Evidence map›Paper›PMID 34369075›Full record

ArticleMaternal & child nutrition2022

High levels of breastmilk feeding despite a low rate of exclusive breastfeeding for 6 months in a cohort of vulnerable women in Toronto, Canada.

Alison Mildon, Jane Francis, Stacia Stewart, Bronwyn Underhill, Yi Man Ng, Christina Rousseau, Erica Di Ruggiero, Cindy-Lee Dennis, Deborah L O'Connor, Daniel W Sellen

Open access · goldAbstract read
In one paragraph

Article in Maternal & child nutrition, 2022. 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
1.5field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Trial
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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

10 authors at 3 institutions in 1 country.

Alison MildonDepartment of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-5550-0040
Jane FrancisDepartment of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-6676-6533
Stacia StewartHealth Promotion and Community Engagement, Parkdale-Queen West Community Health Centre, Toronto, Ontario, Canada.
Bronwyn UnderhillHealth Promotion and Community Engagement, Parkdale-Queen West Community Health Centre, Toronto, Ontario, Canada.
Yi Man NgHealth Promotion and Community Engagement, Parkdale-Queen West Community Health Centre, Toronto, Ontario, Canada.
Christina RousseauThe Stop Community Food Centre, Toronto, Ontario, Canada.
Erica Di RuggieroDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Cindy-Lee DennisLawrence-Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
Deborah L O'ConnorDepartment of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-6331-091X
Daniel W SellenDepartment of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-2124-6977
University of Toronto · CARegent Park Community Health Centre · CAHome and Community Care Support Services · CA

Funding

CIHR GSD-157928
6 · The paper itself

Abstract

Exclusive breastfeeding (EBF) for 6 months is a global public health goal, but measuring its achievement as a marker of population breastmilk feeding practices is insufficient. Additional measures are needed to understand variation in non-EBF practices and inform intervention priorities. We collected infant feeding data prospectively at seven time points to 6 months post-partum from a cohort of vulnerable women (n = 151) registered at two Canada Prenatal Nutrition Program sites in Toronto, Canada. Four categories of breastmilk feeding intensity were defined. Descriptive analyses included the (i) proportion of participants in each feeding category by time point, (ii) use of formula and non-formula supplements to breastmilk, (iii) proportion of participants practising EBF continuously for at least 3 months; and (iv) frequency of transitions between feeding categories. All participants initiated breastmilk feeding with 70% continuing for 6 months. Only 18% practised EBF for 6 months, but 48% did so for at least 3 continuous months. The proportion in the EBF category was highest from 2 to 4 months post-partum. Supplemental formula use was highest in the first 3 months; early introduction of solids and non-formula fluids further compromised EBF at 5 and 6 months post-partum. Most participants (75%) transitioned between categories of breastmilk feeding intensity, with 35% making two or more transitions. Our data show high levels of breastmilk provision despite a low rate of EBF for 6 months. Inclusion of similar analyses in future prospective studies is recommended to provide more nuanced reporting of breastmilk feeding practices and guide intervention designs.

Indexed as

Breast FeedingMilk, HumanCohort StudiesFemaleHumansInfantPostpartum PeriodPregnancyPrenatal Nutritional Physiological Phenomenabreastfeedingbreastmilkexclusive breastfeedinginfant and child nutritioninfant feedinginfant formulapost-partum

Identifiers

PMID34369075
PMCPMC8710126
OpenAlexW3192609659

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.