Evidence map›Paper›PMID 38338291›Full record

ArticleHealthcare (Basel, Switzerland)2024

Prenatal Breastfeeding Counseling Intervention in Women with Pre-Gestational Diabetes Mellitus-A Randomized Controlled Trial.

Tal Schiller, Tali Gassner, Yael Winter Shafran, Hilla Knobler, Ofer Schiller, Alena Kirzhner

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

6 authors.

Tal SchillerDepartment of Diabetes, Endocrinology and Metabolism, Kaplan Medical Center, Rehovot 7661041, Israel.
Tali GassnerDepartment of Diabetes, Endocrinology and Metabolism, Kaplan Medical Center, Rehovot 7661041, Israel.
Yael Winter ShafranFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9160401, Israel.
Hilla KnoblerDepartment of Diabetes, Endocrinology and Metabolism, Kaplan Medical Center, Rehovot 7661041, Israel.
Ofer SchillerPediatric Cardiac Intensive Care Unit, Schneider Children's Medical Center of Israel, Petah Tikva 4941492, Israel.
Alena KirzhnerDepartment of Diabetes, Endocrinology and Metabolism, Kaplan Medical Center, Rehovot 7661041, Israel.ORCID 0000-0003-0457-432X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on breastfeeding rates and targeted interventions in women with pre-gestational diabetes mellitus are inconclusive. The aim of the study was to evaluate breastfeeding rates up to one year postpartum and whether targeted counseling towards the end of pregnancy can impact breastfeeding rates and duration. An additional goal was to evaluate whether counseling affected women's perceptions regarding breastfeeding.

methodsWomen with pre-gestational diabetes mellitus were cluster-randomized between 32 and 36 weeks of gestation, either to face-to-face instruction with a certified lactation consultant or to receive written information on breastfeeding. Thirty-eight women without diabetes served as controls and were given written information on breastfeeding. All women filled out a questionnaire regarding intended breastfeeding duration, exclusivity, and perceptions, before intervention and at three, six, and twelve months post-partum.

resultsFifty-two women with pre-gestational diabetes mellitus consented to participate. All completed the questionnaires, 26 in each group. At three, six, and twelve months postpartum, rates of any breastfeeding were around 60%, 50%, and 30%, respectively. Approximately one-third breastfed exclusively in each group at three and six months. No significant difference in breastfeeding rates was noted between face-to-face instruction, written information, and controls. End-of-pregnancy counseling improved confidence in breastfeeding knowledge and confidence in being able to manage blood glucose.

conclusionsBreastfeeding rates in pre-gestational diabetes mellitus were comparable to those of women without diabetes and were unchanged by mode of instruction at the end of pregnancy. However, targeted diabetes-oriented breastfeeding instruction at the end of pregnancy improved knowledge and confidence among women with pre-gestational diabetes mellitus.

Indexed as

breastfeedingdiabeteslactation counselingpre-gestational diabetes mellituspregnancy

Identifiers

PMID38338291
PMCPMC10855396

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Registered trials

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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.