N/A
N=243
Prenatal Interventions to Promote Exclusive Breastfeeding
Breastfeeding · Intention · Health Behavior
Bottom Line
View on ClinicalTrials.gov: NCT03107715 ↗Enrolled (actual)
243
Serious AEs
0.4%
Results posted
Jun 2020
Primary outcome: Primary: Number of Participants Who Intended to Exclusively Breastfeed Post-intervention — 40; 36; 86; 67 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Breastfeeding Champion (Behavioral); Positive Messaging (Behavioral)
- Age
- Pediatric, Adult, Older Adult · 14+ yrs
- Sex
- Female
- Sponsor
- Lydia Furman
- Primary completion
- Aug 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants Who Intended to Exclusively Breastfeed Post-intervention |
40; 36; 86; 67; 2; 1 | — |
| PRIMARY Number of Participants Who Reported Their Intervention as "Very Interesting" (Response=5) on a 5 Point Likert Scale |
89; 58 | — |
| SECONDARY Number of Participants Who Exclusively Breastfed In-hospital |
79; 66 | — |
| SECONDARY Number of Participants Who Exclusively Breastfed at 2 Weeks Postpartum |
26; 29 | — |
Summary
Background: Exclusive breastfeeding through age 6 months is the optimal infant feeding method due to lifesaving benefits for children and mothers (AAP, others). Exclusive breastfeeding in-hospital is critical because in-hospital formula supplementation doubles risk of non-exclusive breastfeeding at 30-60 days (Chantry et al, 2014). While breastfeeding initiation rates have increased at our inner-city Baby Friendly - designated maternity hospital, exclusive breastfeeding lags. CDC mPINC data (maternity practices in infant nutrition and care, 2015) demonstrate this is a national problem, with >50% of surveyed hospitals endorsing supplementation of "10-49%" of breastfed infants.
Study Objective: The study objective is to evaluate acceptance/satisfaction of 2 prenatal interventions (breastfeeding champion and positive messaging) and to determine if these affect exclusive breastfeeding intention and practice.
Methods: In this prospective intervention study with follow-up chart review, we will pilot two 5-minute-long iPad-based interventions for 1 month each in obstetrical clinics, following a required 28-week obstetrical visit breastfeeding education. All expectant mothers (including 14-17 year olds with guardian) are eligible. Outcomes are acceptance (enrollment rate), satisfaction (Likert-based), impact on exclusive breastfeeding intention (pre/post query) and secondarily impact on exclusive breastfeeding in-hospital and at 2 weeks.
Eligibility Criteria
Inclusion Criteria
- Expectant women receiving prenatal care at UH MacDonald Women's Health Clinic or MAC1200 CLinic
- Completed required breastfeeding education presented at or before 28 weeks of gestation
- Age 14 - 17 years must have guardian/parent present who consents to teen participation, and teen must then assent to participation
- Ages 18 years and older must consent to participate
Exclusion Criteria
- Medical indication for use of formula only after delivery including HIV+ or will require chemotherapy treatment
Data sourced from ClinicalTrials.gov (NCT03107715). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.