Hypertensive disorders of pregnancy, including preeclampsia and gestational hypertension Pregnancy and Childbirth
Conditions
Interventions
Nurse-led breastfeeding enhancing intervention, including a maternal assessment followed by the provision of tailored lactation management strategies to enhance breastfeeding self-efficacy and support
Sponsors
McGill University Health Centre
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Age >18 years 2. Diagnosis of hypertensive disorder of pregnancy (preeclampsia or gestational hypertension) 3. Singleton live birth delivered at >34 weeks gestation 4. Mother intends to breastfeed and breastfeeding initiated before hospital discharge 5. Patient speaks and understands English or French 6. Patient has telephone access
Exclusion criteria
Exclusion criteria: 1. Maternal contraindication to breastfeeding 2. Maternal condition that interferes with breastfeeding 3. Neonatal condition that interferes with breastfeeding 4. Infant born before 34 weeks gestation 5. Maternal ICU admission lasting >24 hours
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility, including recruitment, retention and participant satisfaction with the intervention: 1. Recruitment rate is defined as the number of eligible women who consented/number of eligible women who were approached, calculated at baseline 2. Retention rate is defined as the number of women who complete 12-month follow-up for the study/all women who consent to participate, calculated at 12-month follow-up 3. Participant satisfaction with the breastfeeding intervention will be measured using a self-administered questionnaire that includes quantitative and qualitative items on participants' satisfaction with the support received from the study nurse, measured at 3 months and 6 months postpartum | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Exclusive breastfeeding assessed by self-report at 6 months and 12 months postpartum 2. Total breastfeeding duration assessed by self-report at 6 months and 12 months postpartum 3. Blood pressure measured by the study nurse at 12 months postpartum 4. Use of anti-hypertensive medication as ascertained from the participant's medical chart at 12 months postpartum | — |
Countries
Canada
Outcome results
None listed