Evidence map›Paper›PMID 34933857›Full record

ReviewBMJ open2021

Funding received from breastmilk substitute manufacturers and policy positions of national maternity care provider associations: an online cross-sectional review.

Salma Qassin, Caroline S E Homer, Alyce N Wilson

Abstract readReview
In one paragraph

Review in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Salma QassinMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Victoria, Australia sqassin@student.unimelb.edu.au.ORCID 0000-0003-0581-388X
Caroline S E HomerMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Victoria, Australia.ORCID 0000-0002-7454-3011
Alyce N WilsonMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Victoria, Australia.ORCID 0000-0001-9229-789X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMaternity care providers play an essential role in supporting women to breast feed. It is critical that their professional associations limit influence from breastmilk substitute (BMS) manufacturers. Aims of this study were (i) to examine whether maternity care provider associations had policy or positions statements addressing BMS marketing and (ii) to explore the type of funding received by these associations.

designAn online cross-sectional review.

settingNational or regional maternity provider professional associations in Australia, New Zealand, the USA, Canada and the UK.

participantsTwenty-eight maternity care provider (obstetricians, midwives, nurses and others involved in perinatal care) professional association websites.

interventionsWebsites were examined from November 2019 to October 2020. PRIMARY AND SECONDARY OUTCOME MEASURES: Evidence of BMS industry funding and policy or position statements addressing acceptance of funding from industries such as BMS.

resultsPolicies addressing the BMS industry were found for 14 associations (50%). UK-based associations (5/5, 100%) and perinatal associations (4/6, 67%) were most likely to have a policy. Six associations (6/28, 21%) received some form of BMS financial support. The highest rates of BMS support were seen in the form of event advertising (5/28, 18%); closely followed by event sponsorship (4/28, 14%). At a provider level, obstetric associations had the highest rates of BMS support (2/4, 50%). At a country level, US-based associations were most likely to receive BMS support (3/7, 43%).

conclusionsBMS industry financial support was received by one-fifth of maternity care provider associations. Half of these associations had policies addressing BMS marketing. BMS industry support can create conflicts of interest that can threaten efforts to support, protect and promote breast feeding. Healthcare provider associations should avoid BMS funding and at a minimum have policy or position statements addressing BMS marketing.

Indexed as

Maternal Health ServicesMilk, HumanBreast FeedingCross-Sectional StudiesFemaleHumansPolicyPregnancymaternal medicinenutrition & dieteticsperinatologypublic health

Identifiers

PMID34933857
PMCPMC8693090

What OpenQuestion holds

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LicenceCC BY-NC
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.