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2020年6月15日 · The objective of this study is to describe the relationship between maternal BMI and breastfeeding rates, as well as breastfeeding-associated problems and discomfort in women assisted by the Spanish Health System. Methods.
- Ana Ballesta-Castillejos, Juan Gomez-Salgado, Julian Rodriguez-Almagro, Inmaculada Ortiz-Esquinas, A...
- 2020
2024年3月6日 · Breastfeeding has long-lasting effects on children’s cognition, behavioral, mental and physical health. Previous research shows parental characteristics (e.g., education, race/ethnicity, income level) are associated with breastfeeding initiation and duration.
- Jennifer Locasale-Crouch
- Design
- Hypotheses and Outcome Variables
- Study Population
- Setting
- Recruitment
- Sample Size
- Randomization
- Intervention Delivery
- Experimental Intervention: Antenatal Milk Expression (AME) Education
- Comparison/Attention-Control Condition: Infant Care Education
The PREPARE Trial is an ongoing two-arm, parallel group, superiority randomized controlled trial with 1:1 allocation ratio based in the U.S. Participants are randomly assigned to either: 1) AME instruction/education delivered by remote, live International Board-Certified Lactation Consultants (IBCLCs), with instructions to engage in AME self-practi...
Primary hypotheses and outcomes
We hypothesize that compared to the attention control group, participants receiving the AME intervention will have higher breastfeeding self-efficacy and higher rates of exclusive breastfeeding within the first two postpartum weeks. To examine these hypotheses, we are measuring the following primary outcomes: 1. a) exclusive provision of participant’s own milk at 2 weeks postpartum (self-report) 2. b) scores on the Breastfeeding Self-Efficacy Scale-Short Form (SF) at 2 weeks postpartum
Exploratory aims and outcomes
We will examine the potential impact of AME on other short- and long-term lactation outcomes, including: 1. a) breastfeeding initiation and duration: any provision of participant’s own milk at each postpartum assessment point: postpartum birth center admittance (EHR); 2 weeks, 6 weeks, 12 weeks, 6 months, and 12 months postpartum (self-report) 2. b) breastfeeding exclusivity: provision of only participant’s own milk and proportional range of participant’s own milk versus other foods/infant fo...
Broadly, eligibility criteria for this study are based upon feasibility of data collection, conditions outside of the intervention expected to significantly impact milk volume and lactation outcomes, and circumstances expected to interfere with intervention delivery. Inclusion criteria: (1) pre-pregnancy BMI ≥ 25 kg/m2 via electronic health record ...
Eligible participants receive obstetric care at one of four health systems, which are based in Pittsburgh, Pennsylvania with additional study prenatal recruitment locations and birth hospitals/centers in north and central Pennsylvania. The primary birth center for the majority of participants is UPMC Magee-Womens Hospital (MWH), which is the Pittsb...
We currently employ a variety of remote and in-person participant recruitment strategies. We scan electronic health records (EHRs) of prenatal practices involved in the study for patients who are at least 28 weeks pregnant and meet basic eligibility criteria (parity, pre-pregnancy BMI, etc.); these patients are sent postcard study advertisements, a...
Our targeted enrollment sample size is 280 birthing parents. This sample size was based on an anticipated intervention drop-out/attrition by 2 weeks postpartum of 25%, current national breastfeeding exclusivity rates at 1–2 weeks postpartum, effects sizes for lactation support interventions in similar populations [19, 44], and anticipated challenge...
After enrollment and prior to any data collection, participants are allocated to a group via opaque sealed-envelope, computer-generated permuted 2- and 4-block randomization, stratified by pre-pregnancy BMI status (BMI: 25–29.9 kg/m2 or BMI: ≥ 30 kg/m2). To maintain participant and clinical provider blinding to study purpose and decrease the likeli...
Participants in both groups meet with study personnel for remote video visits via HIPAA-compliant Zoom during week 37, 38, 39, and 40 of pregnancy to receive their assigned intervention if they are still pregnant and have not developed exclusion criteria. Visits are approximately 15–30 minutes, and participants use their personal devices (e.g., cel...
After enrollment but prior to the first study visit, participants randomized to AME education are sent a milk collection kit and two brochures created by study personnel addressing how to hand express, collect, store, and feed any expressed milk (Figs. 1-2). The milk collection kit includes an insulated foam box with self-activated coolant in the l...
To stem threats to internal validity resulting from unequal attention between groups or lack of treatment to incentivize continued study participation, video visits with control group participants occur at the same weekly frequency and in similar duration to the intervention group. During visits, study staff stream videos for participants addressin...
Early or timely initiation of breastfeeding is crucial in preventing newborn deaths and influences childhood nutrition however remains low in South Asia and the factors and barriers warrant greater consideration for improved action.
2020年6月26日 · Published: 26 June 2020. Participation in the “nutrition at the Centre” project through women’s group improved exclusive breastfeeding practices, as measured by the deuterium oxide dose-to-mother technique. Jaures H. F. Lokonon, Waliou Amoussa Hounkpatin & Nicole Idohou-Dossou.
2014年9月21日 · This article explores cross-cultural adaptation and the process taken to prepare our instrument, which is a compilation of (1) the Iowa Infant Feeding Attitudes Scale (IIFAS), (2) the Breastfeeding Self-efficacy Scale-Short Form (BSES-SF) and (3) additional newly developed items, for use in another setting.
Excessive weight loss in newborns is associated with neonatal complications such as jaundice and dehydration, which cause renal failure, thrombosis, hypovolemic shock, and seizures. The identification of the risk factors for excessive weight loss will help to discover preventive measures.
