfeeding at 6 weeks than overweight/obese mothers.

conclusionsBreastfeeding outcomes differed by maternal education. Future interventions should target mothers with lower education and possibly also overweight and obese mothers. Increasing breastfeeding self-efficacy, particularly among older and Irish-born mothers, may be a mechanism for improving breastfeeding outcomes.

Indexed as

AdultBreast FeedingFeasibility StudiesFemaleHumansMothersPregnancyProspective StudiesSelf EfficacyBreastfeedingBreastfeeding self-efficacyFeasibility studyHuman milkIntervention

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Registered trials

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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.