Last updated September 9, 2026
Key finding
Women felt significantly more confident in their breastfeeding knowledge (62% before vs. 89% after instruction, p = 0.016).
This study examined breastfeeding rates among women with pre-gestational diabetes mellitus through a randomized controlled trial. It found that confidence in breastfeeding knowledge significantly improved after face-to-face instruction.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Short-Term (≤3 mo)
Risk of bias
Some Concerns
Save research, organize studies, and quickly find important evidence again.
Plain-language summary
A plain-language read of the study’s main message and where it applies.
Study focus
This study examined breastfeeding rates among women with pre-gestational diabetes mellitus through a randomized controlled trial. It found that confidence in breastfeeding knowledge significantly improved after face-to-face instruction.
Understanding the factors that influence breastfeeding among women with pre-gestational diabetes is crucial for improving maternal and infant health outcomes. This study highlights the importance of educational interventions in boosting confidence, which may encourage breastfeeding, although it did not significantly change breastfeeding rates. Clinicians can use these insights to tailor support for new mothers with diabetes.
The study did not measure long-term breastfeeding outcomes beyond twelve months. The effectiveness of the interventions was unclear due to similar breastfeeding rates across groups. Sample size and demographic diversity may limit generalizability of findings.
Published in
Publication details and source links for this paper.
Tal S, Tali G, Yael WS, et al. Breastfeeding Rates in Women with Pre-Gestational Diabetes Mellitus: A Randomized Controlled Trial. Healthcare. 2024;12(3):406. doi:10.3390/healthcare12030406
Confidence in breastfeeding knowledge increased from 62% before to 89% after instruction (p = 0.016).
Breastfeeding rates at three months postpartum were around 60% across all groups.
Breastfeeding rates at six months postpartum were around 50% across all groups.
Breastfeeding rates at twelve months postpartum were around 30% across all groups.
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to Face-to-face instruction with a certified lactation consultant, Written information for controls, Written information on breastfeeding and Breastfeeding at three months postpartum, Breastfeeding at twelve months postpartum, Confidence in breastfeeding knowledge after instruction, and 5 more.
This study contributes evidence to
Primary intervention
Face-to-face instruction with a certified lactation consultant
Primary outcomes
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
See why this paper is useful beyond its individual results.
Evidence network role
This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.
0
Related topics
10
Evidence pairs
0
Related studies
Core evidence
The primary outcomes reported in this study.
Face-to-face instruction with a certified lactation consultant → Breastfeeding at three months postpartum
Face-to-face instruction with a certified lactation consultant → Breastfeeding at three months postpartum
Face-to-face instruction with a certified lactation consultant → Breastfeeding at twelve months postpartum
Face-to-face instruction with a certified lactation consultant → Breastfeeding at twelve months postpartum
Face-to-face instruction with a certified lactation consultant → Confidence in breastfeeding knowledge after instruction
Face-to-face instruction with a certified lactation consultant → Confidence in breastfeeding knowledge after instruction
Face-to-face instruction with a certified lactation consultant → Proportion of participants breastfeeding at 6 months
Face-to-face instruction with a certified lactation consultant → Proportion of participants breastfeeding at 6 months
Written information for controls → Breastfeeding at three months postpartum (control group)
Written information for controls → Breastfeeding at three months postpartum (control group)
Written information for controls → Proportion of participants breastfeeding at 6 months
Written information for controls → Proportion of participants breastfeeding at 6 months
Written information for controls → Responsiveness to medical and behavioral factors influencing self-management
Written information for controls → Responsiveness to medical and behavioral factors influencing self-management
Written information on breastfeeding → Breastfeeding at three months postpartum (written information)
Written information on breastfeeding → Breastfeeding at three months postpartum (written information)
Written information on breastfeeding → Breastfeeding at twelve months postpartum (written information)
Written information on breastfeeding → Breastfeeding at twelve months postpartum (written information)
Written information on breastfeeding → Proportion of participants breastfeeding at 6 months
Written information on breastfeeding → Proportion of participants breastfeeding at 6 months
Evidence Library
Save research, organize studies, and quickly find important evidence again.
Evidence Library
Save research, organize studies, and quickly find important evidence again.
Explore related studies, evidence collections, and research questions.
Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Face-to-face instruction with a certified lactation consultant and Proportion of participants breastfeeding at 6 months, Face-to-face instruction with a certified lactation consultant and Breastfeeding at three months postpartum.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies measuring Breastfeeding at three months postpartum
Measures Breastfeeding at three months postpartum as a key outcome.
All studies on Face-to-face instruction with a certified lactation consultant
Contributes to Face-to-face instruction with a certified lactation consultant evidence base.
All studies measuring Proportion of participants breastfeeding at 6 months
Measures Proportion of participants breastfeeding at 6 months as a key outcome.
Latest published studies
Published within the last 2 years.
Jump to pre-filtered views in Evidence Explorer.
1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Face-to-face instruction with a certified lactation consultant appears to improve confidence in breastfeeding knowledge after instruction.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Confidence in breastfeeding knowledge after instruction
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Face-to-face instruction with a certified lactation consultant for breastfeeding at three months postpartum.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Breastfeeding at three months postpartum
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Face-to-face instruction with a certified lactation consultant for breastfeeding at twelve months postpartum.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Breastfeeding at twelve months postpartum
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Face-to-face instruction with a certified lactation consultant for proportion of participants breastfeeding at 6 months.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Proportion of participants breastfeeding at 6 months
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Next steps
Choose a next path through related evidence topics, Evidence Explorer views, and research summaries.
Open broader Evidence Explorer views for this relationship.
Read related research summaries.
Focused on evidence, not advertising.
Your data is always protected.
New studies added every day.
