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. 2018 May 18;2018(5):CD011768. doi: 10.1002/14651858.CD011768.pub2

Edward 2013.

Methods Design: RCT
Unit of randomisation: mothers
Intention to treat: yes
Adjustment for clustering: N/A. Parallel‐group study
Participants Total number randomised: 248 pregnant women (intervention‐ doula group: 124; control: 124)
 Inclusion criteria: women who were < 34 weeks pregnant, under 21 years of age, and planning to deliver at the affiliated hospital
 Exclusion criteria: mothers who were aware at the time of recruitment that they would require a surgical delivery, who planned to move from the area, or who planned to give up custody of the infant
 Age: newborn infants enrolled and followed up to age 4 months
Gender: not reported
Ethnicity: young, African‐American mothers
Setting: a major urban university hospital and community
Country: unclear
Attrition: intervention: 16/124 (12.9%); control: 11/124 (8.9%)
Interventions Intervention (see Table 4 for detailed description):
  1. breastfeeding advocacy

  2. timing of introduction of complementary foods


Control: treatment as usual
Duration of each intervention session: not reported
Outcomes
  1. Attempted breastfeeding at the hospital

  2. Breastfeeding duration

  3. Timing of introduction of complementary foods


Time points reported: 4 months
Notes Study start and end dates: unclear
Study duration: unclear
Conflict of interest: the study authors indicated they had no potential conflicts of interest to disclose
Source of funding: "all phases of the research study reported in this paper were supported by the Maternal and Child Health Bureau Research Program, HRSA, DHHS, grant R40 MC 00203. The intervention implementation was funded by grants from the Irving B. Harris Foundation, the Blowitz‐Ridgeway Foundation, the Prince Charitable Trusts, the Visiting Nurses Association Foundation, and the Michael Reese Health Trust." (quote, p s160)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "randomisation took place in blocks of 4, 6, or 8, with equal numbers assigned to the intervention and control groups within each block" (p s162)
Allocation concealment (selection bias) Low risk Quote: "a biostatistician prepared a set of opaque envelopes, each labelled with a subject ID number and containing a group assignment" (p s162)
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Comment: not described. Probably not done
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Comment: not described. Probably not done
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: overall attrition was low about 11%. All participants lost to follow‐up were accounted with reasons. 12.9% from intervention and 8.9% from control group
Quote: "all analyses were by intent‐to‐treat" (p s163)
Selective reporting (reporting bias) Unclear risk Comment: none observed, but no protocol available for assessment
Other bias Low risk Comment: none observed