Breastfeeding, Breastfeeding Duration, Depression, Self Efficacy
Conditions
Keywords
Breastfeeding, Depression, Primary Healthcare, Digi-physical, Self-Efficacy
Brief summary
The purpose of this Randomized Controlled Trial is to develop and evaluate a digi-physical intervention within primary health care lactation counselling and breastfeeding support to promote exclusive breastfeeding rates during the first 6 months after birth and to prevent depressive symptoms. The project addresses parents during pregnancy week 20 and 32 and will continue during the infant's first year of life. All participants will get access to an evidence-based information package (theory and practical advises) during pregnancy. Study aim is to develop and evaluate digital evidence-based information materials and continuous support for both parents in order to increase prevalence of exclusive breastfeeding and duration as well as decreasing the risks of symptoms of post-partum depression.
Detailed description
The project design is a single-blind randomized controlled trial. The intervention group will receive: * Digital support by chat with a lactation consultant for immediate breastfeeding support two-three weeks after delivery * Extended home visits by pediatric nurses providing extra knowledge and support about lactation * Extra support by health care providers educated in lactation counseling when needed. More specific purposes are: * Compare the prevalence of exclusive breastfeeding until 6 months and duration of breastfeeding up to one year between the intervention and the control group. (Primary outcome) * Compare prevalence of depression symptoms between the intervention and control group. (Secondary outcome) * Strengthening parents' self-efficacy in breastfeeding their child.
Interventions
OTHERDigi-physical breastfeeding support
* Breastfeeding support after birth is provided via chat * Extended home visits by a pediatric nurse after discharge from the maternity ward * Extra support from a lactation counselor when needed after discharge until one year after childbirth
Sponsors
Karolinska Institutet
Region Stockholm
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
25 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Being pregnant or partner of a person who is pregnant in pregnancy week 20-32 * All parents with language skills enabling them to fill out questionnaires, participate in interviews and read information. * Being resident in Stockholm Region
Exclusion criteria
* Parents without adequate Swedish language skills * Parents resident outside the Stockholm Region
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Exclusive breastfeeding at 6 months and duration of breastfeeding | From birth until child is one year old | Compare the prevalence of exclusive breastfeeding until 6 months and duration of breastfeeding up to one year between the intervention and the control group |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of depression symptoms | From birth until child is one year old | Compare prevalence of depression symptoms between intervention and control group 6-8 weeks after births and 6 plus 12 months after birth. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Parents' self-efficacy breastfeeding their child | From birth until child is one year old | Compare how parents' self-efficacy breastfeeding their child is improved |
Countries
Sweden
Contacts
Primary ContactMarina Taloyan, Associate Prof.
Outcome results
None listed