Evidence map›Paper›PMID 34308961›Full record

ArticleSchizophrenia bulletin2022

Maternal Schizophrenia, Skin-to-Skin Contact, and Infant Feeding Initiation.

Clare L Taylor, Hilary K Brown, Natasha R Saunders, Lucy C Barker, Simon Chen, Eyal Cohen, Cindy-Lee Dennis, Joel G Ray, Simone N Vigod

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Schizophrenia bulletin, 2022. 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
1.2field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
  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

9 authors at 3 institutions in 1 country.

Clare L TaylorWomen's College Research Institute, Women's College Hospital, Toronto, ON, Canada.
Hilary K BrownWomen's College Research Institute, Women's College Hospital, Toronto, ON, Canada.ORCID 0000-0002-8690-5841
Natasha R SaundersThe Hospital for Sick Children, Toronto, ON, Canada.
Lucy C BarkerWomen's College Research Institute, Women's College Hospital, Toronto, ON, Canada.
Simon ChenICES, Toronto, ON, Canada.
Eyal CohenThe Hospital for Sick Children, Toronto, ON, Canada.
Cindy-Lee DennisSt Michael's Hospital, Toronto, ON, Canada.
Joel G RaySt Michael's Hospital, Toronto, ON, Canada.
Simone N VigodWomen's College Research Institute, Women's College Hospital, Toronto, ON, Canada.
University of Toronto · CASt. Michael's Hospital · CAWomen's College Hospital · CA

Funding

CIHR PJT-156021
6 · The paper itself

Abstract

backgroundThe World Health Organization recommends mothers and infants be in direct skin-to-skin contact immediately after birth and initiate breastfeeding as soon as possible. Little is known in women with schizophrenia.

methodsWe conducted a population-based cohort study using administrative health data from Ontario, Canada (2012-2014), comparing women with (n = 471) and without schizophrenia (n = 218 435), and their infants, on the primary outcomes of any skin-to-skin contact and opportunity to initiate breastfeeding within the first 2 h after birth. For dyads with available data, secondary outcomes of intention to breastfeed, breastfeeding support, any breastmilk, and exclusive breastmilk at discharge were assessed. Modified Poisson regression was used to generate relative risks (aRR) and 95% confidence intervals (CI), adjusted for maternal age, parity, neighbourhood income, region of residence, smoking in pregnancy, and maternal medical and non-psychotic psychiatric comorbidity for all outcomes.

resultsMaternal schizophrenia was associated with lower likelihood of skin-to-skin contact (65.2% vs 78.1%; aRR 0.88, 95% CI: 0.82-0.94), and breastfeeding initiation post-delivery (38.9% vs 52.6% aRR 0.80, CI: 0.71-0.90) compared to dyads unexposed to maternal schizophrenia. Secondary outcomes followed a similar pattern. The magnitude of the effect was slightly less when restricting the cohort to full-term, vaginal deliveries, not admitted to NICU, and infant not discharged to social services.

conclusionsReduced maternal-infant skin-to-skin contact and breastfeeding initiation immediately after birth may significantly impact maternal-child bonding and the establishment breastfeeding in this population. Mothers with schizophrenia may require individualized support to promote these WHO recommended hospital practices in the early post-natal period.

Indexed as

Mother-Child RelationsObject AttachmentAdultBreast FeedingChild of Impaired ParentsCohort StudiesDelivery, ObstetricFemaleHumansInfant, NewbornMaleOntarioSchizophreniaTime FactorsYoung Adultbreastfeedinginitiationschizophreniaskin-to-skin contact

Identifiers

PMID34308961
PMCPMC8781380
OpenAlexW3185558273

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.