Evidence map›Paper›PMID 37857543›Full record

ArticleBMJ open2023

Investigating short-stay admission to a neonatal intensive care unit as a risk factor for reduced breast feeding at discharge in infants ≥36 weeks' gestation: a retrospective cohort study.

Rachel Ann Jones, James Elhindi, Gemma Lowe, Lynne Henry, Rajesh Maheshwari, Mihaela Roxana Culcer, Dharmintra Pasupathy, Sarah J Melov

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Sweeter recovery, less intravenous fluids: a NICU quality improvement initiative for managing neonatal hypoglycemia.Journal of perinatology : official journal of the California Perinatal Association · 2026
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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

8 authors.

Rachel Ann JonesWomen's and Newborn Health, Westmead Hospital, Westmead, New South Wales, Australia rachel.jones4@health.nsw.gov.au.ORCID 0000-0002-6028-344X
James ElhindiReproduction and Perinatal Centre, The University of Sydney, Sydney, New South Wales, Australia.
Gemma LoweWomen's and Newborn Health, Westmead Hospital, Westmead, New South Wales, Australia.
Lynne HenryWomen's and Newborn Health, Westmead Hospital, Westmead, New South Wales, Australia.
Rajesh MaheshwariWomen's and Newborn Health, Westmead Hospital, Westmead, New South Wales, Australia.
Mihaela Roxana CulcerNeonatal Intensive Care Unit, Nepean Hospital, Penrith, New South Wales, Australia.
Dharmintra PasupathyReproduction and Perinatal Centre, The University of Sydney, Sydney, New South Wales, Australia.
Sarah J MelovReproduction and Perinatal Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-7569-1016

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to determine the effect of infant-mother separation following a short-stay (≤72 hours) admission to a Level 5 neonatal unit versus no admission on infant-feeding outcomes at hospital discharge.

designRetrospective cohort study.

settingAn Australian Level 5 neonatal unit within a tertiary referral hospital.

participantsMothers and their infants born between 1 January 2018 and 31 December 2020 had a short-stay admission to the neonatal unit or no admission. All participants met admission criteria to the postnatal ward and were discharged home at ≤72 hours (n=12 540). Postnatal ward admission criteria included ≥36 weeks' gestation and birth weight ≥2.2 kg.

main outcome measuresInfant feeding at discharge from hospital. Multivariate logistic regression analysis was conducted, adjusting for confounders associated with known breastfeeding issues. These included age, ethnicity, parity, obesity, socioeconomic score, hypertensive disorders of pregnancy, diabetes, infant gestation and birthweight centile, caesarean section birth, postpartum haemorrhage and skin-to-skin contact.

resultsOf the 12 540 live births meeting inclusion criteria, 1000 (8%) infants were admitted to the neonatal unit. The primary reasons for admission were suspicion of sepsis (24%), maternal diabetes (19%) and jaundice (16%). We found a reduction in full breast feeding at hospital discharge in cases of a short admission to the neonatal unit compared with no admission (aOR 0.40; 95% CI 0.34 to 0.47; p<0.001). We identified that women of different ethnicities had differing levels of risk for formula supplementation at hospital discharge. The ethnic grouping least likely to be fully breast feeding at discharge was Southeast Asian women (aOR 0.47; 95% CI 0.39 to 0.57; p<0.001).

conclusionsIdentifying mother-infant dyads at risk of non-exclusive breast feeding at hospital discharge will help target resources for practice improvement.

Indexed as

Breast FeedingDiabetes, GestationalAustraliaCesarean SectionFemaleHumansInfantInfant, NewbornIntensive Care Units, NeonatalLive BirthPatient DischargePregnancyRetrospective StudiesRisk Factorsauditcommunity child healthneonatal intensive & critical careneonatologyobstetricsprotocols & guidelines

Identifiers

PMID37857543
PMCPMC10603420

What OpenQuestion holds

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LicenceCC BY-NC
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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.