Evidence map›Paper›PMID 39711749›Full record

ReviewDigital health

The effectiveness of digital health versus standard care on exclusive breastfeeding duration among postpartum mothers in LMIC: Systematic review and meta-analysis.

Thiwawan Thepha, Gillian Carr, Debbi Marais, Jatuporn Kuasri, Kritsana Klangphaow, Juraporn Tangpukdee

Abstract readReview
In one paragraph

Review in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. 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

6 authors.

Thiwawan ThephaDepartment of Midwifery, Faculty of Nursing, Khonkaen University, Khonkaen, Thailand.ORCID https://orcid.org/0000-0002-5961-730X
Gillian CarrMasters of Public Health, University of Warwick, Coventry, UK.
Debbi MaraisWarwick Medical School, University of Warwick, Coventry, UK.
Jatuporn KuasriDepartment of Midwifery, Faculty of Nursing, Khonkaen University, Khonkaen, Thailand.ORCID https://orcid.org/0009-0002-8412-9444
Kritsana KlangphaowLibrarian Expertise, Faculty of Nursing, Khonkaen University, Khonkaen, Thailand.
Juraporn TangpukdeePediatric Department, Faculty of Nursing, Khonkaen University, Khonkaen, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to evaluate the effectiveness of digital health interventions compared to standard care in promoting exclusive breastfeeding (EBF) among postpartum women in low-and middle-income countries (LMICs). Methods: The PRISMA guidelines of reporting were followed for the searching of four databases and screening following eligibility criteria: articles presenting digital health interventions, conducted as randomized control trials (RCTs), quasi-experimental, or mixed-method studies, reporting on EBF duration and early initiation of breastfeeding, and published in the English language were included. Results: Of 1595 articles screened, only 10 published between 2013 and 2023 met the criteria. Most studies were from Nigeria (n = 3), with others from Kenya, South Africa, Ethiopia, China, India, and Lebanon. Six were RCTs, and four were quasi-experimental. The meta-analysis shows digital health interventions significantly increase EBF duration, with the strongest effects at 6 months (odds ratio (OR) = 2,1.66-2.40), followed by 5, 3, 2, and 1 month postpartum, including the initial feed. Conclusion: This suggests digital health interventions have the potential to enhance breastfeeding practices among postpartum mothers in LMICs. For future research, it is essential to consider accessibility, delivery intervention, healthcare professional collaboration, and the sustainable development of digital health interventions for postpartum mothers in LMICs.

Indexed as

Digital healthexclusive breastfeedingLMICspostpartum women

Identifiers

PMID39711749
PMCPMC11662382

What OpenQuestion holds

Textmetadata
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.