Evidence map›Paper›PMID 31214949›Full record

ArticleMaternal and child health journal2019

Breastfeeding Support Offered at Delivery is Associated with Higher Prevalence of Exclusive Breastfeeding at 6 Weeks Postpartum Among HIV Exposed Infants: A Cross-Sectional Analysis.

Christian Mpody, Travis Reline, Noro Lantoniaina Rosa Ravelomanana, Bienvenu Kawende, Emile W Okitolonda, Frieda Behets, Marcel Yotebieng

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Maternal and child health journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Christian MpodyDivision of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, USA. mpody.1@osu.edu.ORCID http://orcid.org/0000-0003-3754-7811
Travis RelineCarter Center, Atlanta, GA, USA.
Noro Lantoniaina Rosa RavelomananaSchool of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.
Bienvenu KawendeSchool of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.
Emile W OkitolondaSchool of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.
Frieda BehetsDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Marcel YotebiengDivision of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, USA.

Funding

"Enhancing Cancer Research in Central Africa IeDEA"U01AI096299 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI Denis Nash, Marcel Yotebieng · 2011 to 2026
$35.8M
Long term outcomes of therapy in women initiated on lifelong ART because of pregnancy in DR CongoR01HD087993 · NICHD · OHIO STATE UNIVERSITY · PI BABAKAZO, PELAGIE DIAMBALULA, YOTEBIENG, MARCEL · 2016 to 2020
$3.1M
Conditional cash transfers to increase uptake of and retention of PMTCT servicesR01HD075171 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI YOTEBIENG, MARCEL · 2012 to 2013
$778k
National Institute of Allergy and Infectious Diseases U01AI096299National Institute of Child Health and Human Development 1R01 HD075171NIAID NIH HHS U01 AI096299NICHD NIH HHS R01 HD075171NICHD NIH HHS R01 HD087993
6 · The paper itself

Abstract

Objective HIV-exposed uninfected infants are almost twice as likely to die compared to infants born to HIV-uninfected women. HIV-exposed uninfected children whose mothers are on ART and who are breastfed have the lowest risk of dying by 24 months of age. Interventions to improve breastfeeding among HIV-infected mothers are needed. We aimed to assess the association between support/counseling provided by healthcare workers following delivery and the rate of exclusive breastfeeding (EBF) at 6-week postpartum. Methods This is a secondary analysis of data collected as part of a trial to evaluate the effect of conditional cash transfers on retention in and uptake of PMTCT services. Between April 2013 and August 2014, newly diagnosed HIV-infected women, ≤ 32 weeks pregnant, registering for antenatal care (ANC), in 89 clinics in Kinshasa, Democratic Republic of Congo, were recruited and followed through 6 weeks postpartum. At 6-week, participants were asked if they had given anything other than breastmilk to their infant in the 24 h preceding the interview (No = EBF) and whether a nurse or a doctor talked to them about breastfeeding after they gave birth (YES = received breastfeeding support/counseling). Logistic regression was used to estimate the odds ratios (OR) and 95% confidence intervals (CI) measuring the strength of the association between EBF and receiving breastfeeding support/counseling by a healthcare provider following delivery. Results Of 433 women enrolled, 328 attended a 6-week postpartum visit including 320 (97%) with complete information on EBF. Of those 320, 202 (63%) reported giving nothing other than breastmilk to their infant in the previous 24 h; 252 (79%) reported that a healthcare provider came to talk to them about breastfeeding following delivery. Mothers who reported receiveing breastfeeding support/counseling from a healthcare provider were more likely to exclusively breastfeed compared to those who did not (69% vs. 38%, OR 3.74; 95% CI 2.14-6.54). Adjustment for baseline sociodemographic characteristics did not change the association substantially, (adjusted OR 3.72; 95% CI 2.06-6.71). Conclusion for Practice Receipt of breastfeeding support/counseling from a healthcare provider after delivery among HIV-infected mothers in care at 6-weeks postpartum in Kinshasa almost quadrupled the odds of EBF.

Indexed as

AdolescentAdultBreast FeedingCongoCross-Sectional StudiesDelivery, ObstetricFemaleHIV InfectionsHumansInfectious Disease Transmission, VerticalLogistic ModelsMothersOdds RatioPostpartum PeriodPregnancyPrevalence6 weeks postpartumBreastfeeding counselingExclusive breastfeedingHealthcare worker

Identifiers

PMID31214949
PMCPMC6732229

What OpenQuestion holds

Textmetadata
LicenceTDM
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.