Breastfeeding, Exclusive
Conditions
Keywords
reading
Brief summary
The primary objective of this study is to pilot an intervention of providing manual breast pumps at hospital discharge to low-income, first-time mothers and to generate initial estimates of the effect of this intervention on exclusive breastfeeding rates at 3 months (12 weeks). In this pilot study, we will compare receipt of a breast pump and brief instructions of its use to the active control of receipt of a children's book and brief instructions about reading with baby. As a secondary objective, we will investigate mothers' attitudes and opinions about the manual breast pump intervention with the goal of fine-tuning it to best fit mothers' needs before a larger, multi-center trial. To support our objectives, we will examine the following specific aims: 1. To test the intervention of providing low-income, first time mothers with a manual breast pump at hospital discharge on exclusive breastfeeding rates at 12 weeks. Hypothesis: Among low-income first-time mothers, receipt of a manual breast pump at hospital discharge will lead to improved exclusive breastfeeding rates at 12 weeks postpartum compared to receipt of a children's book. 2. To use qualitative methods to determine best practices associated with successful implementation of a breast pump intervention to improve breastfeeding rates among low-income, first-time mothers. 3. To test the effect of receiving a children's board book during the birth hospitalization on parents reading to the baby at 3 months (12 weeks).
Interventions
Sponsors
Academic Pediatric Association
University of California, Davis
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Investigator, Outcomes Assessor)
Intervention model description
Enrollment will be of 60 mother-infant dyads.
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* WIC-eligibility (income below 185% the federal poverty line) * liveborn infant * in the well newborn nursery * 12-96 hours of age * infant is breastfeeding
Exclusion criteria
* maternal age \<18 years * maternal incarceration * mother does not speak or read in English * infant is a twin or higher level multiple * infant has cleft lip and palate or a known syndrome
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Exclusive breastfeeding at 12 weeks | 12 weeks | Infant has had no food or drink other than breast milk in the last 24 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Exclusive breastfeeding through 12 weeks | 12 weeks | Infant has had no food or drink other than breast milk in their lifetime as measured at 12 weeks |
| Reading to baby at 12 weeks | 12 weeks | Did parent read to baby in the last 24 hours & in the last week |
Other
| Measure | Time frame | Description |
|---|---|---|
| Exclusive breastfeeding at 6 weeks | 6 weeks | Infant has had no food or drink other than breast milk in the last 24 hours |
| Any breastfeeding at 12 weeks | 12 weeks | Infant has taken in breast milk in the last 24 hours |
| Any breastfeeding at 6 weeks | 6 weeks | Infant has taken in breast milk in the last 24 hours |
Countries
United States
Outcome results
None listed