Breastfeeding
Conditions
Brief summary
The central hypothesis guiding this project is that having mothers view live video of their babies while they are pumping increases milk volume, caloric density, and maternal pumping experience.
Interventions
Viewing baby via FamilyLink while pumping
Not viewing baby via FamilyLink while pumping
Sponsors
Study design
Masking description
The investigator and outcomes assessor will be blinded to the order the mothers were randomized to.
Intervention model description
Participants will be randomized to the order of Intervention and Control pumping session. Excluding the first pumping session of the day, as the volume is highest at that time and more consistent throughout the rest of the day. All 30 mothers will be asked to A (Control): Pump three times while they are away from their infant without using FamilyLink for video observation of their baby during pumping and B (Intervention): Pump three times while they are away from their infant, while watching their baby via FamilyLink.
Eligibility
Inclusion criteria
* Mothers of 30 preterm infants (born before 34 weeks gestational age) admitted to the University of California, Davis neonatal intensive care unit (NICU) * Mother is pumping breastmilk * Delivery at least 7 days prior * Mother not an inpatient,
Exclusion criteria
* Mother has HIV * Mother without access to a computer, smartphone, or tablet to access FamilyLink * Infant delivered via surrogacy * Maternal age outside limit of 18 to 50
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean volume of Breast Milk | Two days | Difference in the the mean volume of breast milk expressed between intervention pumping sessions and control pumping sessions |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| FamilyLink breast milk fat content | One day | Breast milk fat content will be measured from a 5 ml sample of milk collected after a FamilyLink pumping session; The total weight and kilocalories/mL of each nutrient will be tested |
| Standard breast milk fat content | One day | Breast milk fat content will be measured from a 5 ml sample of milk collected after a Standard pumping session; The total weight and kilocalories/mL of each nutrient will be tested |
| FamilyLink breast milk protein content | One day | Breast milk protein content will be measured from a 5 ml sample of milk collected after a FamilyLink pumping session; The total weight and kilocalories/mL of each nutrient will be tested |
| Standard breast milk protein content | One day | Breast milk protein content will be measured from a 5 ml sample of milk collected after a Standard pumping session; The total weight and kilocalories/mL of each nutrient will be tested |
| Pumping Efficiency | Three times per day for two days | Pumping Efficiency will be calculated using the volume of breast milk expressed divided by the number of minutes of the pumping session |
| Standard breast milk carbohydrate content | One day | Breast milk carbohydrate content will be measured from a 5 ml sample of milk collected after a Standard pumping session; The total weight and kilocalories/mL of each nutrient will be tested |
| Quantitative pumping experience | Three times per day for two days | Breast Milk Expression Experience Personal Experience Subscale; a five question subscale to measure participants experience with breastfeeding; the minimum score is 5 and the maximum score is 25 (higher scores indicate better outcomes) |
| Qualitative pumping experience | Two days | Mothers will be asked open-ended questions, How was your pumping experience? Please describe your experience watching your baby while pumping. Would you want to use FamilyLink during pumping in the future? Why or why not? and Any suggestions to improve the FamilyLink pumping experience? Responses to these items will be analyzed qualitatively. |
| FamilyLink breast milk carbohydrate content | One day | Breast milk carbohydrate content will be measured from a 5 ml sample of milk collected after a FamilyLink pumping session; The total weight and kilocalories/mL of each nutrient will be tested |
Countries
United States